Myocardial Ischemia due to Rapid Atrial Fibrillation Revealed Using the Instantaneous Wave-Free Ratio A Case Report

Hidesato Fujito, Daisuke Fukamachi, Naotaka Akutsu, Yuki Saito, Yasuo Okumura

研究成果: ジャーナルへの寄稿記事査読

抄録

Instantaneous wave-free ratio (iFR) is a non-hyperemic coronary physiological index measured during the diastolic wave-free period. Although atrial fibrillation (AF) with beat-to-beat fluctuations can occur during dias-tole, the feasibility of iFR measurements during AF has previously been demonstrated. However, the effects of coronary circulation during AF on iFR measurements remain unknown. In addition, the pathophysiology of ischemia due to AF tachycardia requires further elucidation. We report a unique case of myocardial ischemia due to rapid AF, as indicated by the iFR pullback measurement and beat-to-beat analysis. When planning revas-cularization in patients with rapid AF, the ability of iFR to reflect ischemic stress due to AF tachycardia should be considered.

本文言語英語
ページ(範囲)147-152
ページ数6
ジャーナルInternational Heart Journal
63
1
DOI
出版ステータス出版済み - 2022

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