Oficiálny časopis Slovenskej kardiologickej spoločnosti,
Slovenskej hypertenziologickej spoločnosti a Slovenskej asociácie srdcových arytmií

Cardiology Letters 2025, 34(3):153-164

Úvod k FFR-CT HeartFlow

František Nehaj1, 2, 3, 4, Derek Leslie Connolly3, 4
1 Oddelenie arytmológie a kardiostimulácie, Národný ústav srdcových a cievnych chorôb, a. s., Bratislava, Slovenská republika
2 Klinika arytmológie, Lekárska Fakulta, Univerzita Komenského, Bratislava, Slovenská republika
3 University of Birmingham, Institute of Cardiovascular Sciences, Birmingham, UK
4 Sandwell and West Birmingham Hospitals NHS Service Trust, Birmingham, UK

Príchod neinvazívnej, výpočtovo odvodenej frakčnej prietokovej rezervy z počítačovej tomografie (FFR-CT) predstavuje prelom v klinickej diagnosticko-neinvazívnej medicíne. FFR-CT je odvodené zo štandardných pokojových koronárnych CT skenov bez potreby použitia ďalších farmakologických liečiv a invazívnych vyšetrovacích metód. Táto technológia predstavuje významný pokrok v kardiológii. Štúdie preukázali, že FFR-CT prispieva k podstatnému zníženiu miery falošne pozitívnych výsledkov spojených s CT koronarografiou (CCTA), čím sa zvyšuje presnosť diagnóz. Táto práca má za cieľ ponúknuť prehľad zobrazovacej techniky FFR-CT, konkrétne so zameraním sa na validovanú metodiku HeartFlow. Zameriava sa na princípy, klinické indikácie a kontraindikácie FFR-CT a podrobnejšie rozoberá použitie metódy v klinických situáciách, ako akútny koronárny syndróm, disekcia koronárnej artérie, koronárna anomália a ischemická choroba srdca.

Kľúčové slová: FFR-CT; HeartFlow; CCTA (počítačová tomografia); CT koronarografia; akútny koronárny syndróm; koronárna choroba srdca; disekcia; anomália; ischémia

Uverejnené: March 1, 2025  Zobraziť citáciu

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Nehaj F, Leslie Connolly D. Úvod k FFR-CT HeartFlow. Cardiology Letters. 2025;34(3):153-164.
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