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

Artur Dziewierz,Ł. Rzeszutko,Łukasz Niewiara,J. Legutko,Paweł Kleczyński

Published 2025 in Catheterization and cardiovascular interventions

ABSTRACT

Assessing coronary artery disease in severe aortic stenosis (AS) presents unique challenges. Fractional flow reserve (FFR) may yield unreliable results due to altered coronary hemodynamics, leading to discordance with non‐hyperemic indices. Women with AS develop distinct myocardial remodeling patterns that may predispose to coronary microvascular dysfunction. We investigated whether sex influences the diagnostic performance and agreement of invasive physiological indices in severe AS.

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