Evidence map›Paper›PMID 29207943›Full record

ArticleBMC cardiovascular disorders2017

Auxiliary diagnostic potential of ventricle geometry and late gadolinium enhancement in left ventricular non-compaction; non-randomized case control study.

Marko Boban, Vladimir Pesa, Ivo Darko Gabric, Sime Manola, Viktor Persic, Helena Antic-Kauzlaric, Marinko Zulj, Aleksandar Vcev

Abstract readEvaluation Study
In one paragraph

Article in BMC cardiovascular disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. SCMR Position Paper (2020) on clinical indications for cardiovascular magnetic resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2020
    Guideline
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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

8 authors.

Marko BobanDepartment of Cardiology, University hospital "Thalassotherapia Opatija", Faculty of Medicine, University of Rijeka, M. Tita 188/1, 51 440, Opatija, Croatia. marcoboban@yahoo.com.ORCID http://orcid.org/0000-0002-6129-575X
Vladimir PesaDepartment of Cardiology, University hospital "Thalassotherapia Opatija", Faculty of Medicine, University of Rijeka, M. Tita 188/1, 51 440, Opatija, Croatia.
Ivo Darko GabricDepartment of Cardiology, University Hospital "Sestre Milosrdnice" Zagreb, Zagreb, Croatia.
Sime ManolaDepartment of Cardiology, University Hospital "Sestre Milosrdnice" Zagreb, Zagreb, Croatia.
Viktor PersicDepartment of Cardiology, University hospital "Thalassotherapia Opatija", Faculty of Medicine, University of Rijeka, M. Tita 188/1, 51 440, Opatija, Croatia.
Helena Antic-KauzlaricDepartment of Cardiology, University hospital "Thalassotherapia Opatija", Faculty of Medicine, University of Rijeka, M. Tita 188/1, 51 440, Opatija, Croatia.
Marinko ZuljDepartment of Internal medicine, Faculty of Medicine, "J.J. Strossmayer" University of Osijek, Osijek, Croatia.
Aleksandar VcevDepartment of Internal medicine, Faculty of Medicine, "J.J. Strossmayer" University of Osijek, Osijek, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are still ambiguities existing in regard to left ventricular non-compaction (LVNC) diagnostic imaging. The aim of our study was to analyze diagnostic potential of late gadolinium enhancement (LGE) and ventricle geometry in patients with LVNC and controls.

methodsData on cardiac magnetic resonance imaging (CMR) studies for LVNC were reassessed from the hospital's database (3.75 years; n=1975 exams). Matching sample of controls included cases with no structural heart disease, hypertrophic or dilative cardiomyopathy, arrhythmogenic right ventricular dysplasia or subacute myocarditis. Eccentricity of the left ventricle was measured at end diastole in the region with pronounced NC and maximal to minimal ratio (MaxMinEDDR) was calculated.

resultsStudy included 255 patients referred for CMR, 100 (39.2%) with LVNC (prevalence in the studied period 5.01%) and 155 (60.8%) controls. Existing LGE had sensitivity of 52.5% (95%-CI:42.3-62.5), specificity of 80.4% (95%-CI:73.2-86.5) for LVNC, area under curve (AUC) 0.664 (95%-CI:0.603-0.722);p<0.001. MaxMinEDDR>1.10 had sensitivity of 95.0% (95%-CI:88.7-98.4), specificity of 82.6% (95%-CI: 75.7-88.2) for LVNC, AUC 0.917 (95%-CI:0.876-0.948); p<0.001. LGE correlated with Max-Min-EDD-R (Rho=0.130; p=0.038) and there was significant difference in ROC analysis ΔAUC0.244 (95%-CI:0.175-0.314); p<0.001. LGE also correlated negatively with stroke volume and systolic function (both p<0.05, respectively).

conclusionsLGE was found to be frequently expressed in patients with LVNC, but without sufficient power to be used as a discriminative diagnostic parameter. Both LGE and eccentricity of the left ventricle were found to be relatively solid diagnostic landmarks of complex infrastructural and functional changes within the failing heart.

Indexed as

Magnetic Resonance ImagingAdultArea Under CurveContrast MediaFemaleGadolinium DTPAHeart VentriclesHumansIsolated Noncompaction of the Ventricular MyocardiumMaleMiddle AgedPredictive Value of TestsPrognosisRegistriesReproducibility of ResultsRetrospective StudiesContrast MediagadodiamideGadolinium DTPACardiac magnetic resonance imaging (CMR)Late gadolinium enhancement (LGE)Left ventricle non-compaction (LVNC)Left ventricular geometry

Identifiers

PMID29207943
PMCPMC5718034

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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.