Evidence map›Paper›PMID 26204938›Full record

SynthesisBMC medical imaging2015

Diagnostic accuracy of left ventricular longitudinal function by speckle tracking echocardiography to predict significant coronary artery stenosis. A systematic review.

Ingvild Billehaug Norum, Vidar Ruddox, Thor Edvardsen, Jan Erik Otterstad

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC medical imaging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.6field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 64 citations in OpenAlex.

  1. Article
  2. Diagnostic performance of left ventricular strain for predicting physiologically significant coronary artery disease.International journal of cardiology. Cardiovascular risk and prevention · 2025
    Article
  3. Review
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  5. Article
  6. Article
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  8. sST2 levels and 3D speckle tracking as predictors of CAD severity in chronic coronary syndrome.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Comparison of two ellipsoidal models for the estimation of left ventricular end-systolic stress in patients with significant coronary artery disease.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Correlation between global longitudinal strain and SYNTAX score in coronary artery disease evaluation.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2020
    Article
  19. Article
  20. Article
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

4 authors at 3 institutions in 1 country.

Ingvild Billehaug NorumDepartment of Cardiology, Vestfold Hospital Trust, Pb 2168, 3103, Tønsberg, Norway. ingvild.billehaug.norum@siv.no.
Vidar RuddoxDepartment of Cardiology, Vestfold Hospital Trust, Pb 2168, 3103, Tønsberg, Norway. vidar.ruddox@siv.no.
Thor EdvardsenUniversity of Oslo, Faculty of Medicine, Pb 1078 , Blindern, 0316, Oslo, Norway. thor.edvardsen@medisin.uio.no.
Jan Erik OtterstadDepartment of Cardiology, Vestfold Hospital Trust, Pb 2168, 3103, Tønsberg, Norway. jan.erik.otterstad@siv.no.
University of Oslo · NOOslo University Hospital · NOSykehuset i Vestfold · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients evaluated for acute and chronic chest pain comprise a large, heterogeneous group that often provides diagnostic challenges. Although speckle tracking echocardiography (STE) has proved to have diagnostic value in acute coronary syndrome it is not commonly incorporated in everyday practice. The purpose of the present systematic review was to assess the diagnostic accuracy of left ventricular (LV) longitudinal function by STE to predict significant coronary artery stenosis (CAD+) or not (CAD-) verified by coronary angiography in patients with chest pain suspected to be of cardiac ischemic origin.

methods4 electronic databases; Embase, Medline, Cochrane and PubMed ahead-of print were searched for per 19.05.14. Only full-sized articles including >40 patients were selected.

resultsA total of 166 citations were identified, 16 full-size articles were assessed of which 6 were found eligible for this review. Of 781 patients included 397 (60%) had CAD+. The overall weighted mean global longitudinal strain (GLS) was -17.2% (SD=2.6) among CAD+ vs. -19.2% (SD=2.8) in CAD- patients. Mean area under curve in 4 studies for predicting CAD+ ranged from 0.68 to 0.80. The study cut-off levels for prediction of CAD+ in the ROC analysis varied between -17.4% and -19.7% with sensitivity from 51% to 81% and specificity between 58% and 81%. In 1 study GLS obtained during dobutamine stress echocardiography (DSE) had the best accuracy. Regional strain measurements were not uniform, but may have potential in detecting CAD.

conclusionsGLS measurements at rest only have modest diagnostic accuracy in predicting CAD+ among patients presenting with acute or chronic chest pain. The results from regional strain, layer specific strain and DSE need to be verified in larger studies.

Indexed as

Coronary StenosisEchocardiographyElasticity Imaging TechniquesFemaleHumansMaleReproducibility of ResultsSensitivity and SpecificityStroke VolumeVentricular Dysfunction, Left

Identifiers

PMID26204938
PMCPMC4513709
OpenAlexW1534663505

What OpenQuestion holds

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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.