Practical Application of Coronary Physiologic Assessment: Asia-Pacific Expert Consensus Document: Part 1.

Coronary physiologic assessment is performed to measure coronary pressure, flow, and resistance or their surrogates to enable the selection of appropriate management strategy and its optimization for patients with coronary artery disease. The value of physiologic assessment is supported by a large body of evidence that has led to major recommendations in clinical practice guidelines. This expert consensus document aims to convey practical and balanced recommendations and future perspectives for coronary physiologic assessment for physicians and patients in the Asia-Pacific region based on updated information in the field that including both wire- and image-based physiologic assessment. This is Part 1 of the whole consensus document, which describes the general concept of coronary physiology, as well as practical information on the clinical application of physiologic indices and novel image-based physiologic assessment.

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© 2023 The Authors.

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This work is supported by the grant from the Patient-Centered Clinical Research Coordinating Center (grant number: HC19C0305). Dr Koo has received institutional research grants from Abbott Vascular, Boston Scientific, Philips, and HeartFlow. Dr Joo Myung Lee has received institutional research grants from Abbott Vascular, Boston Scientific, Philips Volcano, Terumo Corporation, Zoll Medical, and Donga-ST. Dr Seung Hun Lee has received an institutional research grant from Abbott Vascular. Dr Tu is a co-founder of Pulse Medical and has received institutional research grants from Pulse Medical. Dr Nam has received an institutional research grant from Abbott Vascular. Dr Yong has received honoraria from Abbott Vascular; and has received institutional research grants and support from Abbott Vascular and Philips. Dr Harding has received proctoring fees/speaker honoraria from Abbott Vascular, Boston Scientific, Medtronic, and Terumo Medical. Dr Hu has received an institutional research grant from Boston Scientific. Dr Wang has received an institutional research grant from Boston Scientific. Dr Fearon has received institutional research support from Abbott, Boston Scientific, and Medtronic; has received consulting fees from CathWorks and Siemens; and has stock options with HeartFlow. Dr Escaned has received personal fees as speaker or advisory board member from Abbott, Boston Scientific, Medis, RainMed, and Philips; he also reports joint ownership of angio-IMR patent. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.