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Coronary care

FFR, RFR & physiology-guided angioplasty

Pressure measurements that help assess the effect of a coronary narrowing.

Explore this guide

Looking beyond the angiogram

An angiogram shows the shape of an artery. Coronary physiology assessment adds information about the pressure across a narrowing, helping the cardiologist consider whether it is affecting blood supply.

How FFR and RFR are used

A pressure-sensing wire is passed through the artery during catheter assessment. FFR uses measurements with medication that increases blood flow. RFR uses resting measurements. The result is interpreted alongside symptoms, other tests and the clinical situation.

Making a treatment decision

A narrowing does not automatically mean a stent is needed. The assessment can support discussion of medical treatment, intervention or further evaluation. A number alone does not replace clinical judgement.

Preparation and safety

Follow the hospital’s instructions for catheter procedures. Tell the team about allergies, kidney disease and all medicines. Discuss bleeding, contrast-related risks, medication effects and the possibility of artery injury before consenting.

Discuss your options

Bring your previous reports and medicine list to a consultation. Ask how this test or procedure would help in your situation, what alternatives are available and what follow-up you may need.

About this guide

General patient information, prepared from practice information and the references below. It does not replace a consultation, diagnosis or your hospital’s instructions.

For a possible medical emergency

New or severe chest pain, severe breathing difficulty or collapse needs immediate emergency care. Call 112 in India. Do not wait for an appointment or a message reply. Do not drive yourself.

Frequently asked questions

Questions about this service.

General answers to support your discussion with the treating team.

Have another question?

Further reading: ACC/AHA/SCAI: coronary revascularization guideline

What do FFR and RFR add to an angiogram?

They assess pressure across a coronary narrowing, adding functional information to the artery images. The findings help inform a treatment discussion.

Are FFR and RFR the same test?

Both use pressure measurements. FFR involves medication to increase blood flow; RFR uses resting measurements. The team chooses the approach for the clinical question.

Does the measurement decide whether I need a stent?

It contributes to the decision alongside symptoms, imaging and other findings. A measurement alone does not replace an individual clinical assessment.

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