Coronary microvascular dysfunction and autoregulatory capacity interfere with resting Dicrotic notch morphology

Microvasc Res. 2024 Sep 30:157:104750. doi: 10.1016/j.mvr.2024.104750. Online ahead of print.

Abstract

Coronary microvascular vasodilator capacity is substantially associated with coronary pressure waveform and dicrotic notch morphology, with or without concomitant epicardial disease. A prominent dicrotic notch is associated with preserved microvascular vasodilatory capacity and adequate resting microvascular tonus without relative hyperaemic state, cumulatively indicating a better microcirculatory health.

Keywords: Coronary microvascular dysfunction; Dicrotic notch; Pressure waveform.