Evidence map›Paper›PMID 22532253›Full record

Trial reportEuropean journal of nuclear medicine and molecular imaging2012

LV dyssynchrony as assessed by phase analysis of gated SPECT myocardial perfusion imaging in patients with Wolff-Parkinson-White syndrome.

Chun Chen, Dianfu Li, Changqing Miao, Jianlin Feng, Yanli Zhou, Kejiang Cao, Michael S Lloyd, Ji Chen

Abstract readClinical Trial
In one paragraph

Trial report in European journal of nuclear medicine and molecular imaging, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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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

8 authors at 3 institutions in 2 countries.

Chun ChenDepartment of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China. chenchunjsnj@163.com
Dianfu Li
Changqing Miao
Jianlin Feng
Yanli Zhou
Kejiang Cao
Michael S Lloyd
Ji Chen
Jiangsu Province Hospital · CNEmory University · USNanjing Medical University · CN

Funding

Measuring Left Ventricular Dyssynchrony from ECG-gated Myocardial Perfusion SPECTR01HL094438 · NHLBI · EMORY UNIVERSITY · PI CHEN, JI · 2009 to 2012
$1.5M
NHLBI NIH HHS 1R01HL094438NHLBI NIH HHS R01 HL094438
6 · The paper itself

Abstract

purposeThe purpose of this study was to evaluate left ventricular (LV) mechanical dyssynchrony in patients with Wolff-Parkinson-White (WPW) syndrome pre- and post-radiofrequency catheter ablation (RFA) using phase analysis of gated single photon emission computed tomography (SPECT) myocardial perfusion imaging (MPI).

methodsForty-five WPW patients were enrolled and had gated SPECT MPI pre- and 2-3 days post-RFA. Electrophysiological study (EPS) was used to locate accessory pathways (APs) and categorize the patients according to the AP locations (septal, left and right free wall). Electrocardiography (ECG) was performed pre- and post-RFA to confirm successful elimination of the APs. Phase analysis of gated SPECT MPI was used to assess LV dyssynchrony pre- and post-RFA.

resultsAmong the 45 patients, 3 had gating errors, and thus 42 had SPECT phase analysis. Twenty-two patients (52.4%) had baseline LV dyssynchrony. Baseline LV dyssynchrony was more prominent in the patients with septal APs than in the patients with left or right APs (p < 0.05). RFA improved LV synchrony in the entire cohort and in the patients with septal APs (p < 0.01).

conclusionPhase analysis of gated SPECT MPI demonstrated that LV mechanical dyssynchrony can be present in patients with WPW syndrome. Septal APs result in the greatest degree of LV mechanical dyssynchrony and afford the most benefit after RFA. This study supports further investigation in the relationship between electrical and mechanical activation using EPS and phase analysis of gated SPECT MPI.

Indexed as

Technetium Tc 99m SestamibiAccessory Atrioventricular BundleAdultCardiac-Gated Single-Photon Emission Computer-Assisted TomographyCatheter AblationEchocardiographyElectrocardiographyElectrophysiologic Techniques, CardiacFemaleHumansMaleMiddle AgedMyocardial Perfusion ImagingRadiopharmaceuticalsVentricular Dysfunction, LeftWolff-Parkinson-White SyndromeRadiopharmaceuticalsTechnetium Tc 99m Sestamibi

Identifiers

PMID22532253
PMCPMC3732446
OpenAlexW2070925720

What OpenQuestion holds

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Registered trials

None linked

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.