Evidence map›Paper›PMID 30093068›Full record

Observational studyThe American journal of cardiology2018

Clinical and Echocardiographic Predictors of Outcomes in Patients With Pulmonary Hypertension.

Irfan Siddiqui, Sudarshan Rajagopal, Amanda Brucker, Karen Chiswell, Bridgette Christopher, Fawaz Alenezi, Aditya Mandawat, Danny Rivera, Kristine Arges, Victor Tapson and 4 more

Abstract readObservational Study
In one paragraph

Observational study in The American journal of cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Advances in the imaging of pulmonary hypertension.International journal of cardiology. Congenital heart disease · 2025
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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

14 authors at 3 institutions in 1 country.

Irfan SiddiquiDepartment of Medicine, East Carolina University, Greenville, North Carolina.
Sudarshan RajagopalDivision of Cardiology, Department of Medicine, Duke University, Durham, North Carolina.
Amanda BruckerDuke Clinical Research Institute, Duke University, Durham, North Carolina.
Karen ChiswellDuke Clinical Research Institute, Duke University, Durham, North Carolina.
Bridgette ChristopherDivision of Cardiology, Department of Medicine, Duke University, Durham, North Carolina.
Fawaz AleneziDuke Cardiac Diagnostic Unit, Durham, North Carolina.
Aditya MandawatDivision of Cardiology, Department of Medicine, Duke University, Durham, North Carolina; Duke Cardiac Diagnostic Unit, Durham, North Carolina.
Danny RiveraDuke Cardiac Diagnostic Unit, Durham, North Carolina.
Kristine ArgesDuke Cardiac Diagnostic Unit, Durham, North Carolina.
Victor TapsonCenter for Pulmonary Vascular Medicine, Cedar Sinai Medical Center, University of California at Los Angeles, Los Angeles, California.
Joseph KissloDivision of Cardiology, Department of Medicine, Duke University, Durham, North Carolina; Duke Clinical Research Institute, Duke University, Durham, North Carolina.
Eric VelazquezDivision of Cardiology, Department of Medicine, Duke University, Durham, North Carolina; Duke Clinical Research Institute, Duke University, Durham, North Carolina.
Pamela S DouglasDivision of Cardiology, Department of Medicine, Duke University, Durham, North Carolina; Duke Clinical Research Institute, Duke University, Durham, North Carolina.
Zainab SamadDivision of Cardiology, Department of Medicine, Duke University, Durham, North Carolina. Electronic address: zainab.samad@duke.edu.
Duke University · USCedars-Sinai Medical Center · USEast Carolina University · US

Funding

MULTIDISCIPLINARY HEART &VASCULAR DISEASEST32HL007101 · NHLBI · DUKE UNIVERSITY · PI FREEDMAN, NEIL J. · 1985 to 2020
$9.8M
Integrated Biostatistical Training for CVD ResearchT32HL079896 · NHLBI · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI Sean M O'Brien, Ana-Maria Staicu · 2006 to 2026
$4.1M
NHLBI NIH HHS T32 HL007101NHLBI NIH HHS T32 HL079896
6 · The paper itself

Abstract

In pulmonary hypertension (PH), measurement of various echocardiographic parameters that assess right heart function is recommended by current clinical guidelines. Limited data exists on the combined value of clinical and echocardiographic parameters in precapillary PH in the modern era of therapy. We examined the association of clinical and echocardiographic parameters with surrogate outcomes (6-minute walk distance) and hard outcomes (hospitalization or death) in patients with precapillary PH. A cohort of patients with an established diagnosis of precapillary PH who underwent transthoracic echocardiography at the Duke Echo Lab were prospectively enrolled from 2010 to 2014. Univariable and multivariable models were constructed to examine the relation of clinical and echocardiographic parameters with surrogate and hard outcomes. Of the 98 patients with analyzable echocardiograms with good image quality, 85 were woman, mean age was 59.4 years, and 47% had ≥World Health Organization functional class III symptoms. The mean 6-minute walk distance was 354(±132) m, and 83% were on pulmonary arterial hypertension medications. At 24 months, the cumulative incidence rate for hospitalization or death was 47%. In univariable analyses, the REVEAL (Registry to Evaluate Early and Long-term PAH Disease Management) risk score (HR 1.72 per 1 SD (2.81) increment, 95% CI 1.34, 2.22; p=<0.001), RV global longitudinal strain (RVGLS) (HR 1.54 per 1 SD (5.31) worsening, 95% CI , 2.12; p=0.008) and log-2 NT proBNP (HR 1.43 per 1-fold increase, 95% CI 1.25, 1.63; p=<0.001) were significantly associated with hospitalization or death.

Indexed as

EchocardiographyBiomarkersCardiac CatheterizationFemaleHemodynamicsHumansHypertension, PulmonaryMaleMiddle AgedPredictive Value of TestsPrognosisProspective StudiesRegistriesRisk AssessmentBiomarkers

Identifiers

PMID30093068
PMCPMC6280670
OpenAlexW2808716221

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.