Evidence map›Paper›PMID 26692085›Full record

ArticleInternal and emergency medicine2016

Relationship between left ventricular mechanics and low free triiodothyronine levels after myocardial infarction: a prospective study.

Edita Jankauskienė, Paulius Orda, Greta Barauskienė, Narseta Mickuvienė, Julija Brožaitienė, Jolanta Justina Vaškelytė, Robertas Bunevičius

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Internal and emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Edita JankauskienėDepartment of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Eivenių 2, Kaunas, Lithuania. editajank1@gmail.com.
Paulius OrdaMedical Academy, Lithuanian University of Health Sciences, Mickevičiaus 9, Kaunas, Lithuania.
Greta BarauskienėMedical Academy, Lithuanian University of Health Sciences, Mickevičiaus 9, Kaunas, Lithuania.
Narseta MickuvienėBehavioral Medicine Institute, Lithuanian University of Health Sciences, Vydūno 4, Palanga, Lithuania.
Julija BrožaitienėBehavioral Medicine Institute, Lithuanian University of Health Sciences, Vydūno 4, Palanga, Lithuania.
Jolanta Justina VaškelytėDepartment of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Eivenių 2, Kaunas, Lithuania.
Robertas BunevičiusBehavioral Medicine Institute, Lithuanian University of Health Sciences, Vydūno 4, Palanga, Lithuania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Low free triiodothyronine (fT3) levels following acute myocardial infarction (AMI) are associated with greater impairment in cardiac mechanics compared with patients with AMI who have normal values of thyroid hormones. The objectives are to investigate left ventricular (LV) function and mechanics during a 6-month follow-up after myocardial infarction and to evaluate their prognostic implication using two-dimensional (2D) echocardiography and 2D speckle-tracking echocardiography in patients with low fT3 levels. The study design is prospective cohort study. One hundred forty patients with first-onset AMI were grouped according to serum fT3 levels: low fT3 group (fT3 <3.2 pmol/L; n = 44) and control group (fT3 >3.2 pmol/L; n = 96). Low levels of fT3 were associated with greater LV diameters and LV end-diastolic volume, and decreased systolic LV function. Systolic apical and basal rotation, peak systolic global longitudinal strain and strain rate, and LV twist and torsion were significantly decreased in the low fT3 group. The prognostic implication for predicting low fT3 levels was evaluated using ROC analysis. LV end-diastolic diameter index is the most sensitive (94.12 %), but has low specificity (37.93 %; area = 0.659, p = 0.01). By contrast, LV end-systolic volume is the most specific (94.03 %), but has low sensitivity (26.32 %; area = 0.594, p = 0.04). Low fT3 levels are significantly associated with worse LV mechanics. Low fT3 levels are important for prediction of LV structure, function, rotation, and deformation parameters during the late post-myocardial infarction period.

Indexed as

Area Under CurveBiomarkersCohort StudiesEchocardiographyFemaleFollow-Up StudiesHospitals, UniversityHumansImage Interpretation, Computer-AssistedMaleMiddle AgedMonitoring, PhysiologicProspective StudiesROC CurveSensitivity and SpecificityST Elevation Myocardial InfarctionBiomarkersTriiodothyronineAcute myocardial infarctionLeft ventricular remodelingLow-fT3 levelSpeckle-tracking echocardiography

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Registered trials

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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.