Invasive coronary physiology in patients with angina and

Invasive coronary physiology in patients with angina and non-obstructive coronary artery disease: a consensus document from the coronary microvascular dysfunction workstream of the British Heart Foundation/National Institute for Health Research Partnership by Divaka Perera, Colin Berry, Stephen P Hoole, Aish Sinha, Haseeb Rahman, Paul D Morris, Rajesh K Kharbanda, Ricardo Petraco, and Keith Channon Heart Volume ():heartjnl-2021-320718 March 31, 2022 Copyright BMJ Publishing Group Ltd & British Cardiovascular Society. All rights reserved.

Coronary vascular physiology assessment, using Doppler wire, demonstrating normal epicardial coronary artery (FFR 0.84) and endothelium-independent coronary microvascular (CFR 3.1) physiology. Divaka Perera et al. Heart doi:10.1136/heartjnl-2021-320718 Copyright BMJ Publishing Group Ltd & British Cardiovascular Society. All rights reserved.

Coronary vascular physiology assessment demonstrating normal epicardial coronary artery (FFR 0.89) and endothelium-independent coronary microvascular (CFR 3.9) physiology. Divaka Perera et al. Heart doi:10.1136/heartjnl-2021-320718 Copyright BMJ Publishing Group Ltd & British Cardiovascular Society. All rights reserved.

Coronary angiography images of the left coronary artery at baseline (left hand side) and after acetylcholine bolus (right hand side), in a patient with epicardial coronary artery vasospasm. Divaka Perera et al. Heart doi:10.1136/heartjnl-2021-320718 Copyright BMJ Publishing Group Ltd & British Cardiovascular Society. All rights reserved.

The sequence of vasodilator infusions utilised to assess coronary vascular physiology in the catheter laboratory. Divaka Perera et al. Heart doi:10.1136/heartjnl-2021-320718 Copyright BMJ Publishing Group Ltd & British Cardiovascular Society. All rights reserved.

This figure represents our proposed algorithm for any patient coming to the catheter laboratory with symptoms suggestive of myocardial ischaemia who is found to have unobstructed epicardial arteries. Divaka Perera et al. Heart doi:10.1136/heartjnl-2021-320718 Copyright BMJ Publishing Group Ltd & British Cardiovascular Society. All rights reserved.

An example of a standardised report for a patient with coronary vascular physiology assessment. Divaka Perera et al. Heart doi:10.1136/heartjnl-2021-320718 Copyright BMJ Publishing Group Ltd & British Cardiovascular Society. All rights reserved.