Evidence map›Paper›PMID 30425087›Full record

ReviewHeart (British Cardiac Society)2019

Contemporaneous management of valvular heart disease and aortopathy in aircrew.

Joanna L D'Arcy, Thomas Syburra, Norbert Guettler, Eddie D Davenport, Olivier Manen, Gary Gray, Rienk Rienks, Dennis Bron, Edward D Nicol

Open access · bronzeAbstract readReview
In one paragraph

Review in Heart (British Cardiac Society), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Review
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

9 authors at 6 institutions in 5 countries.

Joanna L D'ArcyRoyal Air Force Aviation Clinical Medicine Service, RAF Centre of Aviation Medicine, RAF Henlow, Bedfordshire, UK.
Thomas SyburraCardiac Surgery Department, Luzerner Kantonsspital, Luzern, Switzerland.
Norbert GuettlerGerman Air Force Center for Aerospace Medicine, Fuerstenfeldbruck, Germany.
Eddie D DavenportAeromedical Consult Service, United States Air Force School of Aerospace Medicine, Wright-Patterson AFB, Ohio, USA.
Olivier ManenAviation Medicine Department, AeMC, Percy Military Hospital, Clamart, France.
Gary GrayCanadian Forces Environmental Medical Establishment, Toronto, Ontario, Canada.
Rienk RienksDepartment of Cardiology, University Medical Center Utrecht and Central Military Hospital, Utrecht, Netherlands.
Dennis BronAeromedical Centre, Swiss Air Force, Dubendorf, Switzerland.
Edward D NicolRoyal Air Force Aviation Clinical Medicine Service, RAF Centre of Aviation Medicine, RAF Henlow, Bedfordshire, UK.ORCID 0000-0001-9280-787X
Canadian Armed Forces · CAHôpital d'instruction des Armées Percy · FRLuzerner Kantonsspital · CHUnited States Air Force · USUniversity Medical Center Utrecht · NLZürich Airport (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Valvular heart disease (VHD) is highly relevant in the aircrew population as it may limit appropriate augmentation of cardiac output in high-performance flying and predispose to arrhythmia. Aircrew with VHD require careful long-term follow-up to ensure that they can fly if it is safe and appropriate for them to do so. Anything greater than mild stenotic valve disease and/or moderate or greater regurgitation is usually associated with flight restrictions. Associated features of arrhythmia, systolic dysfunction, thromboembolism and chamber dilatation indicate additional risk and will usually require more stringent restrictions. The use of appropriate cardiac imaging, along with routine ambulatory cardiac monitoring, is mandatory in aircrew with VHD.Aortopathy in aircrew may be found in isolation or, more commonly, associated with bicuspid aortic valve disease. Progression rates are unpredictable, but as the diameter of the vessel increases, the associated risk of dissection also increases. Restrictions on aircrew duties, particularly in the context of high-performance or solo flying, are usually required in those with progressive dilation of the aorta.

Indexed as

Disease ManagementMilitary PersonnelAerospace MedicineAortic DiseasesCardiologyHeart Valve DiseasesHumansRisk Factorsaortic and arterial diseasehealth care deliveryvalvular heart disease

Identifiers

PMID30425087
PMCPMC6256303
OpenAlexW2901327246

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.