Evidence map›Paper›PMID 40910506›Full record

ArticleCardiology journal2025

Comparison of angiographically derived coronary radial wall strain and superficial wall stress for the characterization of plaque vulnerability.

Zhiqing Wang, Jiayue Huang, Chunming Li, Tianxiao Xu, Huihong Hong, Xinkai Qu, Lianglong Chen, Shengxian Tu

Abstract readComparative Study
In one paragraph

Article in Cardiology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

8 authors.

Zhiqing WangDepartment of Cardiology, Fujian Heart Medical Center, Fujian Medical University Union Hospital, Fuzhou, China.ORCID 0000-0003-4210-3748
Jiayue HuangBiomedical Instrument Institute, School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.
Chunming LiBiomedical Instrument Institute, School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.
Tianxiao XuBiomedical Instrument Institute, School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.
Huihong HongDepartment of Cardiology, the First Hospital of Quanzhou Affiliated to Fujian Medical University, Quanzhou, China.
Xinkai QuDepartment of Cardiology, Huadong Hospital Fudan University, Shanghai, China.
Lianglong ChenDepartment of Cardiology, Fujian Heart Medical Center, Fujian Medical University Union Hospital, Fuzhou, China.
Shengxian TuBiomedical Instrument Institute, School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China. sxtu@sjtu.edu.cn.ORCID 0000-0001-9681-1067

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAngiography-derived radial wall strain (RWS) estimates the radial coronary wall deformation caused by pulsatile blood pressure, whereas superficial wall stress (SWS) summarizes the comprehensive wall deformation caused by both blood pressure and cardiac motion. This study sought to investigate the difference between RWS and SWS for the association with plaque vulnerability and the impact of cardiac motion on RWS.

methodsConcurrent RWS, cardiac motion-induced bending angle change (ΔCBA), SWS, and optical coherence tomography image analyses were retrospectively performed in 49 eligible intermediate coronary lesions. Correlation and multivariate linear regression analyses were applied to investigate the difference in the correlations of RWS and SWS with plaque characteristics and the impact of ΔCBA on RWS assessment.

resultsLipid-to-cap ratio (LCR), a novel vulnerable plaque indicator, was found to be correlated with both maximum RWS (RWSmax) (r = 0.58, p < 0.001) and peak SWS (r = 0.29, p = 0.041). RWSmax tended to be more relevant to LCR in comparison with peak SWS, albeit statistically nonsignificant (z = 1.75, p = 0.080). With multivariate linear regression, LCR was independently associated with both RWSmax (normalized β = 0.49, p = 0.001) and peak SWS (normalized β = 0.34, p = 0.012), whereas ΔCBA could only affect peak SWS (normalized β = 0.29, p = 0.035). Peak time-averaged SWS showed similar results to peak SWS.

conclusionsRWS tended to be more relevant to plaque vulnerability and less affected by cyclic bending as compared with SWS.

Indexed as

Coronary AngiographyCoronary Artery DiseaseCoronary VesselsPlaque, AtheroscleroticRadial ArteryTomography, Optical CoherenceAgedFemaleHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesStress, Mechanicalbending deformationlipid-to-cap ratioplaque vulnerabilityradial wall strainsuperficial wall stress

Identifiers

PMID40910506
PMCPMC12782547

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.