Evidence map›Paper›PMID 30515860›Full record

SynthesisClinical cardiology2019

Impact of tricuspid regurgitation and right ventricular dysfunction on outcomes after transcatheter aortic valve replacement: A systematic review and meta-analysis.

Jiaqi Fan, Xianbao Liu, Lei Yu, Yinghao Sun, Sanjay Jaiswal, Qifeng Zhu, Han Chen, Yuxin He, Lihan Wang, Kaida Ren and 1 more

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 7% 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, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Multiple Valvular Heart Disease in the Transcatheter Era: A State-of-the-Art Review.Structural heart : the journal of the Heart Team · 2024
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Tricuspid Valve Percutaneous Therapies.Current cardiology reports · 2022
    Review
  14. Article
  15. Article
  16. Feasibility of Transcatheter Caval Valve Implantation to ImproveFrontiers in cardiovascular medicine · 2021
    Article
  17. Observational
  18. Late Progression of Tricuspid Regurgitation After Transcatheter Aortic Valve Replacement.Journal of the Society for Cardiovascular Angiography & Interventions
    Article
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

11 authors at 3 institutions in 1 country.

Jiaqi FanZhejiang University School of Medicine, Hangzhou, People's Republic of China.ORCID https://orcid.org/0000-0002-1909-9026
Xianbao LiuDepartment of Cardiology, Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
Lei YuDepartment of Echocardiography, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Yinghao SunDepartment of Cardiology, Guangdong People's Hospital, Guangzhou, China.
Sanjay JaiswalZhejiang University School of Medicine, Hangzhou, People's Republic of China.
Qifeng ZhuZhejiang University School of Medicine, Hangzhou, People's Republic of China.
Han ChenDepartment of Cardiology, Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
Yuxin HeDepartment of Cardiology, Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
Lihan WangDepartment of Cardiology, Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
Kaida RenDepartment of Cardiology, Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
Jian'an WangZhejiang University School of Medicine, Hangzhou, People's Republic of China.
Second Affiliated Hospital of Zhejiang University · CNZhejiang University · CNGuangdong Provincial People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Far less attention has been paid to the prognostic effect of right-side heart disease on outcomes after transcatheter aortic valve replacement (TAVR) when compared with the left side. Therefore, we performed a systematic review and meta-analysis on the impact of tricuspid regurgitation (TR) and right ventricular (RV) dysfunction on outcomes after TAVR. We hypothesized that TR and RV dysfunction may have a deleterious effect on outcomes after TAVR. Article revealing the prognostic effect of TR and RV dysfunction on outcomes after TAVR were being integrated. Random or fixed effect model was adopted in accordance with the heterogeneity. There were nine studies with a total of 6466 patients enrolled after a comprehensive literature search of the MEDLINE/PubMed, EMBASE, ISI Web of Science, and Cochrane databases. The overall analysis revealed that moderate or severe TR at baseline increased all-cause mortality after TAVR (HR = 1.79, CI 95% 1.52-2.11, P < 0.001). Both baseline RV dysfunction (HR = 1.53, CI 95% 1.27-1.83, P < 0.001) and presence of RV dilation (HR = 1.83, CI 95% 1.47-2.27, P < 0.001) were associated with all-cause mortality. Both baseline moderate or severe TR and RV dysfunction worsen prognosis after TAVR and careful assessment of right heart function should be done for clinical decision by the heart team before the TAVR procedure.

Indexed as

Transcatheter Aortic Valve ReplacementAortic ValveAortic Valve StenosisComorbidityEchocardiographyHumansPrognosisRisk FactorsSeverity of Illness IndexTreatment OutcomeTricuspid Valve InsufficiencyVentricular Dysfunction, RightVentricular Function, Rightall-cause mortalityprognosisright ventricular functiontranscatheter aortic valve replacementtricuspid regurgitation

Identifiers

PMID30515860
PMCPMC6436507
OpenAlexW2903399851

What OpenQuestion holds

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LicenceCC BY
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.