Evidence map›Paper›PMID 28433214›Full record

ArticleJournal of the American Society of Echocardiography : official publication of the American Society of Echocardiography2017

Maturational Patterns of Systolic Ventricular Deformation Mechanics by Two-Dimensional Speckle-Tracking Echocardiography in Preterm Infants over the First Year of Age.

Philip T Levy, Afif El-Khuffash, Meghna D Patel, Colm R Breatnach, Adam T James, Aura A Sanchez, Cristina Abuchabe, Sarah R Rogal, Mark R Holland, Patrick J McNamara and 5 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05235399 (Exploring Right vEntricular Function Applicability in a Prediction mOdel to Identify pReterm infanTs With Early BronchoPulmonary Dysplasia), which is not on this map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
7.4field-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.

NCT05235399 completednot on this mapstarted 2022, after this paper: background citation

Exploring Right vEntricular Function Applicability in a Prediction mOdel to Identify pReterm infanTs With Early BronchoPulmonary Dysplasia (REPORT - BPD Study): a Mixed Methods Observational Cohort Feasibility Study

TypeobservationalSponsorUniversity Hospital Plymouth NHS TrustRan2022 to 2023Enrolled40ConditionsBronchopulmonary Dysplasia, Right Ventricular Dysfunction, In the Perinatal PeriodArmsEcho scans
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

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  5. Results of a pulmonary hypertension screening program for premature infants with bronchopulmonary dysplasia.Journal of perinatology : official journal of the California Perinatal Association · 2026
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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

15 authors at 10 institutions in 3 countries.

Philip T LevyDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri; Department of Pediatrics, Goryeb Children's Hospital, Morristown, New Jersey. Electronic address: levy_p@kids.wustl.edu.
Afif El-KhuffashDepartment of Neonatology, The Rotunda Hospital, Dublin, Ireland; School of Medicine, Department of Paediatrics, Royal College of Surgeons in Ireland, Dublin, Ireland.
Meghna D PatelDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
Colm R BreatnachDepartment of Neonatology, The Rotunda Hospital, Dublin, Ireland.
Adam T JamesDepartment of Neonatology, The Rotunda Hospital, Dublin, Ireland.
Aura A SanchezDepartment of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
Cristina AbuchabeDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
Sarah R RogalDepartment of Pediatrics, Goryeb Children's Hospital, Morristown, New Jersey.
Mark R HollandDepartment of Radiology and Imaging Sciences, Indiana University Purdue University, Indianapolis, Indiana.
Patrick J McNamaraDivision of Neonatology and Department of Physiology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Amish JainDepartment of Paediatrics, Mount Sinai Hospital, Toronto, Ontario, Canada.
Orla FranklinDepartment of Cardiology, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
Luc MertensDivision of Cardiology, The Labatt Family Heart Centre, The Hospital for Children, Toronto, Ontario, Canada.
Aaron HamvasDepartment of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Gautam K SinghDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
Washington University in St. Louis · USHospital for Sick Children · CARotunda Hospital · IEGoryeb Children's Hospital · USIndiana University – Purdue University Indianapolis · USMount Sinai Hospital · CANorthwestern University · USOur Lady's Hospital · IERoyal College of Surgeons in Ireland · IEUniversity of Minnesota · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Infectious Diseases/Basic Microbial Pathogenic MechanismsT32AI007172 · NIAID · WASHINGTON UNIVERSITY · PI Daniel E. Goldberg, JENNIFER A PHILIPS · 1985 to 2026
$13.0M
Data Coordinating Center for the Prematurity and Respiratory Outcomes ProgramU01HL101794 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI SCHMIDT, BARBARA · 2010 to 2014
$10.3M
Training of the Pediatric Physician-ScientistT32HD043010 · NICHD · WASHINGTON UNIVERSITY · PI MARK E. LOWE · 2002 to 2026
$6.4M
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
BAYESIAN ENHANCEMENT OF ECHOCARDIOGRAPHIC STRAIN ASSESSMENTR21HL106417 · NHLBI · WASHINGTON UNIVERSITY · PI MILLER, JAMES GEGAN · 2012 to 2013
$409k
NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NHLBI NIH HHS R21 HL106417NHLBI NIH HHS U01 HL101465NHLBI NIH HHS U01 HL101794NIAID NIH HHS T32 AI007172NICHD NIH HHS T32 HD043010
6 · The paper itself

Abstract

backgroundThe aim of this study was to determine the maturational changes in systolic ventricular strain mechanics by two-dimensional speckle-tracking echocardiography in extremely preterm neonates from birth to 1 year of age and discern the impact of common cardiopulmonary abnormalities on the deformation measures.

methodsIn a prospective multicenter study of 239 extremely preterm infants (<29 weeks gestation at birth), left ventricular (LV) global longitudinal strain (GLS) and global longitudinal systolic strain rate (GLSRs), interventricular septal wall (IVS) GLS and GLSRs, right ventricular (RV) free wall longitudinal strain and strain rate, and segmental longitudinal strain in the RV free wall, LV free wall, and IVS were serially measured on days 1, 2, and 5 to 7, at 32 and 36 weeks postmenstrual age, and at 1 year corrected age (CA). Premature infants who developed bronchopulmonary dysplasia or had echocardiographic findings of pulmonary hypertension were analyzed separately.

resultsIn uncomplicated preterm infants (n = 103 [48%]), LV GLS and GLSRs remained unchanged from days 5 to 7 to 1 year CA (P = .60 and P = .59). RV free wall longitudinal strain, RV free wall longitudinal strain rate, and IVS GLS and GLSRs significantly increased over the same time period (P < .01 for all measures). A significant base-to-apex (highest to lowest) segmental longitudinal strain gradient (P < .01) was seen in the RV free wall and a reverse apex-to-base gradient (P < .01) in the LV free wall. In infants with bronchopulmonary dysplasia and/or pulmonary hypertension (n = 119 [51%]), RV free wall longitudinal strain and IVS GLS were significantly lower (P < .01), LV GLS and GLSRs were similar (P = .56), and IVS segmental longitudinal strain persisted as an RV-dominant base-to-apex gradient from 32 weeks postmenstrual age to 1 year CA.

conclusionsThis study tracks the maturational patterns of global and regional deformation by two-dimensional speckle-tracking echocardiography in extremely preterm infants from birth to 1 year CA. The maturational patterns are ventricular specific. Bronchopulmonary dysplasia and pulmonary hypertension leave a negative impact on RV and IVS strain, while LV strain remains stable.

Indexed as

Infant, Extremely PrematureComorbidityEchocardiographyFemaleHumansInfantMaleProspective StudiesSystoleVentricular Dysfunction, LeftVentricular Dysfunction, RightCardiac functionEchocardiographyPrematurityStrain imaging

Identifiers

PMID28433214
PMCPMC5495609
OpenAlexW2606687966

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Registered trials

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.