Evidence map›Paper›PMID 31772532›Full record

ArticleJournal of interventional cardiology2019

Impact of Hydrostatic Pressure Variations Caused by Height Differences in Supine and Prone Positions on Fractional Flow Reserve Values in the Coronary Circulation.

Yoshitaka Kawaguchi, Kazuki Ito, Humihiko Kin, Yusuke Shirai, Ayako Okazaki, Keisuke Miyajima, Tomoyuki Watanabe, Mariko Tatsuguchi, Yasushi Wakabayashi, Yuichiro Maekawa

Abstract read
In one paragraph

Article in Journal of interventional cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Angiography-based coronary microvascular assessment with and without intracoronary pressure measurements: a systematic review.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Pooled it
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  7. Impact of Epicardial plaQUe Composition and geomeTry on Coronary hEmodynamics and Flow in Patients With Coronary Artery Disease (iEquate).Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Observational
  8. A Vessel-Specific Analysis of Deferred Lesions Using the Instantaneous Wave-Free Ratio and Fractional Flow Reserve.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  9. The Impact of Hydrostatic Pressure on Fractional Flow Reserve in Saphenous Vein Grafts.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yoshitaka KawaguchiDepartment of Cardiology, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan.ORCID https://orcid.org/0000-0002-1521-0954
Kazuki ItoDepartment of Cardiology, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan.
Humihiko KinDepartment of Cardiology, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan.
Yusuke ShiraiDepartment of Cardiology, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan.
Ayako OkazakiDepartment of Cardiology, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan.
Keisuke MiyajimaDepartment of Cardiology, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan.
Tomoyuki WatanabeDepartment of Cardiology, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan.
Mariko TatsuguchiDepartment of Cardiology, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan.
Yasushi WakabayashiDepartment of Cardiology, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan.
Yuichiro MaekawaInternal Medicine III, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.ORCID https://orcid.org/0000-0002-6792-8458

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine the influence of hydrostatic pressure on fractional flow reserve (FFR) in vivo.

backgroundSystematic differences in FFR values have been observed previously in the left anterior descending artery (LAD), left circumflex artery (LCX), and right coronary artery (RCA). It has been suggested that as the hydrostatic pressure variations caused by the height differences between the catheter tip (mean aortic pressure (Pa)) and pressure-wire sensor (mean distal intracoronary pressure (Pd)) are small, intracoronary pressure need not be corrected.

methodsResting Pd/Pa and FFR values in 23 patients (27 lesions) were measured and compared in supine and prone positions. These values were corrected by hydrostatic pressure influenced by height levels and compared. Height differences between Pa and Pd were calculated using coronary computed tomography angiographies.

resultsIn LAD, resting Pd/Pa and FFR values were significantly higher in the prone position than in the supine position (0.97 ± 0.05 vs 0.89 ± 0.04,

conclusionsHydrostatic pressure variations due to height levels influence intracoronary pressure measurements and largely affect resting Pd/Pa and FFR, which might have caused systematic differences in FFR values between the anterior and posterior coronary territories.

Indexed as

Hydrostatic PressureComputed Tomography AngiographyCoronary AngiographyCoronary CirculationCoronary StenosisFemaleFractional Flow Reserve, MyocardialHumansMaleMiddle AgedProne PositionProspective StudiesSupine Position

Identifiers

PMID31772532
PMCPMC6766341

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.