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Myocardial Blood Flow Reserve, Microvascular Coronary Health, and Myocardial Remodeling in Patients With Aortic Stenosis.

Fares AlahdabAhmed Ibrahim AhmedMalek NayfehYushui HanOla AbdelkarimMoath Said AlfawaraStephen H LittleMichael J ReardonNadeen N FazaSachin S GoelMohamad Adnan AlkhouliWilliam A ZoghbiMouaz H Al Mallah
Published in: Journal of the American Heart Association (2024)
Despite lack of ischemia, as severity of AS increased, MFR decreased and GLS worsened, reflecting worse coronary microvascular health and myocardial remodeling. Positron emission tomography-derived MFR showed a significant independent correlation with left ventricular ejection fraction and GLS. Patients with prosthetic aortic valve showed a high prevalence of impaired MFR.
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