Evidence map›Paper›PMID 30082119›Full record

ArticleInternational journal of cardiology2018

Reduced global longitudinal strain is associated with increased risk of cardiovascular events or death after kidney transplant.

Kana Fujikura, Bradley Peltzer, Nidhish Tiwari, Hye Gi Shim, Ally B Dinhofer, Sanyog G Shitole, Jorge R Kizer, Mario J Garcia

Abstract read
In one paragraph

Article in International journal of cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Review
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  6. Deep learning automates detection of wall motion abnormalitiesFrontiers in cardiovascular medicine · 2022
    Article
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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.

Kana FujikuraDivision of Cardiology, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210 Street, Bronx, NY 10467, USA; Noninvasive Cardiovascular Imaging Section, Department of Radiology and Cardiovascular Division of the Department of Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. Electronic address: kfujikura@bwh.harvard.edu.
Bradley PeltzerDivision of Cardiology, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210 Street, Bronx, NY 10467, USA. Electronic address: bpeltzer@montefiore.org.
Nidhish TiwariDivision of Cardiology, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210 Street, Bronx, NY 10467, USA; Division of Cardiology, Department of Medicine, Jacobi Medical Center, 1400 Pelham Pkwy S, Bronx, NY 10461, USA.
Hye Gi ShimDivision of Cardiology, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210 Street, Bronx, NY 10467, USA.
Ally B DinhoferDivision of Cardiology, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210 Street, Bronx, NY 10467, USA.
Sanyog G ShitoleDivision of Cardiology, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210 Street, Bronx, NY 10467, USA. Electronic address: sanyog.shitole@einstein.yu.edu.
Jorge R KizerDivision of Cardiology, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210 Street, Bronx, NY 10467, USA; Department of Epidemiology and Population Health, Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY 10461, USA. Electronic address: jorge.kizer@einstein.yu.edu.
Mario J GarciaDivision of Cardiology, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210 Street, Bronx, NY 10467, USA. Electronic address: mariogar@montefiore.org.

Funding

Noninvasive Cardiovascular Imaging Research Training ProgramT32HL094301 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI Marcelo F DI CARLI · 2010 to 2026
$7.8M
Advanced Glycation Endproducts and Cardio-Renal DiseaseK24HL135413 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KIZER, JORGE R · 2017 to 2021
$606k
NHLBI NIH HHS K24 HL135413NHLBI NIH HHS T32 HL094301
6 · The paper itself

Abstract

backgroundPatients with chronic kidney disease are at increased risk of cardiovascular disease (CVD). Even after kidney transplant, the rate of CVD events and death remain elevated. Early detection of patients at risk would be helpful for guiding aggressive preventive therapy. The purpose of this study was to evaluate global longitudinal strain (GLS) as a predictor of CVD events and death after kidney transplant.

methodAmong patients with successful kidney transplant between 3/2009 and 12/2012 at our institution, 111 individuals had an echocardiogram within 6 months of the transplant. Medical records were evaluated for demographics and patient characteristics. Echocardiograms were analyzed for conventional measurements, and GLS was assessed using speckle-tracking analysis.

resultsThe median age of the study sample was 54 years. Overall, 60% were men; 35% were non-Hispanic black, and 50% Hispanic. After a mean follow-up of 3.8 ± 0.5 years, there were 21 cardiovascular events or deaths. Patients who experienced an event were older, more frequently had a history of coronary artery disease, and had higher LV filling/longitudinal diastolic annular velocity (E/e') than those who did not. GLS was significantly associated with event-free survival even after adjusting for age, sex, race-ethnicity, hypertension, diabetes, history of coronary artery disease or heart failure, and E/e'.

conclusionReduced GLS peri-transplant is significantly associated with increased CVD events or death after kidney transplant. Larger studies are required to determine the incremental predictive value of GLS over clinical and other echocardiographic parameters for adverse CVD events following renal transplantation.

Indexed as

AdultCardiovascular DiseasesCohort StudiesDeathFemaleHumansKidney TransplantationMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk FactorsEchocardiogramGlobal longitudinal strainKidney transplantPost-transplant eventsSpeckle-tracking

Identifiers

PMID30082119
PMCPMC6325639

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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.