Evidence map›Paper›PMID 11559685›Full record

ArticleHeart (British Cardiac Society)2001

Doppler tissue imaging for assessing left ventricular diastolic dysfunction in heart transplant rejection.

S M Stengel, Y Allemann, M Zimmerli, E Lipp, N Kucher, P Mohacsi, C Seiler

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Heart (British Cardiac Society), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00572286 (Evaluation of Non-invasive Methods for the Detection of Acute Rejection in Heart Transplant Patients), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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.

NCT00572286 withdrawnnot on this mapstarted 2005, after this paper: background citation

Evaluation of Non-invasive Methods for the Detection of Acute Rejection in Heart Transplant Patients: Use of Echocardiography and Magnetocardiography (MCG) -Pilot Study

TypeobservationalSponsorCedars-Sinai Medical CenterRan2005 to 2009Enrolled20ConditionsAdvanced Heart Failure, Heart Transplantation
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Arrhythmias in the Heart Transplant Patient.Arrhythmia & electrophysiology review · 2014
    Article
  7. Review
  8. Article
  9. Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

S M StengelCardiology, Swiss Cardiovascular Centre Bern, University Hospital, CH-3010 Bern, Switzerland.
Y Allemann
M Zimmerli
E Lipp
N Kucher
P Mohacsi
C Seiler
University Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo test the hypothesis that diastolic mitral annular motion velocity, as determined by Doppler tissue imaging and left ventricular diastolic flow propagation velocity, is related to the histological degree of heart transplant rejection according to the International Society of Heart and Lung Transplantation (ISHLT).

methodsIn 41 heart transplant recipients undergoing 151 myocardial biopsies, the following Doppler echocardiographic measurements were performed within one hour of biopsy: transmitral and pulmonary vein flow indices; mitral annular motion velocity indices; left ventricular diastolic flow propagation velocity.

resultsLate diastolic mitral annular motion velocity (A(DTI)) and mitral annular systolic contraction velocity (SC(DTI)) were higher in patients with ISHLT < IIIA than in those with ISHLT >/= IIIA (A(DTI), 8.8 cm/s v 7.7 cm/s (p = 0.03); SC(DTI), 19.3 cm/s v 9.3 cm/s (p < 0.05)). Sensitivity and specificity of A(DTI) < 8.7 cm/s (the best cut off value) in predicting significant heart transplant rejection were 82% and 53%, respectively. Early diastolic mitral annular motion velocity (E(DTI)) and flow propagation velocity were not related to the histological degree of heart transplant rejection.

conclusionsDoppler tissue imaging of the mitral annulus is useful in diagnosing heart transplant rejection because a high late diastolic mitral annular motion velocity can reliably exclude severe rejection. However, a reduced late diastolic mitral annular motion velocity cannot predict severe rejection reliably because it is not specific enough.

Indexed as

Blood Flow VelocityEchocardiography, Doppler, ColorFemaleGraft RejectionHeart TransplantationHumansMaleMiddle AgedMitral ValveProspective StudiesPulmonary VeinsROC CurveSensitivity and SpecificityVentricular Dysfunction, Left

Identifiers

PMID11559685
PMCPMC1729918
OpenAlexW2170208798

What OpenQuestion holds

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Registered trials

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.