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To participate in this event:
1. Read CME information.
2. View course materials.
3. Complete assessment. 
4. Obtain CME credit.


Coronary Physiology in the Cardiac Catheterization Laboratory  

Date of Online Release: October 10, 2013
Termination Date: October 10, 2016
Credits: 1.00 AMA PRA Category 1 Credit™
See link to Course Materials below.

CME Information - Overview

This presenter will review fractional flow reserve and the index of microcirculatory resistance and their roles in evaluating patients with chest pain undergoing coronary angiography. 

Educational Objectives
The intended result of this activity is increased knowledge. At the conclusion of this presentation, participants should be able to-

  • Evaluate the role of fractional flow reserve in identifying whether or not a coronary narrowing is responsible for ischemia. 
  • Define the index of microcirculatory resistance and explain its role in evaluating patients with chest pain and no angiographic evidence for coronary disease. 
  • Describe the limitations of coronary angiography; the rationale for further invasive assessment with a coronary pressure wire.

Target Audience
The intended audience for this continuing medical education activity includes cardiologists, surgeons, internists, and researchers.

Method of Instruction / Participation
This online enduring material comprises slide sets with text and audio derived from a live cardiology grand rounds presentation with post activity assessment and evaluation.

Evaluation / Feedback
We value your feedback; please send your suggestions and comments to the Office of Continuing Medical Education at Texas Heart Institute, cme@texasheart.org.


William Fearon, MD

William Fearon, MD
Associate Professor of Medicine
Director, Interventional Cardiology
Stanford University Medical Center
Stanford, California   


Accreditation / Credit Designation 

Texas Heart Institute is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Texas Heart Institute designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Estimated Study Time
The estimated time to complete this activity, including review of the materials and completion of the course assessment is 60 minutes.

Repurposing Statement
If you previously completed and received credit for the live CME-sponsored grand rounds entitled, Coronary Physiology in the Cardiac Catheterization Laboratory on September 6, 2013, please note that you will not receive credit for completing this activity. Participants who take part in an identical activity, even in order to validate learning or to clarify specific topics, cannot claim, nor will the Texas Heart Institute award, duplicate credit for the activity.

Disclosure of Relationships
It is the intent of the Texas Heart Institute to ensure that its educational mission and its continuing medical activities in particular, should not be influenced by the special interests of individuals associated with its program.

Faculty Disclosure
In accordance with the guidelines of the Accreditation Council for Continuing Medical Education, everyone in a position to control content (faculty, planners, reviewers, others who control content including their spouse/partner) has disclosed to Texas Heart Institute their relevant financial relationships with commercial interests. The Institute defines "relevant financial relationships" as financial relationships of the individual (including those of the individual's spouse or partner) in any amount occurring within the past 12 months that create a conflict of interest. The ACCME defines "commercial interest" as any entity producing, marketing, re-selling or distributing health care goods or services consumed by, or used on, patients.

The live meeting from which this enduring material was derived was supported in part by an educational grant from St. Jude Medical. No grants were given for this enduring material.

Dr. Fearon has received research grants from St. Jude Medical.

The Planning Committee has nothing to disclose.
The THI CME Staff have nothing to disclose.
The Program Reviewers have nothing to disclose.

Course Materials and CME Credit 

This online enduring material comprises one presentation. By clicking on the course materials link, you acknowledge that you have reviewed the CME information provided above. After viewing the presentation, you must complete an assessment and evaluation to obtain CME credit for this activity.

Course Materials

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