Evidence map›Paper›PMID 27085442›Full record

ArticleJACC. Cardiovascular imaging2016

Noninvasive Measures of Ventricular-Arterial Coupling and Circumferential Strain Predict Cancer Therapeutics-Related Cardiac Dysfunction.

Hari K Narayan, Benjamin French, Abigail M Khan, Theodore Plappert, David Hyman, Akinyemi Bajulaiye, Susan Domchek, Angela DeMichele, Amy Clark, Jennifer Matro and 4 more

Open access · greenAbstract read
In one paragraph

Article in JACC. Cardiovascular imaging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 2 pooled it
9.0field-weighted citation impact, top 2% 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

74 citing papers in PubMed, 2 syntheses or guidelines pooled it, 124 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Changes in Cardiac Function in Patients Receiving Radiation Therapy for Lung Cancer.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2026
    Article
  6. Article
  7. Article
  8. How to Use Multimodality Imaging in Cardio-Oncology.Journal of cardiovascular development and disease · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Cardio-Oncology and Breast Cancer Therapies.Current treatment options in oncology · 2025
    Review
  15. Article
  16. Observational
  17. Review
  18. Article
  19. Article
  20. Article

14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Hari K NarayanDepartment of Pediatrics, Division of Cardiology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Benjamin FrenchDepartment of Biostatistics and Epidemiology, The University of Pennsylvania, Philadelphia, Pennsylvania.
Abigail M KhanDepartment of Medicine, Division of Cardiology, The University of Pennsylvania, Philadelphia, Pennsylvania.
Theodore PlappertDepartment of Medicine, Division of Cardiology, The University of Pennsylvania, Philadelphia, Pennsylvania.
David HymanDepartment of Medicine, Division of Cardiology, The University of Pennsylvania, Philadelphia, Pennsylvania.
Akinyemi BajulaiyeDepartment of Medicine, Division of Cardiology, The University of Pennsylvania, Philadelphia, Pennsylvania.
Susan DomchekDepartment of Medicine, Division of Oncology, The University of Pennsylvania, Philadelphia, Pennsylvania; Abramson Cancer Center, The University of Pennsylvania, Philadelphia, Pennsylvania.
Angela DeMicheleDepartment of Biostatistics and Epidemiology, The University of Pennsylvania, Philadelphia, Pennsylvania; Department of Medicine, Division of Oncology, The University of Pennsylvania, Philadelphia, Pennsylvania; Abramson Cancer Center, The University of Pennsylvania, Philadelphia, Pennsylvania.
Amy ClarkDepartment of Medicine, Division of Oncology, The University of Pennsylvania, Philadelphia, Pennsylvania; Abramson Cancer Center, The University of Pennsylvania, Philadelphia, Pennsylvania.
Jennifer MatroDepartment of Medicine, Division of Oncology, The University of Pennsylvania, Philadelphia, Pennsylvania; Abramson Cancer Center, The University of Pennsylvania, Philadelphia, Pennsylvania.
Angela BradburyDepartment of Medicine, Division of Oncology, The University of Pennsylvania, Philadelphia, Pennsylvania; Abramson Cancer Center, The University of Pennsylvania, Philadelphia, Pennsylvania.
Kevin FoxDepartment of Medicine, Division of Oncology, The University of Pennsylvania, Philadelphia, Pennsylvania; Abramson Cancer Center, The University of Pennsylvania, Philadelphia, Pennsylvania.
Joseph R CarverDepartment of Medicine, Division of Cardiology, The University of Pennsylvania, Philadelphia, Pennsylvania; Abramson Cancer Center, The University of Pennsylvania, Philadelphia, Pennsylvania.
Bonnie KyDepartment of Biostatistics and Epidemiology, The University of Pennsylvania, Philadelphia, Pennsylvania; Department of Medicine, Division of Cardiology, The University of Pennsylvania, Philadelphia, Pennsylvania; Abramson Cancer Center, The University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: bonnie.ky@uphs.upenn.edu.
University of Pennsylvania · USChildren's Hospital of Philadelphia · US

Funding

Cardiology & pulmonary research training grantT32HL007891 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Jason D Christie · 1998 to 2026
$12.0M
Pediatric Hospital Epidemiology and Outcomes Research Training ProgramT32HD060550 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI Christopher Peter Bonafide, John Chris Feudtner · 2010 to 2026
$6.8M
Multimarker Risk Prediction in Cancer Therapy CardiotoxicityR01HL118018 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KY, BONNIE · 2014 to 2018
$3.7M
The Role of Neuregulin in Human Cardiac Remodeling and Heart FailureK23HL095661 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KY, BONNIE · 2010 to 2014
$704k
NHLBI NIH HHS K23 HL095661NHLBI NIH HHS R01 HL118018NHLBI NIH HHS T32 HL007891NICHD NIH HHS T32 HD060550
6 · The paper itself

Abstract

objectivesThis study sought to determine the relationships between echocardiography-derived measures of myocardial mechanics and cancer therapeutics-related cardiac dysfunction (CTRCD).

backgroundDoxorubicin and trastuzumab are highly effective breast cancer therapies, but have a substantial risk of CTRCD. There is a critical need for the early detection of patients at increased risk of toxicity.

methodsWe performed a prospective, longitudinal cohort study of breast cancer participants undergoing doxorubicin and/or trastuzumab therapy. Echocardiography was performed prior to therapy initiation (baseline) and at standardized follow-up intervals during and after completion of therapy. Ejection fraction (EF), strain, strain rate, and ventricular-arterial coupling (effective arterial elastance [Ea]/end-systolic elastance [Ees

resultsIn total, 135 participants contributed 517 echocardiograms to the analysis. Over a median follow-up time of 1.9 years (interquartile range: 0.9 to 2.4 years), 21 participants (15%) developed CTRCD. In adjusted models, baseline levels and changes in Ea/Ees

conclusionsOver an extended follow-up time, ventricular-arterial coupling and circumferential strain were strongly predictive of CTRCD. Our findings suggest a noninvasive strategy to identify high-risk patients prior to, during, and after cardiotoxic cancer therapy.

Indexed as

EchocardiographyMyocardial ContractionVentricular FunctionAdultAntineoplastic AgentsArea Under CurveBiomechanical PhenomenaBreast NeoplasmsCardiotoxicityDoxorubicinElasticityFemaleHeart DiseasesHumansLinear ModelsLogistic ModelsAntineoplastic AgentsDoxorubicinTrastuzumabcardio-oncologycardiotoxicityechocardiographymechanics

Identifiers

PMID27085442
PMCPMC5055405
OpenAlexW2340263988

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.