The full form of IWMI in the medical field is "Index of Microcirculatory Resistance" (IMR). IWMI, or IMR, is a diagnostic tool used to measure the resistance in the small blood vessels (microcirculation) of the heart. This index is essential in assessing the health of the heart's microvascular system, particularly in patients with coronary artery disease (CAD) or those who have undergone procedures like angioplasty or stenting. It provides insights into the extent of microvascular dysfunction, which can be a critical factor in heart-related conditions.
IMR is measured using specialized techniques during coronary catheterization, where a guidewire equipped with sensors measures blood pressure and flow in the coronary arteries. The importance of IWMI/IMR lies in its ability to identify microvascular issues that may not be detected through standard coronary angiography, which primarily focuses on large blood vessels. By evaluating the microcirculation, doctors can make more informed decisions about treatment strategies, potentially improving patient outcomes, particularly in cases of angina or myocardial infarction.
This guide will delve into the significance, methods, and clinical applications of IWMI/IMR, offering a comprehensive understanding of its role in modern cardiology.