{"id":"b632e9ffcd6f","type":"article","url":"https://hartvaat.nl/2026/02/24/invloed-van-coronaire-ziekte-patronen-op-klinische-uitkomsten-pullback-pressure-/","title":"Invloed van coronaire ziekte patronen op klinische uitkomsten: pullback pressure gradient meta-analyse","title_en":"Impact of Coronary Artery Disease Patterns Assessed with Pullback Pressure Gradient on Clinical Outcomes: Meta-analysis","category":"cholesterol","category_label":"Cholesterol","professions":["cardioloog"],"tags":[],"journal":"Atherosclerosis","doi":"https://www.atherosclerosis-journal.com/article/S0021-9150(26)00054-7/fulltext","source_url":"https://doi.org/https://www.atherosclerosis-journal.com/article/S0021-9150(26)00054-7/fulltext","authors":["Adrian Bednarek","Patrick W. Serruys","Tsung-Ying Tsai","Karolina Gumiężna","Shigetaka Kageyama","Nozomi Kotoku","Scot Garg","Yoshinobu Onuma","Mariusz Tomaniak"],"significance":5,"published":"2026-02-24","source_date":"2026-02-24","image":"","kennis":["https://hartvaat.nl/kennis/lipiden/dyslipidemie-overzicht/","https://hartvaat.nl/kennis/lipiden/lpa-meten-wanneer-waarom/"],"congress":"","summary_en":"A meta-analysis assessed the prognostic impact of the pullback pressure gradient index for quantitatively characterising focal versus diffuse coronary artery disease patterns. The physiological assessment adds prognostic value to standard coronary evaluation.","created":"2026-07-03T10:25:17Z","updated":"2026-07-03T13:24:43Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Diffuse coronaire ziekte beïnvloedt patiëntuitkomsten, maar een objectieve definitie ontbreekt. De pullback pressure gradient (PPG) is een nieuwe fysiologische index. Deze meta-analyse evalueerde het effect van met PPG beoordeelde ziektepatronen op klinische uitkomsten.","abstract_original":"Diffuse coronary artery disease (CAD) impacts patients’ outcomes; however, its definition is not objectively established and varies across studies. Pullback pressure gradient (PPG) is a novel physiological index for quantitatively evaluating the pattern of CAD; nevertheless, its clinical utility has not been fully elucidated. This study aims to comprehensively assess the PPG prognostic impact on clinical and physiological outcomes."}