Evidence map›Paper›PMID 24444659›Full record

Trial reportJournal of the American Society of Echocardiography : official publication of the American Society of Echocardiography2014

Relationship between echocardiographic and magnetic resonance derived measures of right ventricular size and function in patients with pulmonary hypertension.

Hadas Shiran, Roham T Zamanian, Michael V McConnell, David H Liang, Rajesh Dash, Shahriar Heidary, Naga Lakshmi Sudini, Joseph C Wu, Francois Haddad, Phillip C Yang

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Article
  4. Review
  5. Pulmonary Hemodynamic Parameters Derived from 4D Flow MR Imaging Can Provide Sensitive Markers for Chronic Obstructive Pulmonary Disease (COPD) Patients with Right Ventricular Dysfunction.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2025
    Article
  6. Echocardiographic right ventricular remodeling after percutaneous atrial septal defect closure.International journal of cardiology. Congenital heart disease · 2023
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Diagnosing and treating the failing right heart.Current opinion in cardiology · 2015
    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

10 authors at 1 institution in 1 country.

Hadas ShiranDepartment of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, California. Electronic address: hshiran@stanford.edu.
Roham T ZamanianDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Stanford University, Stanford, California; Vera Moulton Wall Center for Pulmonary Vascular Disease, Stanford School of Medicine, Stanford, California.
Michael V McConnellDepartment of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, California; Stanford Cardiovascular Institute, Stanford School of Medicine, Stanford, California.
David H LiangDepartment of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, California.
Rajesh DashDepartment of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, California.
Shahriar HeidaryDepartment of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, California.
Naga Lakshmi SudiniDepartment of Cardiothoracic Surgery, Stanford University, Stanford, California.
Joseph C WuDepartment of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, California.
Francois HaddadDepartment of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, California.
Phillip C YangDepartment of Medicine, Division of Cardiovascular Medicine, Stanford University, Stanford, California.
Stanford University · US

Funding

Multi-Disciplinary Training Program in Cardiovascular Imaging at StanfordT32EB009035 · NIBIB · STANFORD UNIVERSITY · PI Koen Nieman, John M. Pauly · 2008 to 2026
$4.3M
NIBIB NIH HHS T32 EB009035
6 · The paper itself

Abstract

backgroundTransthoracic echocardiographic (TTE) imaging is the mainstay of clinical practice for evaluating right ventricular (RV) size and function, but its accuracy in patients with pulmonary hypertension has not been well validated.

methodsMagnetic resonance imaging (MRI) and TTE images were retrospectively reviewed in 40 consecutive patients with pulmonary hypertension. RV and left ventricular volumes and ejection fractions were calculated using MRI. TTE areas and indices of RV ejection fraction (RVEF) were compared.

resultsThe average age was 42 ± 12 years, with a majority of women (85%). There was a wide range of mean pulmonary arterial pressures (27-81 mm Hg) and RV end-diastolic volumes (111-576 mL), RVEFs (8%-67 %), and left ventricular ejection fractions (26%-72%) by MRI. There was a strong association between TTE and MRI-derived parameters: RV end-diastolic area (by TTE imaging) and RV end-diastolic volume (by MRI), R(2) = 0.78 (P < .001); RV fractional area change by TTE imaging and RVEF by MRI, R(2) = 0.76 (P < .001); and tricuspid annular plane systolic excursion by TTE imaging and RVEF by MRI, R(2) = 0.64 (P < .001). By receiver operating characteristic curve analysis, an RV fractional area change < 25% provided excellent discrimination of moderate systolic dysfunction (RVEF < 35%), with an area under the curve of 0.97 (P < .001). An RV end-diastolic area index of 18 cm(2)/m(2) provided excellent discrimination for moderate RV enlargement (area under the curve, 0.89; P < .001).

conclusionsEchocardiographic estimates of RV volume (by RV end-diastolic area) and function (by RV fractional area change and tricuspid annular plane systolic excursion) offer good approximations of RV size and function in patients with pulmonary hypertension and allow the accurate discrimination of normal from abnormal.

Indexed as

AdultAgedEchocardiographyFemaleHumansHypertension, PulmonaryImage Interpretation, Computer-AssistedImaging, Three-DimensionalMagnetic Resonance ImagingMaleMiddle AgedOrgan SizeReproducibility of ResultsSensitivity and SpecificityStroke VolumeVentricular Dysfunction, RightEchocardiographyMRIPulmonary hypertensionRight ventricle

Identifiers

PMID24444659
PMCPMC4662848
OpenAlexW2081429145

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.