Table 2.
Literature review of hyperemic myocardial resistance with severe aortic stenosis.
Authors | Citation | Normal subjects | Aortic stenosis subjects | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
N | HMR | p value∗ | N | Mean ΔP (mmHg) | AVA (cm2) | HMR | After TAVI | p value | Long term | ||
Doppler flow velocity with HMR in mmHg/(cm/sec) units | |||||||||||
Vendrik et al. [35] | JAHA 2020; 9: e015133 | 13 | 0.83 | 2.54 | 2.18 | <0.001† | 1.95 | ||||
Lumley et al. [42] | JACC 2016; 68: 688 | 30 | 2.29 | 0.14 | 19 | 57 | 0.74 | 2.82 | |||
Wiegerinck et al. [36] | Circ CV Int 2015; 8: e002443 | 28 | 1.80 | 0.096 | 27 | 43 | 0.78 | 2.10 | 1.83 | 0.072 | |
Ahmad et al. [37] | JACC CV Int 2018; 11: 2019 | 30 | 38 | 0.68 | 2.42 | 2.14 | 0.03 | ||||
| |||||||||||
Bolus thermodilution with HMR in mmHg ∗ sec units | |||||||||||
Nishi et al. [57] | Coron Artery Dis 2018; 29: 223 | 30 | 16.2 | 0.14 | 9 | 54 | 0.70 | 20.4 | |||
Gutiérrez-Barrios et al. [47] | Int J Cardiol 2017; 236: 370 | 10 | 17.8 | 0.01 | 36 | 53 | 32.7 | ||||
Stoller et al. [48] | EuroIntervention 2018; 14: 166 | 40 | 45 to 58‡ | <1.0 | 26.6§ | 30.7 | 0.42 |
∗ = compares normal versus aortic stenosis subjects. † = for this study, the p value refers to both Friedman test comparing baseline, post-TAVI, and long term as well as each pairwise comparison. ‡ = averages reported separately for subjects with (N = 26) and without (N = 14) coronary artery disease, respectively. § = only study to correct HMR using an explicitly measured zero-flow pressure. ΔP = pressure gradient, AVA = aortic valve area, HMR = hyperemic myocardial resistance, N = number of subjects, and TAVI = transcatheter aortic valve implantation.