Evidence mapPaperPMID 39791423Full record

ArticleJournal of the American Heart Association2025

Prognostic Significance of Computed Tomography-Derived Fractional Flow Reserve for Long-Term Outcomes in Individuals With Coronary Artery Disease.

Zhennan Li, Tingfeng Xu, Zhiqiang Wang, Yaodong Ding, Yang Zhang, Li Lin, Minxian Wang, Lei Xu, Yong Zeng

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Computed Tomography and Coronary Plaque Analysis.Tomography (Ann Arbor, Mich.) · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Zhennan LiDepartment of Cardiology Beijing Anzhen Hospital, Capital Medical University Beijing China.
Tingfeng XuCAS Key Laboratory of Genome Sciences and Information Beijing Institute of Genomics, Chinese Academy of Sciences and China National Center for Bioinformation Beijing China.ORCID 0009-0009-6521-621X
Zhiqiang WangDepartment of Cardiology Beijing Anzhen Hospital, Capital Medical University Beijing China.
Yaodong DingDepartment of Cardiology Beijing Anzhen Hospital, Capital Medical University Beijing China.
Yang ZhangDepartment of Cardiology Beijing Anzhen Hospital, Capital Medical University Beijing China.ORCID 0000-0003-1843-4117
Li LinDepartment of Cardiology Beijing Anzhen Hospital, Capital Medical University Beijing China.
Minxian WangCAS Key Laboratory of Genome Sciences and Information Beijing Institute of Genomics, Chinese Academy of Sciences and China National Center for Bioinformation Beijing China.
Lei XuDepartment of Radiology Beijing Anzhen Hospital, Capital Medical University Beijing China.ORCID 0000-0002-8499-0448
Yong ZengDepartment of Cardiology Beijing Anzhen Hospital, Capital Medical University Beijing China.ORCID 0000-0001-6983-0799

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on the predictive value of coronary computed tomography angiography-derived fractional flow reserve (CT-FFR) for long-term outcomes are limited. METHODS AND

resultsA retrospective pooled analysis of individual patient data was performed. Deep-learning-based CT-FFR was calculated. All patients enrolled were followed-up for at least 5 years. The primary outcome was major adverse cardiovascular events. The secondary outcome was death or nonfatal myocardial infarction. Predictive abilities for outcomes were compared among 3 models (model 1, constructed using clinical variables; model 2, model 1+coronary computed tomography angiography-derived anatomical parameters; and model 3, model 2+CT-FFR). A total of 2566 patients (median age, 60 [53-65] years; 56.0% men) with coronary artery disease were included. During a median follow-up time of 2197 (2127-2386) days, 237 patients (9.2%) experienced major adverse cardiovascular events. In multivariable-adjusted Cox models, CT-FFR≤0.80 (hazard ratio [HR], 5.05 [95% CI, 3.64-7.01];

conclusionsCT-FFR provides strong and incremental prognostic information for predicting long-term outcomes. The combined models incorporating CT-FFR exhibit modest improvement of prediction abilities, which may aid in risk stratification and decision-making.

Indexed as

Computed Tomography AngiographyCoronary AngiographyCoronary Artery DiseaseCoronary VesselsFractional Flow Reserve, MyocardialAgedDeep LearningFemaleHumansMaleMiddle AgedPredictive Value of TestsPrognosisRetrospective StudiesRisk AssessmentRisk Factorscoronary artery diseasecoronary computed tomography angiographyfractional flow reserve

Identifiers

PMID39791423
PMCPMC12054431

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.