This book explains the role of coronary microvasculature in autoregulating blood flow to the heart, a topic that is often poorly understood, even amongst cardiologists. It explains why coronary stenting has limited prognostic value in stable angina, kidney and heart failure as demonstrated by randomised controlled trials such as ISCHEMIA, ORBITA, ISCHEMIA-CKD and REVIVED. Further, not just reduced, but increased blood flow too can cause angina. This may be relevant in women with INOCA and TTS.

Coronary Thermodilution introduces the clinical application of measuring absolute volumetric coronary blood flow, which allows the mechanistic understanding of symptoms so that appropriate treatments can be personalised. Providing extensive information for cardiologists and physicians in adjacent fields, such as cardiac imaging, interventional cardiology, electrophysiology and cardiac surgery, this book represents a key reference in this promising area of medicine.

Represents a concise book on coronary microvascular dysfunction and its treatment using intracoronary thermodilution Describes the diagnoses of those with chest pain and non-obstructive coronaries using this new technique Provides step-by-step practical clinical experience of the technique using case-based material

Autorentext

Dr Pitt O. Lim is a Consultant Interventional Cardiologist based at St George's University Hospitals NHS Foundation Trust in London with triple accreditations in General Internal Medicine, Cardiology, and Clinical Pharmacology and Therapeutics. He has 20 years' experience in the full range of interventional cardiology practice and was instrumental in setting up regional services in primary percutaneous coronary intervention for acute myocardial infarction. Currently he has specialist interests in three evolving key areas: 1. Distal Radial Access, 2. Drug-Coated Balloon, and 3. Coronary Physiology.

Inhalt

Part I.- Crowned Heart.- Part II.- Paced Heart.- Constraint Heart.- Euphoric Heart.- Infarcted Heart.- Knotted Heart.- Arrested Heart.- Flooded Heart.- Stiff Heart.- Hypertensive Heart.- Part III.- Selfish Heart.