Evidence map›Paper›PMID 11447072›Full record

Trial reportCirculation2001

Tissue Doppler imaging consistently detects myocardial abnormalities in patients with hypertrophic cardiomyopathy and provides a novel means for an early diagnosis before and independently of hypertrophy.

S F Nagueh, L L Bachinski, D Meyer, R Hill, W A Zoghbi, J W Tam, M A Quiñones, R Roberts, A J Marian

Open access · bronzeAbstract readClinical TrialControlled Clinical Trial
In one paragraph

Trial report in Circulation, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 149 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
149citing papers in PubMed, 1 pooled it
17.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

149 citing papers in PubMed, 1 synthesis or guideline pooled it, 621 citations in OpenAlex.

  1. Guideline
  2. Trial
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  6. Cardiac function in children with congenital adrenal hyperplasia.Journal of pediatric endocrinology & metabolism : JPEM · 2025
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  14. Evaluation of diastolic dysfunction in children with hypertrophic cardiomyopathy and its relationship with development of myocardial fibrosis.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2023
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89 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

S F NaguehDepartment of Medicine, Section of Cardiology, Baylor College of Medicine, Houston, TX, USA. sherifn@bcm.tmc.edu
L L Bachinski
D Meyer
R Hill
W A Zoghbi
J W Tam
M A Quiñones
R Roberts
A J Marian
University of Manitoba · CA

Funding

TUMOR NECROSIS FACTOR-ALPHA IN CONGESTIVE HEART FAILURE--MECHANISMS/RELEVANCEP50HL054313 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI MANN, DOUGLAS LOWELL · 1995 to 2004
$8.2M
SCOR IN HEART FAILUREP50HL042267 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI ROBERTS, ROBERT · 1990 to 1994
–
NHLBI NIH HHS P50 HL054313NHLBI NIH HHS P50-HL42267-01
6 · The paper itself

Abstract

backgroundLeft ventricular hypertrophy (LVH), the clinical hallmark of familial hypertrophic cardiomyopathy (FHCM), is absent in a significant number of subjects with causal mutations. In transgenic rabbits that fully recapitulate the FHCM phenotype, reduced myocardial tissue Doppler (TD) velocities accurately identified the mutant rabbits, even in the absence of LVH. We tested whether humans with FHCM also consistently showed reduced myocardial TD velocities, irrespective of LVH. METHODS AND

resultsWe performed 2D and Doppler echocardiography and TD imaging in 30 subjects with FHCM, 13 subjects who were positive for various mutations but did not have LVH, and 30 age- and sex-matched controls (all adults; 77% women). LV wall thickness and mass were significantly greater in FHCM subjects (P<0.01 versus those without LVH and controls). There were no significant differences in 2D echocardiographic, mitral, and pulmonary venous flow indices between mutation-positives without LVH and controls. In contrast, systolic and early diastolic TD velocities were significantly lower in both mutation-positives without LVH and in FHCM patients than in controls (P<0.001). Reduced TD velocities had a sensitivity of 100% and a specificity of 93% for identifying mutation-positives without LVH.

conclusionsMyocardial contraction and relaxation velocities, detected by TD imaging, are reduced in FHCM, including in those without LVH. Before and independently of LVH, TD imaging is an accurate and sensitive method for identifying subjects who are positive for FHCM mutations.

Indexed as

EchocardiographyEchocardiography, DopplerAdultBlood Flow VelocityCardiomyopathy, HypertrophicDiastoleFemaleGenes, DominantGenetic Predisposition to DiseaseHumansHypertrophy, Left VentricularMaleMutationPredictive Value of TestsSensitivity and SpecificitySystole

Identifiers

PMID11447072
PMCPMC2900859
OpenAlexW2130211781

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.