Evidence map›Paper›PMID 27714602›Full record

ReviewThe international journal of cardiovascular imaging2017

Reference ranges and determinants of right ventricle outflow tract acceleration time in healthy adults by two-dimensional echocardiography.

Alberto M Marra, Nicola Benjamin, Francesco Ferrara, Olga Vriz, Michele D'Alto, Antonello D'Andrea, Anna Agnese Stanziola, Luna Gargani, Antonio Cittadini, Ekkehard Grünig and 1 more

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In one paragraph

Review in The international journal of cardiovascular imaging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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. Review
  2. Advances in the imaging of pulmonary hypertension.International journal of cardiology. Congenital heart disease · 2025
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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

11 authors.

Alberto M MarraIRCCS S.D.N., Via Gianturco 113, 80143, Naples, Italy.
Nicola BenjaminPulmonary Hypertension Center, Thoraxclinic at University of Heidelberg, Heidelberg, Germany.
Francesco FerraraDepartment of Cardiology and Cardiac Surgery, University Hospital "Scuola Medica Salernitana", Salerno, Italy.
Olga VrizDepartment of Emergency and Cardiology, "S. Antonio" Community Hospital, San Daniele del Friuli, UD, Italy.
Michele D'AltoDepartment of Cardiology, Monaldi Hospital, Second University of Naples, Naples, Italy.
Antonello D'AndreaDepartment of Cardiology, Monaldi Hospital, Second University of Naples, Naples, Italy.
Anna Agnese StanziolaDepartment of Respiratory Diseases, Monaldi Hospital, University Federico II, Naples, Italy.
Luna GarganiInstitute of Clinical Physiology, National Research Council, Pisa, Italy.
Antonio CittadiniDepartment of Translational Medical Sciences, Federico II University, Naples, Italy.
Ekkehard GrünigPulmonary Hypertension Center, Thoraxclinic at University of Heidelberg, Heidelberg, Germany.
Eduardo BossoneDepartment of Cardiology and Cardiac Surgery, University Hospital "Scuola Medica Salernitana", Salerno, Italy. ebossone@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The right ventricular outflow tract acceleration time (RVOT-AT) has shown to progressively shorten with increasing degrees of pulmonary pressure. However, the physiologic ranges of RVOT AT are based on small sample sizes and have not been investigated regarding their determining factors. The aim of this study was to investigate reference values and determining factors of RVOT-AT in a large population of healthy subjects and by values described in the literature. In the first part of the study, 1029 healthy subjects (mean age 45.6 ± 16.0 years, 565 (54.7 %) females) were prospectively assessed by clinical examination including demography, vital signs and echocardiography. In the second part, we performed a pooled analysis of eight published studies describing RVOT-AT in healthy subjects (n = 450). Statistical analysis included the calculation of 5 % quantiles for defining reference values. RVOT-AT significantly but weakly correlated with age (r: -0.207; p < 0.001), body mass Index (r: -0.16), systolic (r: -0.158) and diastolic (r: -0.137) blood pressure, heart rate (r: -0.197) and left ventricular (LV) E/A ratio (r: 0.229) (all p < 0.001). No differences were found with regards to sex. In a synopsis of both prospective and literature-based data sets, RVOT-AT weighted means was 138.51 ms and the 5 % quantile was 104.7 ms (95 % confidence interval 98.2-110.1). This study delineates the range of RVOT-AT in healthy adults and it's determining factors. Our study is in line with the cut-off value stated by the European guidelines with an RVOT-AT ≤105 ms denoting abnormal values.

Indexed as

Myocardial ContractionVentricular Function, RightAccelerationAdultBiomechanical PhenomenaEchocardiography, DopplerFemaleHealthy VolunteersHeart VentriclesHumansMaleMiddle AgedPractice Guidelines as TopicPredictive Value of TestsProspective StudiesReference ValuesEchocardiographyHealthyReference rangesRisk stratificationRVOT-AT

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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.