Evidence map›Paper›PMID 39968793›Full record

ArticleJournal of the American Heart Association2025

Fractional Flow Reserve Relates Stronger to Coronary Plaque Burden Than Nonhyperemic Pressure Indexes.

Ruurt A Jukema, Jorge Dahdal, Nick S Nurmohamed, Pieter G Raijmakers, Jos Twisk, Pepijn A van Diemen, R Nils Planken, G Aernout Somsen, Niels J Verouden, Guus A de Waard and 3 more

Abstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

13 authors.

Ruurt A JukemaDepartment of Cardiology Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, Vrije Universiteit Amsterdam Amsterdam the Netherlands.ORCID 0000-0002-3212-2665
Jorge DahdalDepartment of Cardiology Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, Vrije Universiteit Amsterdam Amsterdam the Netherlands.ORCID 0000-0002-8987-1114
Nick S NurmohamedDepartment of Cardiology Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, Vrije Universiteit Amsterdam Amsterdam the Netherlands.ORCID 0000-0001-9045-6009
Pieter G RaijmakersDepartment of Radiology and Nuclear Medicine Amsterdam University Medical Center, Vrije Universiteit Amsterdam Amsterdam the Netherlands.ORCID 0000-0002-5225-3240
Jos TwiskEpidemiology and Data Science Amsterdam University Medical Center, Vrije Universiteit Amsterdam Amsterdam the Netherlands.
Pepijn A van DiemenDepartment of Cardiology Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, Vrije Universiteit Amsterdam Amsterdam the Netherlands.ORCID 0000-0001-5482-6201
R Nils PlankenDepartment of Radiology and Nuclear Medicine, Amsterdam Cardiovascular Sciences Amsterdam University Medical Center location UvA Amsterdam the Netherlands.ORCID 0000-0003-3940-4670
G Aernout SomsenCardiology Centers of the Netherlands Amsterdam the Netherlands.ORCID 0000-0001-5690-4429
Niels J VeroudenDepartment of Cardiology Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, Vrije Universiteit Amsterdam Amsterdam the Netherlands.
Guus A de WaardDepartment of Cardiology Radboud University Medical Center Nijmegen the Netherlands.ORCID 0000-0003-0813-7725
Paul KnaapenDepartment of Cardiology Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, Vrije Universiteit Amsterdam Amsterdam the Netherlands.ORCID 0000-0001-8038-7898
Ibrahim DanadDepartment of Cardiology Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, Vrije Universiteit Amsterdam Amsterdam the Netherlands.
Roel DriessenDepartment of Cardiology Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, Vrije Universiteit Amsterdam Amsterdam the Netherlands.ORCID 0000-0003-3971-0109

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between fractional flow reserve (FFR), resting full-cycle ratio (RFR), instantaneous wave-free ratio (iFR), resting distal pressure/aortic pressure (Pd/Pa), and plaque burden as well as phenotype requires further elucidation. METHODS AND

resultsIn this single-center cohort study, patients with suspected coronary artery disease who underwent invasive coronary angiography, including routine hyperemic (FFR) and nonhyperemic invasive pressure (Pd/Pa and iFR or RFR) interrogation and computed coronary tomography angiography were prospectively enrolled. Computed coronary tomography angiography was used to assess percentage atheroma volume (PAV), positive remodeling, and low-attenuation plaque. Among 241 patients with 556 vessels, FFR correlated stronger to PAV compared with Pd/Pa (r=-0.56; versus r=-0.43;

conclusionsFFR correlated stronger to plaque burden, as defined by PAV, than nonhyperemic pressure indexes. For plaque phenotype, both FFR and iFR/RFR were independently associated with low-attenuation plaque, whereas none of the invasive pressure indexes was associated with positive remodeling.

Indexed as

Arterial PressureCoronary Artery DiseaseCoronary VesselsFractional Flow Reserve, MyocardialPlaque, AtheroscleroticAgedCardiac CatheterizationComputed Tomography AngiographyCoronary AngiographyFemaleHumansMaleMiddle AgedPredictive Value of TestsProspective Studiescomputed coronary tomography angiographyfractional flow reservehigh‐risk plaqueinstantaneous wave‐free ratiopercentage atheroma volumeresting distal pressure/arterial pressureresting full‐cycle ratio

Identifiers

PMID39968793
PMCPMC12132701

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