Evidence map›Paper›PMID 30536044›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2019

Left atrial strain improves estimation of filling pressures in heart failure: a simultaneous echocardiographic and invasive haemodynamic study.

Anders Lundberg, Jonas Johnson, Camilla Hage, Magnus Bäck, Bela Merkely, Ashwin Venkateshvaran, Lars H Lund, Anikó Ilona Nagy, Aristomenis Manouras

Abstract read
In one paragraph

Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 pooled it
–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

44 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Pooled it
  5. Article
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  7. Review
  8. Cardiovascular magnetic resonance-derived left atrial parameters for assessing diastolic dysfunction and prognosis in hypertrophic cardiomyopathy.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2026
    Article
  9. Article
  10. Article
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  12. Article
  13. Left Atrial Strain-Current Review of Clinical Applications.Diagnostics (Basel, Switzerland) · 2025
    Review
  14. Article
  15. Review
  16. Prognostic value of temporal patterns of left atrial reservoir strain in patients with heart failure with reduced ejection fraction.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Observational
  17. Review
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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

9 authors.

Anders LundbergInstitution for Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
Jonas JohnsonDepartment of Obstetrics and Gynecology, Centre for Fetal Medicine, Karolinska University Hospital, Stockholm, Sweden.
Camilla HageInstitution for Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
Magnus BäckInstitution for Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
Bela MerkelyHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Ashwin VenkateshvaranInstitution for Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
Lars H LundInstitution for Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
Anikó Ilona NagyHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Aristomenis ManourasInstitution for Medicine, Solna, Karolinska Institutet, Stockholm, Sweden. Aristomenis.Manouras@ki.se.ORCID http://orcid.org/0000-0002-6617-2070

Funding

Hjärt-Lungfonden 20120321Hjärt-Lungfonden 20150557Stockholms Läns Landsting 20110120Vetenskapsrådet 2013-23897-104604-23Vetenskapsrådet 523-2014-2336
6 · The paper itself

Abstract

aimsLeft ventricular diastolic pressure estimation is essential for characterization of heart failure (HF). Patients with normal resting left atrial (LA) pressures (LAP), but steep LAP elevation on exertion, pose a particular diagnostic challenge. Current recommendations on echocardiographic LAP estimation have limited accuracy. Our aim was to investigate whether LA mechanical alterations assessed by LA strain (LA-GS) can contribute to non-invasive LAP diagnostics. METHODS AND

resultsSimultaneous echocardiographic and right heart catheterization (RHC) data at rest and during exercise was analyzed in 164 prospectively enrolled patients, referred for RHC due to HF symptoms. 56% had preserved ejection fraction (pEF). At rest, 97 patients displayed elevated mean pulmonary arterial wedge pressure (PAWP

conclusionLA-GS comprises a robust method for PAWP

Indexed as

Atrial Function, LeftAtrial PressureCatheterization, Swan-GanzEchocardiography, DopplerHemodynamicsVentricular Function, LeftAgedBiomechanical PhenomenaCardiac Pacing, ArtificialExercise TestFemaleHeart FailureHumansMaleMiddle AgedPredictive Value of TestsDiastolic pressuresExerciseInvasiveLeft atrial strainNon-invasive

Identifiers

PMID30536044
PMCPMC6529379

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Registered trials

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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.