Invasive microvascular coronary circulation assessment in patients with coronary artery aneurysmal disease
Bibliographic record
Abstract
RESEARCH LETTER CMD assessment in patients with CAAD 1 no significant coronary artery stenosis (stenosis <40% of the vessel diameter or 40%-60% of the vessel diameter assessed as insignificant in functional testing, such as fractional flow reserve [FFR >0.8]), and who met none of the study exclusion criteria.The patients were referred for coronary angiography following the European Society of Cardiology recommendations for chronic coronary syndromes 8 after assessment of the clinical probability of ischemic heart disease.Magnetic resonance myocardial perfusion imaging revealed ischemia in 2 patients in the CAAD group and 12 patients in the INOCA group.In addition, 3 patients in the INOCA group were referred for invasive evaluation due to positive results of an exercise stress test.The remaining patients were referred for coronary angiography without noninvasive diagnostics due to severe angina (Canadian Cardiovascular Society class III) and ischemic changes on resting 12 -lead electrocardiography.All the patients were evaluated for the presence of CMD, including coronary flow reserve (CFR) and index of microcirculatory resistance (IMR) assessment, as part of the diagnosis of INOCA.CMD was diagnosed when IMR was equal to or greater than 25 and / or CFR was below 2.0.Overall, 5 consecutive patients with CAAD confirmed on coronary angiography (CAAD group) and 25 consecutive patients without CAAD (non -CAAD group) were included in the analysis.CAAD was defined as segmental, single, or, less commonly, multiple dilations of the vessel lumen with a diameter 1.5 times the diameter of the patient's widest coronary artery.The study exclusion criteria were as follows: presence of an acute inflammatory condition (high -sensitivity C -reactive protein level >10 mg/l), active neoplastic disease, systemic connective tissue diseases, treatment with
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".