Evidence map›Paper›PMID 30105757›Full record

ArticleEchocardiography (Mount Kisco, N.Y.)2018

Diastolic dysfunction in tetralogy of Fallot: Comparison of echocardiography with catheterization.

Michael DiLorenzo, Wei-Ting Hwang, Elizabeth Goldmuntz, Bonnie Ky, Laura Mercer-Rosa

Open access · greenAbstract readComparative Study
In one paragraph

Article in Echocardiography (Mount Kisco, N.Y.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  6. Atrial Right-to-Left Shunting After Tetralogy of Fallot Repair Is Associated With Improved Atrial Function and Shorter Hospital Length of Stay: An Echocardiographic Cohort Study.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2025
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  11. Association of cardiovascular magnetic resonance diastolic indices with arrhythmia in repaired Tetralogy of Fallot.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2023
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  13. Right atrial function early after tetralogy of Fallot repair.The international journal of cardiovascular imaging · 2022
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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

5 authors at 4 institutions in 1 country.

Michael DiLorenzoDivision of Pediatric Cardiology, Department of Pediatrics, NewYork Presbyterian/Morgan Stanley Children's Hospital, Columbia University Irving Medical Center, New York, New York.ORCID 0000-0002-2230-684X
Wei-Ting HwangDepartment of Biostatistics and Epidemiology, The University of Pennsylvania, Philadelphia, Pennsylvania.
Elizabeth GoldmuntzDivision of Cardiology, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Bonnie KyDepartment of Biostatistics and Epidemiology, The University of Pennsylvania, Philadelphia, Pennsylvania.
Laura Mercer-RosaDivision of Cardiology, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Children's Hospital of Philadelphia · USCardiovascular Institute of the South · USMorgan Stanley Children's Hospital · USUniversity of Pennsylvania · US

Funding

Training in Molecular Therapeutics for Pediatric CardiologyT32HL007915 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI Robert J Levy, JOSEPH W ROSSANO · 1999 to 2026
$13.4M
Outcome and Right Ventricular Remodeling After Repair of Tetralogy of FallotK01HL125521 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI MERCER-ROSA, LAURA M. · 2015 to 2019
$791k
NHLBI NIH HHS K01 HL125521NHLBI NIH HHS T32 HL007915NIH HHS K01HL125521NIH HHS T32 HL007915Pulmonary Hypertension Association K01
6 · The paper itself

Abstract

backgroundRight ventricular (RV) systolic dysfunction has been associated with adverse outcomes in tetralogy of Fallot (TOF). However, the role and etiology of diastolic dysfunction remain incompletely defined. We assessed the association between traditional echocardiographic measures of diastolic function with catheter-based RV end-diastolic pressure (RVEDP) and identified clinical characteristics independently associated with diastolic dysfunction.

methodsSingle-center, retrospective cohort study of surgically repaired TOF patients undergoing cardiac catheterization with echocardiograms within 3 months prior to the catheterization. Tricuspid inflow and tissue Doppler measurements (E/A, E/e', and deceleration time) defined diastolic dysfunction, graded as impaired relaxation, pseudonormal, or restrictive physiology. Regression analyses tested associations between echocardiographic parameters, RVEDP, and clinical characteristics.

resultsNinety-four subjects were included. Catheterization age was 8.9 years (interquartile range 4.4, 15.9). RVEDP was 9.5 ± 2.5 mm Hg. Sixty-one (65%) subjects had echocardiographic evidence of diastolic dysfunction. RVEDP was not associated with echocardiographic parameters of diastolic function (grade of dysfunction, E/e', or E/A). Higher RVEDP was associated with larger right atrial and RV end-diastolic area, independently of weight and degree of pulmonary or tricuspid regurgitation, though was not associated with indexed right atrial or RV end-diastolic area. Greater number of interim procedures was associated with higher RVEDP, E/e', and the presence of diastolic dysfunction by echocardiography.

conclusionsDiastolic dysfunction, as determined by echocardiography-derived and catheter-based (RVEDP) measures, is prevalent in this TOF population. These measures are not associated with each other; therefore, echocardiographic parameters of diastolic function are not reflective of RVEDP. The development of noninvasive parameters that correlate with filling pressures is required.

Indexed as

Cardiac CatheterizationCohort StudiesDiastoleEchocardiographyFemaleHeart VentriclesHumansInfantInfant, NewbornMaleReproducibility of ResultsRetrospective StudiesTetralogy of FallotVentricular Dysfunction, Rightcongenital heart diseasediastolic dysfunctiondoppler echocardiographytetralogy of fallot

Identifiers

PMID30105757
PMCPMC6205242
OpenAlexW2885559365

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.