Evidence map›Paper›PMID 30048771›Full record

ArticleJournal of cardiac failure2018

Echocardiographic Predictors of Hemodynamics in Patients Supported With Left Ventricular Assist Devices.

Jonathan Grinstein, Teruhiko Imamura, Eric Kruse, Sara Kalantari, Daniel Rodgers, Sirtaz Adatya, Gabriel Sayer, Gene H Kim, Nitasha Sarswat, Jayant Raihkelkar and 5 more

Abstract read
In one paragraph

Article in Journal of cardiac failure, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 13 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 1 country.

Jonathan GrinsteinDivision of Cardiology, MedStar Heart and Vascular Institute, Washington, DC.
Teruhiko ImamuraDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
Eric KruseDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
Sara KalantariDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
Daniel RodgersDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
Sirtaz AdatyaKaiser Permanente Advanced Heart Failure, Santa Clara, California.
Gabriel SayerDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
Gene H KimDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
Nitasha SarswatDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
Jayant RaihkelkarDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
Takeyoshi OtaDepartment of Surgery, University of Chicago Medical Center, Chicago, Illinois.
Valluvan JeevanandamDepartment of Surgery, University of Chicago Medical Center, Chicago, Illinois.
Daniel BurkhoffColumbia University, Division of Cardiology, New York, New York.
Roberto LangDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
Nir UrielDepartment of Medicine, University of Chicago Medical Center, Chicago, Illinois.
University of Chicago Medical Center · USColumbia University Irving Medical Center · USKaiser Permanente Santa Clara Medical Center · USMedStar Heart & Vascular Institute · US

Funding

MULTIDISCIPLINARY CARDIAC SCIENCEST32HL007381 · NHLBI · UNIVERSITY OF CHICAGO · PI JEANNE M DECARA, Yoav Gilad · 1985 to 2026
$12.5M
NHLBI NIH HHS T32 HL007381
6 · The paper itself

Abstract

backgroundThe assessment of hemodynamics in patients supported with left ventricular assist devices (LVADs) is often challenging. Physical examination maneuvers correlate poorly with true hemodynamics. We assessed the value of novel transthoracic echocardiography (TTE)-derived variables to reliably predict hemodynamics in patients supported with LVAD. METHODS AND

resultsA total of 102 Doppler-TTE images of the LVAD outflow cannula were obtained during simultaneous invasive right heart catheterization (RHC) in 30 patients supported with continuous-flow LVADs (22 HMII, 8 HVAD) either during routine RHC or during invasive ramp testing. Properties of the Doppler signal though the outflow cannula were measured at each ramp stage (RS), including the systolic slope (SS), diastolic slope (DS), and velocity time integral (VTI). Hemodynamic variables were concurrently recorded, including Doppler opening pressure (MAP), heart rate (HR), right atrial pressure, pulmonary artery pressure, pulmonary capillary wedge pressure (PCWP), Fick cardiac output (CO) and systemic vascular resistance (SVR). Univariate and multivariate regression analyses were used to explore the dependence of PCWP, CO, and SVR on DS, SS, VTI, MAP, HR, and RS. Multivariate linear regression analysis revealed significant contributions of DS on PCWP (PCWP

conclusionsDoppler-TTE variables derived from the LVAD outflow cannula can reliably predict PCWP, CO, and SVR in patients supported with LVADs and may mitigate the need for invasive testing.

Indexed as

Heart-Assist DevicesAdultAgedEchocardiography, DopplerFemaleFollow-Up StudiesHeart FailureHeart VentriclesHemodynamicsHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudieshemodynamicsLVADnoninvasive

Identifiers

PMID30048771
PMCPMC6252054
OpenAlexW2883409386

What OpenQuestion holds

Textmetadata
LicenceTDM
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.