Evidence map›Paper›PMID 28716062›Full record

ArticleBMC psychiatry2017

The effects of acute and elective cardiac surgery on the anxiety traits of patients with Marfan syndrome.

Kálmán Benke, Bence Ágg, Miklós Pólos, Alex Ali Sayour, Tamás Radovits, Elektra Bartha, Péter Nagy, Balázs Rákóczi, Ákos Koller, Viola Szokolai and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Skeletal muscle alterations in Marfan syndrome: a systematic review.Journal of muscle research and cell motility · 2025
    Pooled it
  2. Article
  3. Post-thoracic aortic aneurysm procedural mental wellbeing: A scoping review.American heart journal plus : cardiology research and practice · 2025
    Review
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  15. Hungarian Marfan family with largeJournal of thoracic disease · 2018
    Article
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

14 authors at 2 institutions in 1 country.

Kálmán BenkeHeart and Vascular Center, Semmelweis University, Városmajor Street 68, Budapest, 1122, Hungary. kalman.benke@gmail.com.
Bence ÁggHeart and Vascular Center, Semmelweis University, Városmajor Street 68, Budapest, 1122, Hungary.
Miklós PólosHeart and Vascular Center, Semmelweis University, Városmajor Street 68, Budapest, 1122, Hungary.
Alex Ali SayourHeart and Vascular Center, Semmelweis University, Városmajor Street 68, Budapest, 1122, Hungary.
Tamás RadovitsHeart and Vascular Center, Semmelweis University, Városmajor Street 68, Budapest, 1122, Hungary.
Elektra BarthaHeart and Vascular Center, Semmelweis University, Városmajor Street 68, Budapest, 1122, Hungary.
Péter NagyGenePointPlus Hungary Ltd., János Zsigmond Street 7B, Budapest, 1121, Hungary.
Balázs RákócziCentral European University, Nádor Street 9, Budapest, 1051, Hungary.
Ákos KollerInstitute of Natural Sciences, University of Physical Education, Alkotás Street 44, Budapest, 1123, Hungary.
Viola SzokolaiGenePointPlus Hungary Ltd., János Zsigmond Street 7B, Budapest, 1121, Hungary.
Julianna HedbergHungarian Marfan Foundation, Városmajor Street 68, Budapest, 1122, Hungary.
Béla MerkelyHeart and Vascular Center, Semmelweis University, Városmajor Street 68, Budapest, 1122, Hungary.
Zsolt B NagyGenePointPlus Hungary Ltd., János Zsigmond Street 7B, Budapest, 1121, Hungary.
Zoltán SzabolcsHeart and Vascular Center, Semmelweis University, Városmajor Street 68, Budapest, 1122, Hungary.
Semmelweis University · HUUniversity of Physical Education · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMarfan syndrome is a genetic disease, presenting with dysfunction of connective tissues leading to lesions in the cardiovascular and skeletal muscle system. Within these symptoms, the most typical is weakness of the connective tissue in the aorta, manifesting as aortic dilatation (aneurysm). This could, in turn, become annuloaortic ectasia, or life-threatening dissection. As a result, life-saving and preventative cardiac surgical interventions are frequent among Marfan syndrome patients. Aortic aneurysm could turn into annuloaortic ectasia or life-threatening dissection, thus life-saving and preventive cardiac surgical interventions are frequent among patients with Marfan syndrome. We hypothesized that patients with Marfan syndrome have different level of anxiety, depression and satisfaction with life compared to that of the non-clinical patient population.

methodsPatients diagnosed with Marfan syndrome were divided into 3 groups: those scheduled for prophylactic surgery, those needing acute surgery, and those without need for surgery (n = 9, 19, 17, respectively). To examine the psychological features of the patients, Spielberger's anxiety (STAI) test, Beck's Depression questionnaire (BDI), the Berne Questionnaire of Subjective Well-being, and the Satisfaction with Life scale were applied.

resultsA significant difference was found in trait anxiety between healthy individuals and patients with Marfan syndrome after acute life-saving surgery (p < 0.01). The mean score of Marfan syndrome patients was 48.56 (standard deviation (SD): 5.8) as compared to the STAI population mean score of 43.72 (SD: 8.53). No difference was found between groups on the BDI (p > 0.1). Finally, a significant, medium size effect was found between patient groups on the Joy in Living scale (F (2.39) = 3.51, p = 0.040, η

conclusionsInvolving psychiatric and mental-health care, in addition to existing surgical treatment interventions, is essential for more successful recovery of patients with Marfan syndrome.

Indexed as

AdultAnxietyAortaAortic Aneurysm, ThoracicCardiac Surgical ProceduresFemaleHumansMaleMarfan SyndromeMiddle AgedPostoperative PeriodSurveys and QuestionnairesAnxietyCardiac surgeryDepressionMarfan syndromeQuestionnaire

Identifiers

PMID28716062
PMCPMC5512884
OpenAlexW2735762783

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.