# Factual errors in a recent paper by Westerhof, Segers and Westerhof in Hypertension

08/31/2015

But facts are chiels that winna ding
An downa be disputed
– from A Dream by Robert Burns (1786)

(But facts are fellows that will not be overturned,
And cannot be disputed)

Wave separation, wave intensity, the reservoir-wave concept, and the instantaneous wave-free ratio (2015) N Westerhof, P Segers and BE Westerhof, Hypertension, DOI: 10.1161/HYPERTENSIONAHA.115.05567 Hereinafter referred to as [WSW].

This paper by three distinguished workers in the field of cardiovascular mechanics, concludes that both the reservoir pressure and instantaneous wave-free ratio are ’... both physically incorrect, and should be abandoned’. These are very strong conclusions which, if they were opinions could only be debated. Reading the paper in detail, however, reveals that it contains numerous factual errors in their discussion of these two entities. Since facts are different from opinions, we believe that it is essential that these errors be corrected before they gain credence by repetition.

False facts are highly injurious to the progress of science, for they often endure long; but false views, if supported by some evidence, do little harm, for every one takes a salutary pleasure in proving their falseness.
– Charles Darwin (1871)

Because we are naturally prejudiced about the validity of both the reservoir pressure ($$P_{res}$$) and instantaneous wave-free ratio (iFR), having been involved in the conception and development of both ideas, we will try to present our arguments as transparently and fairly as possible. As far as possible we will demonstrate the errors by direct quotations from the paper. The whole paper$$^1$$ is available from the Hypertension web site and sh