{"id":1343,"date":"2026-03-19T07:13:27","date_gmt":"2026-03-19T07:13:27","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/cardiology\/ischemic-heart-disease\/"},"modified":"2026-04-11T03:56:07","modified_gmt":"2026-04-11T03:56:07","slug":"ischemic-heart-disease","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/cardiology\/ischemic-heart-disease\/","title":{"rendered":"Ischemic Heart Disease \u2014 PCI"},"content":{"rendered":"<section class=\"op-section disease\">\n<header class=\"disease-header\">\n    <!-- Key takeaways --><\/p>\n<div class=\"disease-kpi\">\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Treatment<\/div>\n<div class=\"disease-kpi__value\">Medical therapy and percutaneous coronary intervention (PCI)<\/div>\n<\/p><\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Clinical focus<\/div>\n<div class=\"disease-kpi__value\">Assessment of myocardial ischemia and individualized treatment planning<\/div>\n<\/p><\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Decision-making<\/div>\n<div class=\"disease-kpi__value\">Symptoms, imaging (CT\/CAG), and physiologic assessment including FFR<\/div>\n<\/p><\/div>\n<\/div>\n<p class=\"disease-lead\">\n  We provide evaluation and treatment for ischemic heart disease, including emergency care for acute myocardial infarction and planned assessment for stable angina.<br \/>\n  Treatment decisions are based on the presence and extent of myocardial ischemia, not on the degree of coronary narrowing alone.\n<\/p>\n<\/header>\n<p><!-- Content rows --><\/p>\n<div class=\"disease-rows\">\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>What it is<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        Ischemic heart disease occurs when atherosclerosis narrows or blocks the coronary arteries.<br \/>\n        Reduced blood flow to the heart muscle may cause chest pain (angina) or myocardial infarction (heart attack).\n      <\/p>\n<p class=\"disease-muted\">\n        Chest pain and shortness of breath on exertion are common symptoms and may suggest coronary artery disease.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Our evaluation<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        If ischemic heart disease is suspected based on symptoms, ECG findings, or prior testing,<br \/>\n        evaluation is performed using coronary CT and\/or coronary angiography (CAG), depending on the clinical situation.\n      <\/p>\n<p class=\"disease-muted\">\n        For stable effort angina, coronary CT is used to assess coronary anatomy in detail and guide treatment planning.\n      <\/p>\n<div class=\"disease-callout\">\n<ul class=\"disease-bullets\">\n<li>\n            <strong>Intermediate lesions (about 50\u201375% narrowing):<\/strong><br \/>\n            Ischemia is assessed using a pressure guidewire and physiologic indices such as <strong>FFR<\/strong> to determine whether PCI is indicated.\n          <\/li>\n<li>\n            <strong>When kidney function is reduced:<\/strong><br \/>\n            Nuclear cardiology (RI testing) may be used to evaluate myocardial perfusion and identify impaired blood supply.\n          <\/li>\n<\/ul><\/div>\n<p class=\"disease-muted\">\n        This approach is important because the angiographic appearance of narrowing alone does not always predict clinical benefit from intervention.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Our treatment<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        Treatment is tailored to each patient and may include optimized medical therapy and, when appropriate,<br \/>\n        catheter-based coronary intervention such as stent placement (<strong>PCI<\/strong>).\n      <\/p>\n<div class=\"disease-callout\">\n<ul class=\"disease-bullets\">\n<li>\n            <strong>Acute myocardial infarction:<\/strong><br \/>\n            We provide <strong>24\/7 emergency response<\/strong>. When needed, coronary angiography is performed immediately,<br \/>\n            followed by PCI without delay if a culprit lesion is identified.\n          <\/li>\n<li>\n            <strong>Stable angina:<\/strong><br \/>\n            Treatment is planned on the basis of detailed imaging and physiologic assessment.\n          <\/li>\n<\/ul><\/div>\n<p class=\"disease-muted\">\n        Coronary procedures are performed by experienced cardiologists, supported by specialist nurses and clinical engineers involved in catheter-based examinations and treatment.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Hospital stay<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        Coronary angiography is performed with a focus on minimizing invasiveness, typically using the <strong>radial artery (wrist access)<\/strong> whenever feasible.\n      <\/p>\n<p class=\"disease-muted\">\n        In many cases, the standard schedule is a short hospital stay, often one night and two days, with admission on the day of the test and discharge the following day.<br \/>\n        Emergency cases are managed according to clinical urgency.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Appointment<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n      Appointments are required in principle. A referral letter from another medical institution is recommended but not mandatory.\n    <\/p>\n<p class=\"disease-muted\">\n      For appointment requests and language support, please see the<br \/>\n      <a href=\"\/en\/departments\/cardiology\/#contact\">Cardiology<\/a> page.\n    <\/p>\n<\/p><\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Treatment Medical therapy and percutaneous coronary intervention (PCI) Clinical focus Assessment of myocardial ischemia and individualized treatment planning Decision-making Symptoms, imaging (CT\/CAG), and physiologic assessment including FFR We provide evaluation and treatment for ischemic heart disease, including emergency care for acute myocardial infarction and planned assessment for stable angina. Treatment decisions are based on the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":373,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1343","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/1343","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/comments?post=1343"}],"version-history":[{"count":1,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/1343\/revisions"}],"predecessor-version":[{"id":1344,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/1343\/revisions\/1344"}],"up":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/373"}],"wp:attachment":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/media?parent=1343"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}