Sex‐Based Differences in Coronary Physiological Assessment in Patients With Severe Aortic Stenosis

Female sex is an independent predictor of FFR/iFR discordance in severe AS, manifesting exclusively as the FFR-negative/iFR-positive pattern. This finding suggests sex-specific differences in coronary microvascular function that may influence revascularization decisions. Recognition of these differences might be important for optimal management of coronary disease in severe AS.

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Publication Details

Journal
Catheterization and Cardiovascular Interventions
Published
2025-11-09
DOI
https://doi.org/10.1002/ccd.70303
Primary Topic
Cardiac Valve Diseases and Treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

Sex‐Based Differences in Coronary Physiological Assessment in Patients With Severe Aortic Stenosis

Łukasz Niewiara, Paweł Kleczyński, Łukasz Rzeszutko, Jacek Legutko et al.
Catheterization and Cardiovascular Interventions
Cardiac Valve Diseases and Treatments
article

Sex‐Based Differences in Coronary Physiological Assessment in Patients With Severe Aortic Stenosis

Łukasz Niewiara, Paweł Kleczyński, Łukasz Rzeszutko, Jacek Legutko, Artur Dziewierz
article en

Abstract

Female sex is an independent predictor of FFR/iFR discordance in severe AS, manifesting exclusively as the FFR-negative/iFR-positive pattern. This finding suggests sex-specific differences in coronary microvascular function that may influence revascularization decisions. Recognition of these differences might be important for optimal management of coronary disease in severe AS.

Catheterization and Cardiovascular InterventionsVol. 107(1)
Jagiellonian University (PL), John Paul II Hospital (PL), Institute of Cardiology (PL), Krakow Cardiovascular Research Institute (PL)
Openalex Percentile: Top 49%
Cardiac Valve Diseases and Treatments
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Sex‐Based Differences in Coronary Physiological Assessment in Patients With Severe Aortic Stenosis — Łukasz Niewiara, Paweł Kleczyński, et al. · Catheterization and Cardiovascular Interventions (2025) | TGRS Research Map | TGRS