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165 pressure wire

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SHAPE Society

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165 pressure wire

  1. 1. PRESSURE WIRE HUMAN STUDY
  2. 2. Comparative Study of Intracoronary Temperature of Patients referred to Cath lab for Evaluation of Unstable angina ,Stable angina ,MI,and other non-coronary reasons by introducing a pressure wire inside the coronary arteries
  3. 3. 54 y male No cardiac symptoms Positive stress test RISK FACTORS: only Family history CLINICS: 1 cm Thermal Mapping in LAD 39.33 39.34 39.35 39.36 39.37 39.38 39.39 39.4 39.41 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 55 58 61 64 67 70 73 76 79 82 85 88 91 94 97 100 103 106 Temp
  4. 4. CLINICS: RISK FACTORS: 59Y Female Cardiomyopathy Angina Smoke Family history LAD Thermal Mapping in RCA Using Pressure Wire 39.65 39.66 39.67 39.68 39.69 39.7 39.71 39.72 39.73 1 26 51 76 101 126 151 176 201 226 251 276 301 326 351 376 401 426 451 476 501 526 Temperature(C) DISTAL END STENOSES 90% OSTIUM
  5. 5. CLINICS:LCA RISK FACTORS: 59 y Male Angina Quadruple CABG Hypertension Family history DM 1 cm
  6. 6. CLINICS: RISK FACTORS: 44y male Angina Kidney insuff Smoke DM Hypertension Obesity normal normal 1 cm Temperature Mapping in LAD (William Flusche) 38.32 38.33 38.34 38.35 38.36 38.37 38.38 38.39 38.4 1 47 93 139 185 231 277 323 369 415 461 507 553 599 645 691 737 783 829 875 921 967 1013 1059 1105 1151 1197 1243 1289 1335 1381 1427 1473 1519 1565 1611 Temp(C)
  7. 7. stenosis Distal end CLINICS: 39 y male Angina MI RISK FACTORS: Hypertension DM Family history Thermal Mapping of LCX using Pressure Wire 38.765 38.775 38.785 38.795 38.805 38.815 38.825 38.835 38.845 1 126 251 376 501 626 751 876 1001 1126 # of Measurements Temp(C) STENOSIS
  8. 8. CLINICS: RISK FACTORS: 74 Y,female Angina MI smoke Hypertension Family history 0.5 cm Temperature mapping in LAD 40.31 40.32 40.33 40.34 40.35 40.36 40.37 40.38 40.39 1 26 51 76 101 126 151 176 201 226 251 276 301 326 351 376 401 426 451 476 501 526 551 576 601 626 651 676 701 726 751 776 801 826 851 876 901 926 951 976 1001 1026 1051 1076 1101 1126 1151 1176 1201 1226 1251 1276 1301 Measurements Temp(C)
  9. 9. LAD:100% PROXIMAL OCCLUSION LCA:70% MID STENOSIS RCA:SMALL ,NON DOMINANT CLINICS: RISK FACTORS: 68 MALE Angina MI HYPERTENSION OBESITY DM Homocysteine0.5 cm
  10. 10. 38.76 38.77 38.78 38.79 38.8 38.81 38.82 38.83 38.84 38.85 38.86 1 43 85 127 169 211 253 295 337 379 421 463 505 547 589 631 673 715 757 CLINICS: RISK FACTORS: No Symptoms No Risk Factor
  11. 11. TEMP 38.02000 38.04000 38.06000 38.08000 1 1 1 1 1 1 1 1 1 1 1 1 1 1 RISK FACTORS: CLINICS: Unstable angina Hypercholesrole
  12. 12. 37.72 37.74 37.76 37.78 37.8 37.82 1 272 543 814 1085 1356 1627 1898 2169 2440 2711 2982 3253 3524 3795 Clinics: 59y male No symptoms Risk factors: DM Hypertension Family History Stressful life
  13. 13. AVERAGE OF TEMPERATURE 36 36.5 37 37.5 38 38.5 39 39.5 40 40.5 1 2 3 4 5 6 7 1:stress test + 3:angina,CABG 4:angina 2:angina 5,6,7:angina,MI
  14. 14. ST DEVIATION 0 0.005 0.01 0.015 0.02 0.025 1 2 3 4 5 6 7 1:stress test + 3:angina,CABG 4:angina
  15. 15. RANGE OF TEMPERATURE 0 0.02 0.04 0.06 0.08 0.1 0.12 0.14 0.16 1 2 3 4 5 6 7 1:stress test + 3:angina,CABG 4:angina
  16. 16. COEFFICIENT OF VARIATION 0 0.0001 0.0002 0.0003 0.0004 0.0005 0.0006 1 2 3 4 5 6 7 1:stress test + 3:angina,CABG 4:angina

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