Evidence map›Paper›PMID 27641101›Full record

ArticleJournal of the American Society of Echocardiography : official publication of the American Society of Echocardiography2016

Pulmonary Artery Acceleration Time Provides a Reliable Estimate of Invasive Pulmonary Hemodynamics in Children.

Philip T Levy, Meghna D Patel, Georgeann Groh, Swati Choudhry, Joshua Murphy, Mark R Holland, Aaron Hamvas, Mark R Grady, Gautam K Singh

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed
13.6field-weighted citation impact, top 1% 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

94 citing papers in PubMed, 182 citations in OpenAlex.

  1. Trial
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  4. Novel echocardiographic markers for the assessment of pulmonary hypertension in infants.Journal of perinatology : official journal of the California Perinatal Association · 2026
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  9. Observational
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  17. Characteristics and outcomes of preterm infants with early pulmonary hypertension.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Observational
  18. Article
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  20. Observational

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

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

9 authors at 5 institutions in 1 country.

Philip T LevyDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri; Department of Pediatrics, Goryeb Children's Hospital, Atlantic Health System, Morristown, New Jersey. Electronic address: levy_p@kids.wustl.edu.
Meghna D PatelDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
Georgeann GrohDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
Swati ChoudhryDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
Joshua MurphyDepartment of Pediatrics, Rush University Medical Center, Chicago, Illinois.
Mark R HollandDepartment of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, Indianapolis, Indiana.
Aaron HamvasDepartment of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Mark R GradyDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
Gautam K SinghDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
Washington University in St. Louis · USAtlantic Health System · USIndiana University – Purdue University Indianapolis · USNorthwestern University · USRush University Medical Center · US

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Data Coordinating Center for the Prematurity and Respiratory Outcomes ProgramU01HL101794 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI SCHMIDT, BARBARA · 2010 to 2014
$10.3M
Influence of the Enteric Microbiome on the Genesis of Bronchopulmonary DysplasiaU01HL101465 · NHLBI · WASHINGTON UNIVERSITY · PI FERKOL, THOMAS W, WARNER, BARBARA B · 2010 to 2014
$2.1M
NCATS NIH HHS UL1 TR000448NHLBI NIH HHS U01 HL101465NHLBI NIH HHS U01 HL101794
6 · The paper itself

Abstract

backgroundPulmonary artery acceleration time (PAAT) is a noninvasive method to assess pulmonary hemodynamics, but it lacks validity in children. The aim of this study was to evaluate the accuracy of Doppler echocardiography-derived PAAT in predicting right heart catheterization (RHC)-derived pulmonary artery pressure (PAP), pulmonary vascular resistance (PVR), and compliance in children.

methodsProspectively acquired and retrospectively measured Doppler echocardiography-derived PAAT and RHC-derived systolic PAP, mean PAP (mPAP), indexed PVR (PVRi), and compliance were compared using regression analysis in a derivation cohort of 75 children (median age, 5.3 years; interquartile range, 1.3-12.6 years) with wide ranges of pulmonary hemodynamics. To account for heart rate variability, PAAT was adjusted for right ventricular ejection time and corrected by the RR interval. Regression equations incorporating PAAT and PAAT/right ventricular ejection time from the derivation cohort were then evaluated for the accuracy of their predictive values for invasive pulmonary hemodynamics in a validation cohort of 50 age- and weight-matched children with elevated PAP and PVR.

resultsThere were significant inverse correlations between PAAT and RHC-derived mPAP (r = -0.82) and PVRi (r = -0.78) and a direct correlation (r = 0.78) between PAAT and pulmonary compliance in the derivation cohort. For detection of pulmonary hypertension (PRVi > 3 Wood units · m

conclusionsPAAT inversely correlates with RHC-measured pulmonary hemodynamics and directly correlates with pulmonary arterial compliance in children. The study established PAAT-based regression equations in children to accurately predict RHC-derived PAP and PVR.

Indexed as

AccelerationBlood Flow VelocityBlood Pressure DeterminationChildChild, PreschoolEchocardiography, DopplerFemaleHumansImage Interpretation, Computer-AssistedInfantMalePulmonary ArteryPulmonary CirculationPulmonary Wedge PressureReproducibility of ResultsSensitivity and SpecificityEchocardiographyPediatricsPulmonary artery acceleration timePulmonary hypertension

Identifiers

PMID27641101
PMCPMC5408579
OpenAlexW2520111962

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.