Evidence map›Paper›PMID 34661645›Full record

ArticleEuropean heart journal. Cardiovascular Imaging2022

Coronary CT angiography-derived fractional flow reserve in-stable angina: association with recurrent chest pain.

Kristian Tækker Madsen, Karsten Tange Veien, Pia Larsen, Majed Husain, Lone Deibjerg, Anders Junker, Martin Weber Kusk, Kristian Korsgaard Thomsen, Allan Rohold, Lisette Okkels Jensen and 1 more

Open access · greenAbstract read
In one paragraph

Article in European heart journal. Cardiovascular Imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
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

3 citing papers in PubMed, 13 citations in OpenAlex.

  1. Observational
  2. Article
  3. Review
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

11 authors at 3 institutions in 1 country.

Kristian Tækker MadsenDepartment of Cardiology, University Hospital of Southern Denmark, Finsensgade 35, Esbjerg DK-6700, Denmark.ORCID 0000-0003-4764-405X
Karsten Tange VeienDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Pia LarsenDepartment of Mental Health Services, Region of Southern Denmark, Odense, Denmark.
Majed HusainDepartment of Cardiology, University Hospital of Southern Denmark, Finsensgade 35, Esbjerg DK-6700, Denmark.
Lone DeibjergDepartment of Cardiology, University Hospital of Southern Denmark, Finsensgade 35, Esbjerg DK-6700, Denmark.
Anders JunkerDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Martin Weber KuskDepartment of Radiology, University Hospital of Southern Denmark, Esbjerg, Denmark.
Kristian Korsgaard ThomsenDepartment of Cardiology, University Hospital of Southern Denmark, Finsensgade 35, Esbjerg DK-6700, Denmark.
Allan RoholdDepartment of Cardiology, University Hospital of Southern Denmark, Finsensgade 35, Esbjerg DK-6700, Denmark.
Lisette Okkels JensenDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Niels Peter Rønnow SandDepartment of Cardiology, University Hospital of Southern Denmark, Finsensgade 35, Esbjerg DK-6700, Denmark.
Odense University Hospital · DKMental Health Services · DKUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe aim of this study was to evaluate the association between coronary computed tomography angiography (CCTA)-derived fractional flow reserve (FFRCT) and recurrent chest pain (CP) at 1-year follow-up in patients with stable angina pectoris (SAP). METHODS AND

resultsStudy of patients (n = 267) with SAP who underwent CCTA and FFRCT testing; 236 (88%) underwent invasive coronary angiography; and 87 (33%) were revascularized. Symptomatic status at 1-year follow-up was gathered by a structured interview. Three different FFRCT algorithms were applied using the following criteria for abnormality: (i) 2 cm-FFRCT ≤0.80; (ii) d-FFRCT ≤0.80; and (iii) a combination in which both a d-FFRCT ≤0.80 and a ΔFFRCT ≥0.06 must be present in the same vessel (c-FFRCT). Patients were classified into two groups based on the FFRCT test result and revascularization: completely revascularized/normal (CRN), patients in whom all coronary arteries with an abnormal FFRCT test result were revascularized or patients with completely normal FFRCT test results, and incompletely revascularized (IR), patients in whom ≥1 coronary artery with an abnormal FFRCT test result was not revascularized. Recurrent CP was present in 62 (23%) patients. Classification of patients (CRN or IR) was significantly associated with recurrent CP for all applied FFRCT interpretation algorithms. When applying the c-FFRCT algorithm, the association with recurrent CP was found, irrespective of the extent of coronary calcification and the degree of coronary stenosis. A negative association between per-patient minimal d-FFRCT and recurrent CP was demonstrated, P < 0.005.

conclusionAn abnormal FFRCT test result is associated with an increased risk of recurrent CP in patients with new-onset SAP.

Indexed as

Angina, StableCoronary Artery DiseaseCoronary StenosisFractional Flow Reserve, MyocardialComputed Tomography AngiographyCoronary AngiographyCoronary VesselsHumansPredictive Value of TestsSeverity of Illness Indexchest paincoronary computed tomography angiographycoronary revascularizationFFRCTstable angina pectoris

Identifiers

PMID34661645
PMCPMC9584620
OpenAlexW3206347056

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.