Table 3

 Maximum vasodilating stimuli

ATP, adenosine triphosphate; FFR, fractional flow reserve; ic, intracoronary; iv, intravenous; LCA, left coronary artery; RCA, right coronary artery.
• Papaverine ic (10 mg RCA, 15–20 mg LCA)
• Adenosine or ATP ic (30 µg RCA, 40–80 µg LCA)
• Adenosine or ATP iv (140 µg/kg/min in large vein)
Note
• Maximum hyperaemia is paramount to determine FFR
• Sometimes, incremental doses of ic adenosine or ATP might be necessary
• Intravenous adenosine or ATP preferably by femoral vein (most reliable and quickly) or large antecubital vein