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. 2020 Jul 22;2020:4603169. doi: 10.1155/2020/4603169

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.