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Interventional Cardiology Fellow - πŸ‡¦πŸ‡Ί| #radialfirst #CardioTwitter #CardioEd #cardiology |πŸ’”+ πŸ’‰ or (🎈+β›“) = ❀️ | @GC_Health but miss the 🐊 🐊
20 Feb 20
DOI: doi.org/10.1016/j.ijca…

Drs @SukhNijjer, @jerd10 and @RicardoPetraco. What are your views on @DavidLBrownMD fallacies of FFR?

As a budding interventional cardiologist, I like to hear all opinions and sides to the story :)
β€œIn conclusion, FFR in isolation is of no proven clinical value in the evaluation of patients with suspected ischemia. The ESC guidelines continue to promote an outdated paradigm for the evaluation of suspected ischemia that focuses on the focal epicardial stenosis.”
The 4 fallacies

1/4 - The first fallacy is the foundational premise of FFR that ischemia caused by a focal obstructive epicardial coronary stenosis is on the direct pathway to death or MI and therefore should be a target of revascularization
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