Evidence map›Paper›PMID 39291505›Full record

ReviewJournal of the American Heart Association2024

Advances in the Computational Assessment of Disturbed Coronary Flow and Wall Shear Stress: A Contemporary Review.

Avedis Assadour Ekmejian, Harry James Carpenter, Jonathan Laurence Ciofani, Benjamin Howard McIntosh Gray, Usaid Khalil Allahwala, Michael Ward, Javier Escaned, Peter James Psaltis, Ravinay Bhindi

Abstract readReview
In one paragraph

Review in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

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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

9 authors.

Avedis Assadour EkmejianDepartment of Cardiology Royal North Shore Hospital Sydney Australia.ORCID 0000-0002-2892-7372
Harry James CarpenterVascular Research Centre Lifelong Health Theme, South Australia Health and Medical Research Institute Adelaide Australia.
Jonathan Laurence CiofaniDepartment of Cardiology Royal North Shore Hospital Sydney Australia.ORCID 0000-0003-4476-6051
Benjamin Howard McIntosh GrayDepartment of Cardiology Royal North Shore Hospital Sydney Australia.ORCID 0009-0000-8663-8045
Usaid Khalil AllahwalaDepartment of Cardiology Royal North Shore Hospital Sydney Australia.ORCID 0000-0001-7178-4744
Michael WardDepartment of Cardiology Royal North Shore Hospital Sydney Australia.
Javier EscanedDepartment of Cardiology Hospital Universitario Clinico San Carlos Madrid Spain.ORCID 0000-0003-4932-0112
Peter James PsaltisVascular Research Centre Lifelong Health Theme, South Australia Health and Medical Research Institute Adelaide Australia.ORCID 0000-0003-0222-5468
Ravinay BhindiDepartment of Cardiology Royal North Shore Hospital Sydney Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronary artery blood flow is influenced by various factors including vessel geometry, hemodynamic conditions, timing in the cardiac cycle, and rheological conditions. Multiple patterns of disturbed coronary flow may occur when blood flow separates from the laminar plane, associated with inefficient blood transit, and pathological processes modulated by the vascular endothelium in response to abnormal wall shear stress. Current simulation techniques, including computational fluid dynamics and fluid-structure interaction, can provide substantial detail on disturbed coronary flow and have advanced the contemporary understanding of the natural history of coronary disease. However, the clinical application of these techniques has been limited to hemodynamic assessment of coronary disease severity, with the potential to refine the assessment and management of coronary disease. Improved computational efficiency and large clinical trials are required to provide an incremental clinical benefit of these techniques beyond existing tools. This contemporary review is a clinically relevant overview of the disturbed coronary flow and its associated pathological consequences. The contemporary methods to assess disturbed flow are reviewed, including clinical applications of these techniques. Current limitations and future opportunities in the field are also discussed.

Indexed as

Coronary Artery DiseaseCoronary CirculationCoronary VesselsModels, CardiovascularStress, MechanicalBlood Flow VelocityComputer SimulationHemodynamicsHumansHydrodynamicsCFDcoronary geometrydisturbed coronary flowFSIWSS

Identifiers

PMID39291505
PMCPMC11681461

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.