Evidence map›Paper›PMID 29572938›Full record

ArticleJournal of veterinary internal medicine2018

Prognostic value of echocardiographic indices of left atrial morphology and function in dogs with myxomatous mitral valve disease.

Marco Baron Toaldo, Giovanni Romito, Carlo Guglielmini, Alessia Diana, Nazzareno G Pelle, Barbara Contiero, Mario Cipone

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Article in Journal of veterinary internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

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31citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

31 citing papers in PubMed.

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  20. Diagnostic Imaging of Cardiovascular Disease in Small Animals.Animals : an open access journal from MDPI · 2020
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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Marco Baron ToaldoDepartment of Veterinary Medical Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.ORCID http://orcid.org/0000-0001-9609-1856
Giovanni RomitoDepartment of Veterinary Medical Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.
Carlo GuglielminiDepartment of Animal Medicine, Production and Health, University of Padova, Padova, Italy.ORCID http://orcid.org/0000-0001-7575-3646
Alessia DianaDepartment of Veterinary Medical Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.
Nazzareno G PelleDepartment of Veterinary Medical Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.
Barbara ContieroDepartment of Animal Medicine, Production and Health, University of Padova, Padova, Italy.
Mario CiponeDepartment of Veterinary Medical Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prognostic relevance of left atrial (LA) morphological and functional variables, including those derived from speckle tracking echocardiography (STE), has been little investigated in veterinary medicine.

objectivesTo assess the prognostic value of several echocardiographic variables, with a focus on LA morphological and functional variables in dogs with myxomatous mitral valve disease (MMVD). ANIMALS: One-hundred and fifteen dogs of different breeds with MMVD.

methodsProspective cohort study. Conventional morphologic and echo-Doppler variables, LA areas and volumes, and STE-based LA strain analysis were performed in all dogs. A survival analysis was performed to test for the best echocardiographic predictors of cardiac-related death.

resultsMost of the tested variables, including all LA STE-derived variables were univariate predictors of cardiac death in Cox proportional hazard analysis. Because of strong correlation between many variables, only left atrium to aorta ratio (LA/Ao > 1.7), mitral valve E wave velocity (MV E vel > 1.3 m/s), LA maximal volume (LAVmax > 3.53 mL/kg), peak atrial longitudinal strain (PALS < 30%), and contraction strain index (CSI per 1% increase) were entered in the univariate analysis, and all were predictors of cardiac death. However, only the MV E vel (hazard ratio [HR], 4.45; confidence interval [CI], 1.76-11.24; P < .001) and LAVmax (HR, 2.32; CI, 1.10-4.89; P = .024) remained statistically significant in the multivariable analysis. CONCLUSIONS AND CLINICAL IMPORTANCE: The assessment of LA dimension and function provides useful prognostic information in dogs with MMVD. Considering all the LA variables, LAVmax appears the strongest predictor of cardiac death, being superior to LA/Ao and STE-derived variables.

Indexed as

Atrial Function, LeftAnimalsDog DiseasesDogsEchocardiographyFemaleHeart AtriaMaleMitral ValveMitral Valve ProlapsePrognosisSurvival Analysiscaninecardiologyleft atriumstrain

Identifiers

PMID29572938
PMCPMC5980607

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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.