Evidence map›Paper›PMID 31149060›Full record

ArticleActa endocrinologica (Bucharest, Romania : 2005)

ECHOCARDIOGRAPHIC MYOCARDIAL CHANGES IN ACROMEGALY: A CROSS-SECTIONAL ANALYSIS IN A TERTIARY CENTER IN BULGARIA.

E Natchev, A Kundurdjiev, N Zlatareva, S Vandeva, G Kirilov, T Kundurzhiev, S Zacharieva

Open access · greenAbstract read
In one paragraph

Article in Acta endocrinologica (Bucharest, Romania : 2005). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.8field-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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. 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

7 authors at 1 institution in 1 country.

E NatchevMedical University of Sofia, Faculty of Medicine, Department of Endocrinology, Sofia, Bulgaria.
A KundurdjievMedical University of Sofia, University Hospital "St. Iv. Rilski", Sofia, Bulgaria.
N ZlatarevaAcibadem City Clinic Cardiovascular Center, Cardiology, Sofia, Bulgaria.
S VandevaMedical University of Sofia, Faculty of Medicine, Department of Endocrinology, Sofia, Bulgaria.
G KirilovMedical University of Sofia, Faculty of Medicine, Department of Endocrinology, Sofia, Bulgaria.
T KundurzhievMedical University of Sofia, Faculty of Public Health, Sofia, Bulgaria.
S ZacharievaMedical University of Sofia, Faculty of Medicine, Department of Endocrinology, Sofia, Bulgaria.
Medical University of Sofia · BG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextCardiomyopathy is the most frequent cardiovascular complication in acromegaly.

objectiveWe aimed to compare some echocardiographic markers in acromegaly patients with controls and find a correlation with disease duration, disease activity, levels of growth hormone (GH) and insulin-like growth factor 1 (IGF-1).

designWe conducted a cross-sectional case-control study for the period of 2008-2012. SUBJECTS AND

methodsAcromegaly patients altogether 146 (56 men and 90 women), were divided into four groups according to disease activity and the presence of arterial hypertension (AH). The control group included 83 subjects, matching the patient groups by age, gender and presence of AH. GH was measured by an immunofluorometric method, while IGF-1 by IRMA method. All patients and controls were subjected to one- and two-dimensional transthoracic echocardiography, color and pulse Doppler.

resultsWe found a thickening of the left ventricular walls and an increase in the left ventricular mass. However, these changes were not statistically significant in all groups and no correlation with disease duration could be demonstrated. As markers of diastolic dysfunction, increased deceleration time and isovolumetric relaxation were registered, which were dependent mainly on age in a binary logistic regression analysis, but not GH or IGF-1. Using absolute values, ejection and shortening fractions were increased in some groups. Using cut-off values, a higher percentage of systolic dysfunction was demonstrated in patients compared to their corresponding controls. Engagement of the right heart ventricle was also found - increased deceleration time and decreased e/a tric ratio.

conclusionsIn conclusion, functional impairments of both ventricles were present, with a predominance of left ventricular diastolic dysfunction.

Indexed as

acromegalyacromegaly cardiomyopathyechocardiographyGHIGF-1

Identifiers

PMID31149060
PMCPMC6535331
OpenAlexW2947384618

What OpenQuestion holds

Textmetadata
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.