Evidence map›Paper›PMID 36658168›Full record

Observational studyScientific reports2023

Abnormal physiological findings after FFR-based revascularisation deferral are associated with worse prognosis in women.

Masahiro Hoshino, Tim P van de Hoef, Joo Myung Lee, Rikuta Hamaya, Yoshihisa Kanaji, Coen K M Boerhout, Guus A de Waard, Ji-Hyun Jung, Seung Hun Lee, Hernan Mejia-Renteria and 25 more

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04485234 (Inclusive Invasive Physiological Assessment in Angina Syndromes Registry), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 45% 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.

NCT04485234 completednot on this map

Inclusive Invasive Physiological Assessment in Angina Syndromes Registry (ILIAS Registry)

Typeobservational_patient_registrySponsorAcademisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)Ran2019 to 2021Enrolled2,322ConditionsCoronary Artery Disease, Microvascular Coronary Artery DiseaseArmsResting distal coronary to aortic pressure ratio, Fractional flow reserve, Coronary Flow Reserve, Microvascular resistance
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

35 authors at 20 institutions in 8 countries.

Masahiro HoshinoDepartment of Cardiology, Tsuchiura Kyodo General Hospital, 4-1-1 Otsuno, Tsuchiura City, Ibaraki, 300-0028, Japan.
Tim P van de HoefDepartment of Cardiology, Amsterdam UMC - location AMC, Amsterdam, The Netherlands.
Joo Myung LeeDivision of Cardiology, Department of Medicine, Samsung Medical Center, Heart Vascular Stroke Institute, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Rikuta HamayaDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Yoshihisa KanajiDepartment of Cardiology, Tsuchiura Kyodo General Hospital, 4-1-1 Otsuno, Tsuchiura City, Ibaraki, 300-0028, Japan.
Coen K M BoerhoutDepartment of Cardiology, Amsterdam UMC - location AMC, Amsterdam, The Netherlands.
Guus A de WaardDepartment of Cardiology, Amsterdam UMC - location VUmc, Amsterdam, The Netherlands.
Ji-Hyun JungSejong General Hospital, Sejong Heart Institute, Bucheon, Korea.
Seung Hun LeeDivision of Cardiology, Department of Internal Medicine, Chonnam National University Hospital, Gwangju, Korea.
Hernan Mejia-RenteriaHospital Clínico San Carlos, IDISSC, Universidad Complutense de Madrid, Madrid, Spain.
Mauro Echavarria-PintoHospital General ISSSTE Querétaro - Facultad de Medicina, Universidad Autónoma de Querétaro, Querétaro, México.
Martijn MeuwissenDepartment of Cardiology, Amphia Hospital, Breda, The Netherlands.
Hitoshi MatsuoDepartment of Cardiovascular Medicine, Gifu Heart Center, Gifu, Japan.
Maribel Madera-CamberoDepartment of Cardiology, Tergooi Hospital, Blaricum, The Netherlands.
Ashkan EftekhariDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Mohamed A EffatDivision of Cardiovascular Health and Disease, University of Cincinnati, Cincinnati, OH, USA.
Koen MarquesDepartment of Cardiology, Amsterdam UMC - location VUmc, Amsterdam, The Netherlands.
Joon-Hyung DohDepartment of Medicine, Inje University Ilsan Paik Hospital, Goyang, South Korea.
Evald H ChristiansenDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Rupak BanerjeeDivision of Cardiovascular Health and Diseases, Veteran Affairs Medical Center, University of Cincinnati Medical Center, Cincinnati, USA.
Chang-Wook NamDepartment of Medicine, Keimyung University Dongsan Hospital, Daegu, South Korea.
Giampaolo NiccoliDepartment of Cardiovascular Medicine, Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy.
Tadashi MuraiCardiovascular Center, Yokosuka Kyosai Hospital, Yokosuka, Japan.
Masafumi NakayamaDepartment of Cardiovascular Medicine, Gifu Heart Center, Gifu, Japan.
Nobuhiro TanakaDepartment of Cardiology, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan.
Eun-Seok ShinDepartment of Cardiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea.
Tetsuo SasanoDepartment of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Yolande AppelmanDepartment of Cardiology, Amsterdam UMC - location VUmc, Amsterdam, The Netherlands.
Marcel BeijkDepartment of Cardiology, Amsterdam UMC - location AMC, Amsterdam, The Netherlands.
Paul KnaapenDepartment of Cardiology, Amsterdam UMC - location VUmc, Amsterdam, The Netherlands.
Niels van RoyenDepartment of Cardiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Javier EscanedHospital Clínico San Carlos, IDISSC, Universidad Complutense de Madrid, Madrid, Spain.
Bon Kwon KooDepartment of Internal Medicine, Cardiovascular Center, Seoul National University Hospital, Seoul, Republic of Korea.
Jan J PiekDepartment of Cardiology, Amsterdam UMC - location AMC, Amsterdam, The Netherlands.
Tsunekazu KakutaDepartment of Cardiology, Tsuchiura Kyodo General Hospital, 4-1-1 Otsuno, Tsuchiura City, Ibaraki, 300-0028, Japan. kaz@joy.email.ne.jp.
Amsterdam University Medical Centers · NLTsuchiura Kyodo General Hospital · JPAarhus University Hospital · DKGifu Heart Center · JPHospital Clínico San Carlos · ESAmphia Ziekenhuis · NLAmsterdam Neuroscience · NLChonnam National University Hospital · KRHarvard University · USInje University Ilsan Paik Hospital · KRInstitute for Social Security and Services for State Workers · MXKeimyung University · KRNoordwest Ziekenhuisgroep · NLRadboud University Nijmegen · NLSamsung Medical Center · KRSejong General Hospital · KRSeoul National University Hospital · KRTergooi · NLTokyo Medical and Dental University · JPTokyo Medical University Hachioji Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prognostic value of abnormal resting Pd/Pa and coronary flow reserve (CFR) after fractional flow reserve (FFR)-guided revascularisation deferral according to sex remains unknown. From the ILIAS Registry composed of 20 hospitals globally from 7 countries, patients with deferred lesions following FFR assessment (FFR > 0.8) were included. (NCT04485234) The primary clinical endpoint was target vessel failure (TVF) at 2-years follow-up. We included 1392 patients with 1759 vessels (n = 564 women, 31.9%). Although resting Pd/Pa was similar between the sexes (p = 0.116), women had lower CFR than men (2.5 [2.0-3.2] vs. 2.7 [2.1-3.5]; p = 0.004). During a 2-year follow-up period, TVF events occurred in 56 vessels (3.2%). The risk of 2-year TVF was significantly higher in women with low versus high resting Pd/Pa (HR: 9.79; p < 0.001), whereas this trend was not seen in men. (Sex: P-value for interaction = 0.022) Furthermore, resting Pd/Pa provided an incremental prognostic value for 2-year TVF over CFR assessment only in women. After FFR-based revascularisation deferral, low resting Pd/Pa is associated with higher risk of TVF in women, but not in men. The predictive value of Pd/Pa increases when stratified according to CFR values, with significantly high TVF rates in women in whom both indices are concordantly abnormal.Clinical Trial Registration: Inclusive Invasive Physiological Assessment in Angina Syndromes Registry (ILIAS Registry), NCT04485234.

Indexed as

Coronary Artery DiseaseCoronary StenosisFractional Flow Reserve, MyocardialCardiac CatheterizationCoronary AngiographyCoronary VesselsFemaleHumansMalePredictive Value of TestsPrognosisTreatment Outcome

Identifiers

PMID36658168
PMCPMC9852478
OpenAlexW4317435627

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.