Evidence map›Paper›PMID 26667961›Full record

Observational studyPediatric cardiology2016

Echocardiographic Assessment of Right Atrial Pressure in a Pediatric and Young Adult Population.

Bhawna Arya, Diane Kerstein, Cheng-Shiun Leu, Denise Hayes, Warren A Zuckerman, Usha Krishnan, Wyman W Lai

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Pediatric cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Bhawna AryaDivision of Pediatric Cardiology, Seattle Children's Hospital, University of Washington School of Medicine, 4800 Sand Point Way NE, M/S RC.2.820, PO Box 5371, Seattle, WA, 98105, USA. bhawna.arya@seattlechildrens.org.
Diane KersteinDivision of Pediatric Cardiology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Cheng-Shiun LeuDepartment of Biostatistics, Columbia University Mailman School of Public Health, New York, NY, USA.
Denise HayesDivision of Pediatric Cardiology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Warren A ZuckermanDivision of Pediatric Cardiology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Usha KrishnanDivision of Pediatric Cardiology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Wyman W LaiDivision of Pediatric Cardiology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Columbia University · USSeattle Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Right atrial pressure (RAP) reflects right-sided cardiac hemodynamics and is useful in management of patients with cardiac and systemic disease. Studies in older adults demonstrated that inferior vena cava (IVC) diameter, IVC collapsibility index, hepatic vein systolic filling fraction (SFF), and right atrial volume (RAV) correlated with mean RAP at catheterization. This study aimed to assess the utility of echocardiographic parameters for assessment of RAP in children and young adults. Patients with pulmonary hypertension or heart transplantation undergoing right heart catheterization were recruited for this prospective observational pilot study. Transthoracic echocardiographic assessment of RAP was performed simultaneously with catheterization. For each parameter, three consecutive cardiac cycles were recorded. Long- and short-axis images of the IVC were obtained. RAV was assessed by area-length and biplane methods. IVC diameters and RAV were indexed to body surface area (BSA)(0.5) and (BSA)(1.4), respectively. Relationships between echocardiographic parameters and mean RAP were correlated using "Pearson's r." Fifty subjects aged 0.3-23 years (median 13, mean 12.3 ± 7 years) were enrolled. Mean RAP correlated modestly with RAV (r = 0.51, p < 0.001). Long-axis IVCmax (r = 0.30, p < 0.05) and tricuspid E wave velocity (r = 0.36, p < 0.01) also correlated with mean RAP. RV free wall tissue Doppler velocities, IVC collapsibility index, and hepatic vein SFF had no relation to mean RAP. In a pediatric and young adult population with pulmonary hypertension or heart transplantation, echocardiographic assessment of RAV and long-axis IVCmax provided a reasonable estimate of mean RAP. IVC collapsibility index and hepatic vein SFF demonstrated no association with mean RAP.

Indexed as

Atrial Function, RightAtrial PressureHeart TransplantationHemodynamicsAdolescentCardiac CatheterizationChildChild, PreschoolEchocardiography, DopplerFemaleHumansHypertension, PulmonaryInfantLogistic ModelsMaleNew YorkAtrial volumeEchocardiographyInferior vena cavaPulmonary arterial hypertensionRight atrial pressure

Identifiers

PMID26667961
OpenAlexW2285671023

What OpenQuestion holds

Textmetadata
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.