Evidence map›Paper›PMID 22874520›Full record

ArticleAIDS (London, England)2012

Reduced diastolic function and left ventricular mass in HIV-negative preadolescent children exposed to antiretroviral therapy in utero.

W Todd Cade, Alan D Waggoner, Sara Hubert, Melissa J Krauss, Gautam K Singh, E Turner Overton

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in AIDS (London, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01107834 (Left Ventricular Function in HIV-Negative Children Exposed to HIV and HAART In Utero), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.4field-weighted citation impact, top 8% 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.

NCT01107834 completednot on this map

Left Ventricular Function in HIV-Negative Children Exposed to HIV and HAART In Utero

TypeobservationalSponsorWashington University School of MedicineRan2010 to 2011Enrolled60ConditionsHIV Infections
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. DisclosingJournal of the International AIDS Society · 2016
    Article
  10. Article
  11. Review
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

6 authors at 3 institutions in 1 country.

W Todd CadeProgram in Physical Therapy and Department of Medicine, Washington University School of Medicine, 4444 Forest Park Boulevard, St. Louis, MO 63108-2212, USA. tcade@wustl.edu
Alan D Waggoner
Sara Hubert
Melissa J Krauss
Gautam K Singh
E Turner Overton
Washington University in St. Louis · USCancer Research And Biostatistics · USUniversity of Alabama at Birmingham · US

Funding

Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
WASHINGTON UNIVERSITY AIDS CLINICAL TRIALS UNITU01AI069495 · NIAID · WASHINGTON UNIVERSITY · PI CLIFFORD, DAVID B · 2007 to 2011
$7.7M
WASHINGTON UNIVERSITY AIDS CLINICAL TRIALS UNITUM1AI069495 · NIAID · WASHINGTON UNIVERSITY · PI CLIFFORD, DAVID B · 2012 to 2013
$2.9M
NCATS NIH HHS UL1 TR000448NCRR NIH HHS RR024992NCRR NIH HHS UL1 RR024992NIAID NIH HHS AI-069495NIAID NIH HHS U01 AI069495NIAID NIH HHS UM1 AI069495
6 · The paper itself

Abstract

objectiveAbnormalities in left ventricular morphology and function have been reported in HIV-negative infants exposed to antiretroviral therapy (ART) in utero that persists throughout preschool age. The objective of this study was to determine if these abnormalities persist, resolve, or worsen during preadolescence.

designCross-sectional observation study.

methodsThirty HIV-negative children born to HIV-positive women and exposed to ART in utero (mean age 8 ± 2 years, 37% female, 74% African-American) and 30 HIV-negative children born to HIV-negative women (mean age 8 ± 3 years, 37% female, 76% African-American) underwent two-dimensional Doppler, tissue Doppler, and strain echocardiography to evaluate left ventricular systolic and diastolic function.

resultsWeight, body surface area, heart rate and blood pressure were similar between groups. For the ART-exposed group, left ventricular mass index was lower (60 ± 9 vs. 67 ± 12 g/m, P < 0.02) and early diastolic annular velocity was lower (15.0 ± 2.2 vs. 16.3 ± 2.5 cm/s, P < 0.03) compared to controls. Left ventricular systolic function did not differ between groups. Lower maternal third trimester CD4 count was associated with lower early diastolic annular velocity; other non-HIV-related variables including cocaine use and increased maternal age correlated with lower left ventricular mass index.

conclusionsAbnormalities in left ventricular systolic performance previously reported in HIV-negative infants and preschool aged children exposed to ART in utero were not apparent in preadolescent children. Left ventricular diastolic relaxation was reduced compared with controls suggesting residual effects of ART exposure on left ventricular diastolic function. Larger, longitudinal studies are necessary to confirm these observations.

Indexed as

HIV SeronegativityAnti-HIV AgentsChildCross-Sectional StudiesDiastoleEchocardiography, DopplerFemaleFollow-Up StudiesHeart RateHIV SeropositivityHumansMaleMaternal AgeMyocardial ContractionOrgan SizePregnancyAnti-HIV Agents

Identifiers

PMID22874520
PMCPMC3641749
OpenAlexW2146346859

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.