Novelties in epicardial physiology: PPG explained in a simulated environment

Sponsored by Abbott

Facilitators: V. Paradies, J. Sonck
Discussants: G. Campo, T. Engstrom
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Summary

Understanding coronary physiology continues to evolve as new indices aim to refine how epicardial disease is assessed in daily practice.

The perfusion pressure gradient (PPG) index is introduced in this EuroPCR 2026 session as a novel approach to characterising epicardial coronary physiology. Rather than relying solely on established frameworks, it offers an alternative perspective on how pressure and perfusion relationships can be interpreted in the catheterisation laboratory.

Through simulated learning and real case demonstrations, the session brings physiological concepts closer to practical application, helping to translate theory into clinical decision-making.

A closer look at how emerging tools may reshape the understanding and assessment of epicardial coronary disease.

Learning Objectives

  • To understand the fundamentals of coronary epicardial physiology
  • To learn about novel physiological indices like PPG through real cases
  • To translate physiology into practice through simulated learning