November 20, 2025Circulation1 citations
View Full PaperEvidence-Based Practices in the Cardiac Catheterization Laboratory: Invasive Epicardial Coronary Physiologic Assessment: A Scientific Statement From the American Heart Association
Key Result
This scientific statement highlights evidence-based practices in invasive epicardial coronary physiologic assessment to evaluate intermediate coronary lesions and refutes common misconceptions.
Structured PICO
P
Population
Patients with intermediate coronary lesions undergoing evaluation in the cardiac catheterization laboratory
I
Intervention
Invasive epicardial coronary physiologic assessment
This American Heart Association scientific statement provides an evidence-based review to guide the use of invasive epicardial coronary physiologic assessment in the catheterization laboratory.
Abstract
Invasive epicardial coronary physiologic assessment is increasingly performed to evaluate the hemodynamic significance of intermediate coronary lesions and is recommended by guideline committees. Whereas much of the practice in coronary physiologic assessment is based on evidence, some non-evidence-based traditions and misconceptions persist. The aim of this review is to highlight evidence-based practice in invasive epicardial coronary physiologic assessment and to refute or validate common elements of clinical practice.