Evidence map›Paper›PMID 30999593›Full record

ArticleJournal of clinical medicine2019

Can We Predict Failure of Mitral Valve Repair?

Simone Gasser, Maria von Stumm, Christoph Sinning, Ulrich Schaefer, Hermann Reichenspurner, Evaldas Girdauskas

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Multimodality Imaging in Secondary Mitral Regurgitation.Frontiers in cardiovascular medicine · 2020
    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

6 authors.

Simone GasserDepartment of Cardiovascular Surgery, University Heart Center Hamburg, 20251 Hamburg, Germany. simone.gasser@tirol-kliniken.at.
Maria von StummDepartment of Cardiovascular Surgery, University Heart Center Hamburg, 20251 Hamburg, Germany. m.stumm@uke.de.
Christoph SinningDepartment of General and Interventional Cardiology, University Heart Center Hamburg, 20251 Hamburg, Germany. c.sinning@uke.de.
Ulrich SchaeferDepartment of General and Interventional Cardiology, University Heart Center Hamburg, 20251 Hamburg, Germany. schaefer.kardiologie@marienkrankenhaus.org.
Hermann ReichenspurnerDepartment of Cardiovascular Surgery, University Heart Center Hamburg, 20251 Hamburg, Germany. si.albers@uke.de.
Evaldas GirdauskasDepartment of Cardiovascular Surgery, University Heart Center Hamburg, 20251 Hamburg, Germany. e.girdauskas@uke.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify echocardiographic and surgical risk factors for failure after mitral valve repair.

methodsWe identified a total of 77 consecutive patients from our institutional mitral valve surgery database who required redo mitral valve surgery due to recurrence of mitral regurgitation after primary mitral valve repair. A control group of 138 patients who had a stable echocardiographic long-term result was included based on propensity score matching. Systematic analysis of echocardiographic parameters was performed before primary surgery; after mitral valve repair and prior to redo surgery. Risk factor analysis was performed using multivariate Cox regression model.

resultsRedo surgery was associated with the presence of pulmonary hypertension ≥ 50 mmHg (

conclusionsRecurrent mitral regurgitation is still a valuable problem and is associated with relevant perioperative mortality. Patients with severe mitral regurgitation should undergo early mitral valve repair surgery as long as systolic pulmonary artery pressure is low, left ventricular ejection fraction is preserved, and LVEED is deceeds 65 mm.

Indexed as

cardiothoracic surgeryechocardiographyminimally invasive mitral valve repairmitral valve regurgitationredo surgerysurgery

Identifiers

PMID30999593
PMCPMC6517919

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