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To investigate whether instantaneous wave-Free Ratio(iFR)/Fractional Flow Reserve(FFR) guided treatment strategy makes the postulated treatment strategy by Coronary Angiogram(CAG) guide change and to analyze the cost-effectiveness of its dual diagnosis.
To investigate difference between SYNTAX score evaluated CAG and functional SYNTAX score evaluated physiological assessment of coronary stenosis and its clinical effectiveness.
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| Measure | Description | Time Frame |
|---|---|---|
| Medical economy | To evaluate the healthcare cost-effectiveness in QALY(Quality Adjusted Life Year)converted by Japanese functional score ; Quality of Life(QOL) questionnaire (EQ-5D) and the cost postulated by CAG strategy with its iFR/FFR hybrid strategy. To collect the healthcare cost related MACCE at the timing of 6 and 12 months FU point. (Included emergency visit) To collect QOL questionnaire (EQ-5D) at the timing of just after the treatment and 12 months follow up point. | 1 year after the procedure |
| Physiological assessment | Alteration in treatment protocol. Change in SYNTAX score. | baseline pocedure |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of major adverse cardiac and cerebrovascular events(MACCE) | MACCE include all-cause death, cerebrovascular accident(CVA), myocardial infarction(MI), and repeat revascularization. | 1year after the pocedure |
| correlated analysis |
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Inclusion Criteria:
Exclusion Criteria:
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Patient who is adaptable to CAG and/or coronary revascularization
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| Name | Affiliation | Role |
|---|---|---|
| Masato Nakamura, M.D | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| NPO Associations for Establishment of Evidence in Interventions | Minato | Tokyo | 105-0013 | Japan |
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| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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Area under receiver-operating characteristic curve(ROC) Classification agreement between iFR and FFR in this registry, Demonstrated using the area under the receiver-operating characteristic curve(FFR cut-off 0.8 or 0.75).
| baseline pocedure |
| evaluation of variance | Treatment categorization disagreements of iFR and FFR are analyzed by multi-variable analysis processing to calculate Characteristic factors. | beseline procedure |
| D001161 |
| Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |