Quantification of effects of mean blood pressure and left ventricular mass on noninvasive fast fractional flow reserve

Author:

Zhang Jun-Mei12,Chandola Gaurav1,Tan Ru-San12,Chai Ping3,Teo Lynette L. S.3,Low Ris1,Allen John Carson2,Huang Weimin4,Fam Jiang Ming1,Chin Chee Yang1,Wong Aaron Sung Lung12,Low Adrian F.3,Kassab Ghassan S.5,Chua Terrance12,Tan Swee Yaw12,Lim Soo Teik12,Zhong Liang12ORCID

Affiliation:

1. National Heart Centre Singapore, Singapore

2. Duke-NUS Medical School, National University of Singapore, Singapore

3. National University Hospital, Singapore

4. Institute for Infocomm Research, Agency for Science, Technology and Research, Singapore

5. California Medical Innovation Institute, San Diego, California

Abstract

While brachial mean blood pressure (MBP) and left ventricular mass (LVM) measured from CTCA are the two CFD simulation input parameters, their effects on noninvasive fractional flow reserve (FFRB) have not been systematically investigated. We demonstrate that inaccurate MBP and LVM inputs differing from patient-specific values could result in misclassification of borderline ischemic lesions. This is important in the clinical application of noninvasive FFR in coronary artery disease diagnosis.

Funder

National Medical Research Council Singapore

SingHealth Duke-NUS Academic Medicine Research Grant

Publisher

American Physiological Society

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine,Physiology

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