Database Management Expert Program for Integrated Evaluation of Non-Invasive and Invasive Results of Coronary Heart Disease
نویسنده
چکیده
The coronary angiography giving the morphological data of epicardiac coronary stenoses and non-invasive tests sometimes even together are insufficient for evaluating the functional consequences of the epicardiac coronary stenoses. However, catheterisation allows us to detect the blunting of coronary flow increase during maximal vasodilatation (coronary flow reserve, CFR, e.g. by Doppler flow wire) and by measuring the translesional pressure gradient by pressure wire (fractional flow reserve, FFR) providing accurate functional assessment. According to this concept the authors have developed a complex cardiac database management program (Holistic Coronary Care, HCC). The database has been built on client-server technology where the central object is the 16-segment polar map. The system contains contextual and graphical elements for a quick data entry. By the assessment of 16 left ventricular segments on a polar map display there is a possibility for direct comparison of the invasive functional and morphologic and the non-invasive functional data. Details measured by pressure or Doppler wire are also stored in the coronary evaluating unit and the coronary segments are rendered to the supplied left ventricular segments. For the correct indication of coronary interventions (from functional and financial point of view) it is important to verify unambiguously the functionally significant coronary stenoses. To the best of our knowledge, the necessity of percutan or surgical intervention can be decided the most accurately by FFR and CFR, furthermore CFR objectively shows the failure of the coronary microvasculature.
منابع مشابه
Diagnosis of Coronary Artery Disease using Neuro-fuzzy-based Method
Background & Aim: Coronary artery disease is one of the most common diseases in different societies. Coronary angiography is established as one of the best methods for diagnosis of this disease. Angiography is an invasive and costly method. Furthermore, it is associated with risks such as death, heart attack, and stroke. Thus, this study introduces a neuro-fuzzy-based method which can help the ...
متن کاملNon-invasive estimation of cardiac wall stress by using tissue doppler-echocardiography ultrasound images: People with coronary artery stenosis
In this study, a method for non-invasive estimation of stress on the heart wall in the diastole phase is presented using ultrasound echocardiography and tissue Doppler imaging. The aim of this study was to evaluate the stress on the heart wall as a pre-diagnosis to identify people with coronary artery stenosis. 29 patients with stenosis of more than 70%, 30 patients with stenosis of 50 to 7...
متن کاملEvaluation of Cardiac Mitochondrial Function by a Nuclear Imaging Technique using Technetium-99m-MIBI Uptake Kinetics
Mitochondria play an important role in energy production for the cell. The proper function of a myocardial cell largely depends on the functional capacity of the mitochondria. Therefore it is necessary to establish a novel and reliable method for a non-invasive assessment of mitochondrial function and metabolism in humans. Although originally designed for evaluating myocardial perfusion, 99mTc...
متن کاملDiagnosis of Coronary Artery Disease via a Novel Fuzzy Expert System Optimized by Cuckoo Search
In this paper, we propose a novel fuzzy expert system for detection of Coronary Artery Disease, using cuckoo search algorithm. This system includes three phases: firstly, at the stage of fuzzy system design, a decision tree is used to extract if-then rules which provide the crisp rules required for Coronary Artery Disease detection. Secondly, the fuzzy system is formed by setting the intervals ...
متن کاملEfficiency and outcome of non-invasive versus invasive positive pressure ventilation therapy in respiratory failure due to chronic obstructive pulmonary disease
Background: Application noninvasive ventilation in the patients with exacerbation of chronic obstructive pulmonary disease (COPD) reduced mortality. This case-control study was designed to compare efficiency and outcome of non-invasive (NIV) versus invasive positive pressure ventilation (IPPV) in respiratory failure due to COPD Methods: The patients were assigned to NIV or IPPV intermittantl...
متن کامل