Evidence map›Paper›PMID 22891044›Full record

ArticleCirculation. Cardiovascular imaging2012

Subclinical left ventricular dysfunction in preeclamptic women with preserved left ventricular ejection fraction: a 2D speckle-tracking imaging study.

Sajid Shahul, Julie Rhee, Michele R Hacker, Gaurav Gulati, John D Mitchell, Phil Hess, Feroze Mahmood, Zolt Arany, Sarosh Rana, Daniel Talmor

Open access · greenAbstract readComparative Study
In one paragraph

Article in Circulation. Cardiovascular imaging, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 3% 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 119 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Cardiac Implications of Preeclampsia: A Review.Journal of personalized medicine · 2026
    Review
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  7. Observational
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  15. Blood-pressure variability is associated with left-ventricular mechanics in patients with gestational hypertension and preeclampsia.Hypertension research : official journal of the Japanese Society of Hypertension · 2021
    Article
  16. Article
  17. Article
  18. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Sajid ShahulDepartment of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA 02215, USA. sshahul@bidmc.harvard.edu
Julie Rhee
Michele R Hacker
Gaurav Gulati
John D Mitchell
Phil Hess
Feroze Mahmood
Zolt Arany
Sarosh Rana
Daniel Talmor
Beth Israel Deaconess Medical Center · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Harvard Clinical and Translational Science Center (UL1)UL1TR000170 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2012 to 2013
$31.4M
LIPS-A: Lung Injury Prevention Study with AspirinU01HL108712 · NHLBI · MAYO CLINIC ROCHESTER · PI GAJIC, OGNJEN, GONG, MICHELLE NG · 2011 to 2013
$6.1M
Angiogenic factors, abnormal placentation and adverse pregnancy outcomesK08HD068398 · NICHD · UNIVERSITY OF CHICAGO · PI RANA, SAROSH · 2012 to 2014
$390k
NCATS NIH HHS UL1 TR000170NCRR NIH HHS UL1 RR 025758NCRR NIH HHS UL1 RR025758NHLBI NIH HHS 1U01HL108712-01NHLBI NIH HHS U01 HL108712NICHD NIH HHS K08 HD068398NICHD NIH HHS K08HD068398-01A1
6 · The paper itself

Abstract

backgroundPatients with preeclampsia are at risk for cardiovascular disease. Changes in cardiac function are subtle in preeclampsia and are difficult to quantify with conventional imaging. Strain measurements using speckle-tracking echocardiography have been used to sensitively quantify abnormalities in other disease settings. METHODS AND

resultsWe evaluated the feasibility and sensitivity of strain imaging using speckle-tracking echocardiography in women with preeclampsia. Forty-seven women were enrolled in this pilot study and 39 were analyzed: 11 with preeclampsia, 17 without a hypertensive disorder, and 11 with nonproteinuric hypertension. Echocardiographic ejection fraction and global peak longitudinal, radial, and circumferential strain were measured. Longitudinal strain was significantly worsened in women with preeclampsia compared with women without a hypertensive disorder (P=0.0001). Similar results were observed for radial strain (P=0.006) and circumferential strain (P=0.03). Women with preeclampsia also had significantly worsened longitudinal (P=0.04), radial (P=0.01), and circumferential (P=0.002) strain compared with women with nonproteinuric hypertension. Women with preeclampsia did not have a significantly different ejection fraction compared with women without a hypertensive disorder (P=0.16) and women with nonproteinuric hypertension (P=0.44).

conclusionsMyocardial strain imaging using speckle tracking is more sensitive than left ventricular ejection fraction to detect differences in left ventricular systolic function in women with and without preeclampsia.

Indexed as

AdolescentAdultChildEchocardiographyFemaleHeart VentriclesHumansImage EnhancementInfant, NewbornPilot ProjectsPre-EclampsiaPregnancyPrognosisReproducibility of ResultsROC CurveSeverity of Illness Index

Identifiers

PMID22891044
PMCPMC3871635
OpenAlexW2168053297

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.