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FFR-guided PCI has been performed in National Taiwan University Hospital(NTUH) for many years. Nevertheless, the method of FFR measurement in NTUH is different from that in literature. In this study, the investigator would like to evaluate the effectiveness and safety of NTUH experience in FFR prospectively. First, the investigator will record any intracoronary (IC) injected adenosine-related complications, such as bradyarrhythmia or chest discomfort. Second, the investigator will follow up on the clinical outcome of the participants for 2 years, record if any target lesion failure, target vessel failure, target vessel-related myocardial infarction, and cardiac death. Finally, left ventricular diastolic pressure, serum pro-brain natriuretic peptide (pro-BNP), and high sensitivity C- reactive protein (hsCRP) will be checked and determined their relationships with the maximum dosage of IC adenosine.
FFR has been introduced for the determination of physiological ischemia in the myocardium for many years. Nowadays, FFR-guided PCI is highly recommended for the assessment of physiologic ischemia in intermediate coronary lesions. FFR-guided PCI has been performed in National Taiwan University Hospital(NTUH) for many years. Nevertheless, the method of FFR measurement in NTUH is different from that in literature. In this study, the investigator would like to evaluate the effectiveness and safety of NTUH experience in FFR prospectively. First, the investigator will record any intracoronary (IC) injected adenosine-related complications, such as bradyarrhythmia or chest discomfort. Second, the investigator will follow up on the clinical outcome of the participants for 2 years, record if any target lesion failure, target vessel failure, target vessel-related myocardial infarction, and cardiac death. Finally, left ventricular diastolic pressure, serum pro-brain natriuretic peptide (pro-BNP), and high sensitivity C- reactive protein (hsCRP) will be checked and determined their relationships with the maximum dosage of IC adenosine.
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| Measure | Description | Time Frame |
|---|---|---|
| Adenosine related adverse event | Including
| 24 hours |
| Major adverse cardiac event (MACE) | MACE including target lesion failure, target vessel failure, target vessel-related myocardial infarction, and cardiac death | 2 year |
| Measure | Description | Time Frame |
|---|---|---|
| The relationship between left ventricular diastolic pressure and maximum dosage of IC adenosine | Determine the correlation of left ventricular diastolic pressure and peak dosage of IC adenosine with FFR protocol in NTUH system | 1 hour |
| Measure | Description | Time Frame |
|---|---|---|
| The relationship between pro-BNP,hs-CRP and maximum dosage of IC adenosine | Determine the correlation of pro-BNP,,hs-CRP and peak dosage of IC adenosine with FFR protocol in NTUH system | 1 day |
Inclusion Criteria:
Exclusion Criteria:
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All subjects who had intermediate lesion over the coronary artery and eligible for FFR examination
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chien-Boon Jong, MD | Contact | +88635322140 | jgboon0407@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Chien-Boon Jong, MD | National Taiwan University Hospital, Hsinchu Branch. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University Hospital Hsin-Chu branch | Recruiting | Hsinchu | 300 | Taiwan |
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| ID | Term |
|---|---|
| D001919 | Bradycardia |
| D004417 | Dyspnea |
| ID | Term |
|---|---|
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
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blood
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |