Evidence map›Paper›PMID 28246077›Full record

ArticleJournal of the American Heart Association2017

Improved Diastolic Function Is Associated With Higher Cardiac Output in Patients With Heart Failure Irrespective of Left Ventricular Ejection Fraction.

Tomoyuki Tobushi, Masatsugu Nakano, Kazuya Hosokawa, Hidenobu Koga, Akira Yamada

Open access · goldAbstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

10 citing papers in PubMed, 22 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

5 authors at 2 institutions in 1 country.

Tomoyuki TobushiDepartment of Cardiology, Aso-Iizuka Hospital, Iizuka Fukuoka, Japan ttobushi@gmail.com.
Masatsugu NakanoDepartment of Cardiology, Aso-Iizuka Hospital, Iizuka Fukuoka, Japan.
Kazuya HosokawaDepartment of Cardiovascular Medicine, Kyushu University Hospital, Fukuoka, Japan.
Hidenobu KogaDepartment of Health Information Management, Aso-Iizuka Hospital, Fukuoka, Japan.
Akira YamadaDepartment of Cardiology, Aso-Iizuka Hospital, Iizuka Fukuoka, Japan.
Aso Iizuka Hospital · JPKyushu University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known regarding the impact of diastolic function on cardiac output (CO) in patients with heart failure, particularly in patients with lower ejection fraction. This study aimed to evaluate the impact of end-diastolic pressure-volume relationship (EDPVR) on CO and end-diastolic pressure (EDP). METHODS AND

resultsWe retrospectively analyzed 1840 consecutive patients who underwent heart catheterization. We divided patients into 8 groups according to ejection fraction (EF) (35-45%, 46-55%, 56-65%, and 66-75%) and EDP (>16 or ≤16 mm Hg). We estimated EDPVR from single measurements in the catheterization data set. Then, we replaced EDPVRs of high-EDP groups with those of normal-EDP groups and compared CO before and after EDPVR replacement. Normalized EDPVR significantly increased CO at EDP=10 mm Hg regardless of EF (EF 35-45%, from 4.5±1.6 to 4.9±1.0; EF 46-55%, 4.6±1.3 to 5.1±1.1; EF 56-65%, 4.9±1.5 to 5.2±1.0; EF 66-75%, 4.9±1.5 to 5.2±1.1). Changes in CO were similar across EF groups.

conclusionsDiastolic function normalization was associated with higher CO irrespective of EF. Diastolic dysfunction plays an important role in determining CO irrespective of EF in heart failure patients.

Indexed as

Models, TheoreticalAgedBlood PressureCardiac CatheterizationCardiac OutputCardiac Output, HighDiastoleFemaleHeart FailureHumansMaleMyocardial ContractionRetrospective StudiesStroke VolumeVentricular Dysfunction, LeftVentricular Function, Leftcardiac outputdiastolic dysfunctionheart failure

Identifiers

PMID28246077
PMCPMC5523986
OpenAlexW2591595616

What OpenQuestion holds

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LicenceCC BY-NC
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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.