Evidence map›Paper›PMID 31409406›Full record

ArticleCardiovascular ultrasound2019

Clinical value of myocardial performance index in patients with isolated diastolic dysfunction.

José Maria Gonçalves Fernandes, Benício de Oliveira Romão, Ivan Romero Rivera, Maria Alayde Mendonça, Francisco de Assis Costa, Margareth de Souza Lira Handro, Orlando Campos, Ângelo Amato V De Paola, Valdir Ambrósio Moisés

Abstract read
In one paragraph

Article in Cardiovascular ultrasound, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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  5. Myocardial performance index: Is it time to revisit this old parameter in COVID-19 patients?Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology · 2022
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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.

José Maria Gonçalves FernandesFaculty of Medicine, Federal University of Alagoas, Av Lourival Melo Mota, sn, Tabuleiro dos Martins, Maceió, 57072-900, Brazil. jmgfernandes2004@yahoo.com.br.ORCID http://orcid.org/0000-0002-4984-3995
Benício de Oliveira RomãoFaculty of Medicine, Federal University of Alagoas, Av Lourival Melo Mota, sn, Tabuleiro dos Martins, Maceió, 57072-900, Brazil.
Ivan Romero RiveraFaculty of Medicine, Federal University of Alagoas, Av Lourival Melo Mota, sn, Tabuleiro dos Martins, Maceió, 57072-900, Brazil.
Maria Alayde MendonçaFaculty of Medicine, Federal University of Alagoas, Av Lourival Melo Mota, sn, Tabuleiro dos Martins, Maceió, 57072-900, Brazil.
Francisco de Assis CostaFederal University of Alagoas, Arapiraca, Brazil.
Margareth de Souza Lira HandroHarmony Medical Center, Maceió, Brazil.
Orlando CamposFederal University of São Paulo, São Paulo, Brazil.
Ângelo Amato V De PaolaFederal University of São Paulo, São Paulo, Brazil.
Valdir Ambrósio MoisésFederal University of São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe Doppler-derived myocardial performance index (MPI) has been considered as a diagnostic and prognostic Doppler marker for many different clinical conditions. The purpose of this study was to determine the diagnostic accuracy of traditional Pulsed-wave Doppler (PWD-MPI) and Pulsed-wave tissue Doppler imaging (TDI-MPI) and the degree of agreement between these methods in patients with grade-I diastolic dysfunction (DDI) and a normal ejection fraction.

methodsForty-seven consecutive ambulatory patients with DDI were compared to 51 healthy subjects with normal echocardiograms. All subjects underwent measurement of time intervals and MPI with PWD and pulsed TDI.

resultsTDI-MPI and PWD-MPI were significantly higher in patients with DDI than in control subjects: 0.49 ± 0.14 vs. 0.40 ± 0.09 (P < 0.001) and 0.45 ± 0.11 vs. 0.37 ± 0.08 (P < 0.001), respectively. Cutoff values of TDI-MPI > 0.42 and PWD-MPI > 0.40 identified DDI subjects, with sensitivities of 74 and 64%; specificities of 61 and 69%; positive likelihood ratios of 1.9 and 2.0; and negative likelihood ratios of 0.42 and 0.53, respectively; no significant difference was noted between the areas under the ROC curves of TDI-MPI and PWD-MPI (P = 0.77). Bland-Altman plots showed wide limits of agreement between these indices: - 0.17 to 0.23 in healthy subjects and - 0.24 to 0.32 in DDI patients.

conclusionPWD-MPI and TDI-MPI showed poor clinical agreement and were not reliable parameters for the assessment of left ventricular diastolic function.

Indexed as

AdultAgedDiastoleEchocardiography, Doppler, PulsedFemaleHeart VentriclesHumansMaleMiddle AgedMyocardial ContractionReproducibility of ResultsROC CurveStroke VolumeVentricular Dysfunction, LeftVentricular Function, LeftYoung AdultEchocardiography, DopplerHeart failure, diastolicHypertensionVentricular function, left

Identifiers

PMID31409406
PMCPMC6693095

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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.