Cath Flashcards

1
Q

No ReFlow Phenomenon

A

Suboptimal myocardial perfusion despite restoration of lumen patency.

TIMI 2 flow or lower

Causes:

Micro vascular obstruction

Inflammation
Endothelial injury
Edema 
Vasospasm 
Myocyte reperfusion
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2
Q

Pulm. HTN on RHC

A

Mean PA pressure if >25mmHg

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3
Q

Micro secular Dysfunction

A

Coronary Flow Reserve

Less than 2.5 with adenosine indicates non endothelial micro vascular dysfunction

Decreased coronary diameter with acetylcholine indicates endothelial macro vascular dysfunction

Decreased coronary diameter with nitroglycerin
Indicates non endothelial macro vascular dysfunction

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