Table 4 Comparion clinical and lesion characteristics in vessels with DS ≤ 50% between the anatomical–functional reverse mismatch and non-reverse mismatch groups.

From: Impact of overestimation of fractional flow reserve by adenosine on anatomical–functional mismatch

 

Reverse mismatch

Pd/PaADN ≤ 0.80

(n = 76)

Non-mismatch

Pd/PaADN > 0.80

(n = 79)

p value

Age, yrs

71 (63–78)

72 (67–78)

0.436

Male, n (%)

62 (82%)

53 (67%)

0.039

Body mass index, kg/m2

24.6 (22.0–27.0)

23.4 (21.2–25.5)

0.055

Hypertension, n (%)

59 (78%)

61 (77%)

0.235

Diabetes mellitus, n (%)

32 (42%)

30 (38%)

0.600

Dyslipidemia, n (%)

46 (61%)

55 (70%)

0.779

Target vessel (LAD), n (%)

55 (72%)

43 (54%)

0.021

Proximal lesion*, n (%)

34 (45%)

30 (38%)

0.393

Multivessel disease, n (%)

44 (58%)

41 (52%)

0.453

Quantitative coronary angiography

Reference diameter, mm

2.6 (2.3–3.1)

2.9 (2.6–3.3)

0.002

Minimal luminal diameter, mm

1.5 (1.3–1.8)

1.7 (1.6–2.1)

 < 0.001

DS, %

42.5 (38.7–46.6)

41.5 (35.1–45.6)

0.058

Lesion length, mm

11.1 (7.6–17.0)

9.6 (7.2–15.0)

0.321

Hemodynamic parameters

Heart rate at baseline, beats/min

65 (57–71)

67 (61–74)

0.102

Pa at baseline, mmHg

90 (79–98)

94 (83–100)

0.128

Pd/Pa ratio at baseline

0.91 (0.87–0.93)

0.95 (0.93–0.99)

 < 0.001

Pd/PaADN

0.75 (0.69–0.78)

0.87 (0.84–0.91)

N.A

Pd/PaPAP

0.73 (0.66–0.76)

0.86 (0.82–0.89)

N.A

Pd/PaADN – Pd/PaPAP

0.03 (0.01–0.03)

0.01 (0–0.04)

0.224

  1. Values are expressed as medians (interquartile ranges) or frequencies (percentages). The reverse mismatch was defined as DS ≤ 50% and Pd/PaADN ≤ 0.80, and the non-reverse mismatch as DS ≤ 50% and Pd/PaADN > 0.80.
  2. *Proximal location was defined as Syntax segments 1, 5, 6, and 11.
  3. DS diameter stenosis, LAD left anterior descending coronary artery, Pa aortic pressure, Pd/Pa distal-to-aortic pressure ratio, Pd/PaADN distal-to-aortic pressure ratio associated with adenosine, Pd/PaADN distal-to-aortic pressure ratio associated with papaverine.