Evidence map›Paper›PMID 25888874›Full record

ArticleCardiovascular ultrasound2015

The utility of pocket-sized echocardiography to assess left ventricular systolic function prior to permanent pacemaker implantation.

Lawrence Lau, Robin Ducas, Jacques Rizkallah, Davinder S Jassal, Colette M Seifer

Abstract read
In one paragraph

Article in Cardiovascular ultrasound, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

5 authors.

Lawrence LauCollege of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. umlau23@myumanitoba.ca.
Robin DucasCollege of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. umducasr@cc.umanitoba.ca.
Jacques RizkallahCollege of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. jacquesyr@yahoo.com.
Davinder S JassalCollege of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. djassal@sbgh.mb.ca.
Colette M SeiferCollege of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. cmseifer@sbgh.mb.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA subset of patients receiving first-time permanent pacemakers (PPM) may also benefit from an implantable cardioverter defibrillator (ICD) based on the presence of left ventricular systolic dysfunction (LVSD). Routine screening using pocket-sized echocardiography (PSE) may be useful in identifying such patients.

objectiveTo determine whether PSE can be used by an inexperienced sonographer to adequately screen for LVSD in a patient population receiving a first-time PPM.

methodsA sonographic trainee (medical student) acquired images using PSE, which were then evaluated by an experienced echocardiologist for both image quality and presence of LVSD. The sensitivity and specificity of assessment by the inexperienced sonographer was compared to the level 3 echocardiologist.

resultsThe patient population included 71 individuals (66% male, mean age 77 ± 12 years). Interpretable images where left ventricular ejection fraction (LVEF) could be adequately assessed were obtained in 93% of the patient population. As compared with the echocardiologist, the sonographic trainee had a sensitivity of 60% and a specificity of 98% in detecting LVSD.

conclusionsFor patients receiving first-time PPM, the use of PSE by a sonographic trainee combined with interpretation by an experienced imaging cardiologist can triage for the need to perform standard transthoracic echocardiography (sTTE) by determining the presence of LVSD.

Indexed as

Pacemaker, ArtificialAgedEchocardiographyEquipment DesignEquipment Failure AnalysisFemaleHeart FailureHumansMaleMiniaturizationPatient SelectionPoint-of-Care SystemsPreoperative CareProsthesis ImplantationReproducibility of ResultsSensitivity and Specificity

Identifiers

PMID25888874
PMCPMC4369064

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.