Database management expert program for integrated evaluation of non-invasive and invasive results of coronary heart disease

Zsolt Koszegi, E. Balogh, L. Balkay, J. Varga, L. Galuska, Cs Jenei, D. Apro, I. Édes

Research output: Chapter in Book/Report/Conference proceedingConference contribution

1 Citation (Scopus)

Abstract

The coronary angiography giving the morphological data of epicardiac coronary stenoses and non-invasive tests sometimes even together are insufficient for evaluating the functional consequences of the epicardiac coronary stenoses. However, catheterisation allows us to detect the blunting of coronary flow increase during maximal vasodilatation (coronary flow reserve, CFR, e.g. by Doppler flow wire) and by measuring the translesional pressure gradient by pressure wire (fractional flow reserve, FFR) providing accurate functional assessment. According to this concept the authors have developed a complex cardiac database management program (Holistic Coronary Care, HCC). The database has been built on client-server technology where the central object is the 16-segment polar map. The system contains contextual and graphical elements for a quick data entry. By the assessment of 16 left ventricular segments on a polar map display there is a possibility for direct comparison of the invasive functional and morphologic and the non-invasive functional data. Details measured by pressure or Doppler wire are also stored in the coronary evaluating unit and the coronary segments are rendered to the supplied left ventricular segments. For the correct indication of coronary interventions (from functional and financial point of view) it is important to verify unambiguously the functionally significant coronary stenoses. To the best of our knowledge, the necessity of percutan or surgical intervention can be decided the most accurately by FFR and CFR, furthermore CFR objectively shows the failure of the coronary microvasculature.

Original languageEnglish
Title of host publicationComputers in Cardiology
EditorsA. Murray
Pages275-278
Number of pages4
Volume30
Publication statusPublished - 2003
EventComputers in Cardiology 2003 - Thessaloniki Chalkidiki, Greece
Duration: Sep 21 2003Sep 24 2003

Other

OtherComputers in Cardiology 2003
CountryGreece
CityThessaloniki Chalkidiki
Period9/21/039/24/03

Fingerprint

Coronary Stenosis
Program Evaluation
Coronary Disease
Wire
Databases
Pressure
Functional assessment
Angiography
Microvessels
Coronary Angiography
Pressure gradient
Vasodilation
Catheterization
Data acquisition
Servers
Display devices
Technology

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Software

Cite this

Database management expert program for integrated evaluation of non-invasive and invasive results of coronary heart disease. / Koszegi, Zsolt; Balogh, E.; Balkay, L.; Varga, J.; Galuska, L.; Jenei, Cs; Apro, D.; Édes, I.

Computers in Cardiology. ed. / A. Murray. Vol. 30 2003. p. 275-278.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Koszegi, Z, Balogh, E, Balkay, L, Varga, J, Galuska, L, Jenei, C, Apro, D & Édes, I 2003, Database management expert program for integrated evaluation of non-invasive and invasive results of coronary heart disease. in A Murray (ed.), Computers in Cardiology. vol. 30, pp. 275-278, Computers in Cardiology 2003, Thessaloniki Chalkidiki, Greece, 9/21/03.
Koszegi Z, Balogh E, Balkay L, Varga J, Galuska L, Jenei C et al. Database management expert program for integrated evaluation of non-invasive and invasive results of coronary heart disease. In Murray A, editor, Computers in Cardiology. Vol. 30. 2003. p. 275-278
Koszegi, Zsolt ; Balogh, E. ; Balkay, L. ; Varga, J. ; Galuska, L. ; Jenei, Cs ; Apro, D. ; Édes, I. / Database management expert program for integrated evaluation of non-invasive and invasive results of coronary heart disease. Computers in Cardiology. editor / A. Murray. Vol. 30 2003. pp. 275-278
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