Evidence map›Paper›PMID 31477187›Full record

Trial reportCardiology in the young2019

Comparison of echocardiographic measurements to invasive measurements of diastolic function in infants with single ventricle physiology: a report from the Pediatric Heart Network Infant Single Ventricle Trial.

Suma P Goudar, Victor Zak, Andrew M Atz, Karen Altmann, Steven D Colan, Christine B Falkensammer, Mark K Friedberg, Michele Frommelt, Kevin D Hill, Daphne T Hsu and 7 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cardiology in the young, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. International journal of molecular sciences · 2026
    Article
  2. Article
  3. Article
  4. 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

17 authors at 12 institutions in 2 countries.

Suma P GoudarDepartment of Cardiology, Ward Family Heart Center, Children's Mercy Hospital, Kansas City, MO, USA.ORCID https://orcid.org/0000-0002-0366-9565
Victor ZakNew England Research Institute, Watertown, MA, USA.ORCID https://orcid.org/0000-0002-2954-3194
Andrew M AtzDivision of Pediatric Cardiology, Medical University of South Carolina, Charleston, SC, USA.
Karen AltmannDivision of Pediatric Cardiology, Columbia University Medical Center, New York, NY, USA.
Steven D ColanBoston Children's Hospital, Boston, MA, USA.
Christine B FalkensammerChildren's Hospital Philadelphia, Philadelphia, PA, USA.
Mark K FriedbergDivision of Pediatric Cardiology, The Hospital for Sick Children, Toronto, ON, Canada.
Michele FrommeltChildren's Hospital of Wisconsin, Milwaukee, WI, USA.
Kevin D HillDuke University, Durham, NC, USA.
Daphne T HsuChildren's Hospital at Montefiore, Bronx, NY, USA.
Jami C LevineBoston Children's Hospital, Boston, MA, USA.
Renee MargossianBoston Children's Hospital, Boston, MA, USA.
Christopher R MartPrimary Children's Medical Hospital, Salt Lake City, UT, USA.
Joshua StickaCincinnati Children's Hospital, Cincinnati, OH, USA.
Peter ShraderNew England Research Institute, Watertown, MA, USA.
Girish ShiraliDepartment of Cardiology, Ward Family Heart Center, Children's Mercy Hospital, Kansas City, MO, USA.
Pediatric Heart Network Investigators
Boston Children's Hospital · USChildren's Mercy Hospital · USNew England Research (United States) · USChildren's Hospital at Montefiore · USChildren's Hospital of Philadelphia · USChildren's Hospital of Wisconsin · USCincinnati Children's Hospital Medical Center · USColumbia University Irving Medical Center · USDuke University · USHospital for Sick Children · CAMedical University of South Carolina · USPrimary Children's Hospital · US

Funding

Pediatric Heart network DCCU10HL068270 · NHLBI · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI MILLER, JULIE ELAINE, TRACHTENBERG, FELICIA LYNN · 2011 to 2016
$44.9M
Ventricular Volumes and Varability (VVV)U01HL068270 · NHLBI · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI SLEEPER, LYNN A · 2001 to 2010
$40.3M
Pediatric Heart Network: Follow-up of the Single Ventricle Reconstruction TrialU01HL068290 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LAI, WYMAN W · 2001 to 2010
$4.1M
Randomized Therapeutic Trials in Pediatric Heart DiseaseU01HL068285 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI NEWBURGER, JANE W. · 2001 to 2010
$3.4M
Randomized Clinical Trials for Pediatric Heart DiseaseU01HL068281 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI SAUL, J PHILIP · 2001 to 2010
$3.2M
Clinical and genomic responses to remote ischemic preconditioningU01HL068288 · NHLBI · HOSPITAL FOR SICK CHLDRN (TORONTO) · PI MCCRINDLE, BRIAN W · 2001 to 2010
$3.0M
Intermountain Pediatric Heart Disease Research CenterU01HL068292 · NHLBI · UNIVERSITY OF UTAH · PI MINICH, L. LUANN · 2001 to 2010
$2.7M
The Duke-UNC-CH Pediatric Cardiology Clinical CenterU01HL068269 · NHLBI · DUKE UNIVERSITY · PI LI, JENNIFER S · 2001 to 2010
$2.6M
Pediatric Heart Network Prairieland ConsortiumUG1HL135678 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI CNOTA, JAMES, PAYNE, RONALD MARK · 2017 to 2023
$2.4M
Pediatric Heart Network Clinical Research Center - Medical University of South CarolinaUG1HL135689 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ATZ, ANDREW M, GRAHAM, ERIC M. · 2017 to 2023
$2.3M
Preoperative Therapy for Prevention of Postoperative Low Cardiac Output SyndromeU01HL085057 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI BENSON, DUDLEY WOODROW (WOODY) · 2006 to 2010
$1.5M
NHLBI NIH HHS U01 HL068269NHLBI NIH HHS U01 HL068270NHLBI NIH HHS U01 HL068281NHLBI NIH HHS U01 HL068285NHLBI NIH HHS U01 HL068288NHLBI NIH HHS U01 HL068290NHLBI NIH HHS U01 HL068292NHLBI NIH HHS U01 HL085057NHLBI NIH HHS U10 HL068270NHLBI NIH HHS UG1 HL135678NHLBI NIH HHS UG1 HL135689
6 · The paper itself

Abstract

backgroundWhile echocardiographic parameters are used to quantify ventricular function in infants with single ventricle physiology, there are few data comparing these to invasive measurements. This study correlates echocardiographic measures of diastolic function with ventricular end-diastolic pressure in infants with single ventricle physiology prior to superior cavopulmonary anastomosis.

methodsData from 173 patients enrolled in the Pediatric Heart Network Infant Single Ventricle enalapril trial were analysed. Those with mixed ventricular types (n = 17) and one outlier (end-diastolic pressure = 32 mmHg) were excluded from the analysis, leaving a total sample size of 155 patients. Echocardiographic measurements were correlated to end-diastolic pressure using Spearman's test.

resultsMedian age at echocardiogram was 4.6 (range 2.5-7.4) months. Median ventricular end-diastolic pressure was 7 (range 3-19) mmHg. Median time difference between the echocardiogram and catheterisation was 0 days (range -35 to 59 days). Examining the entire cohort of 155 patients, no echocardiographic diastolic function variable correlated with ventricular end-diastolic pressure. When the analysis was limited to the 86 patients who had similar sedation for both studies, the systolic:diastolic duration ratio had a significant but weak negative correlation with end-diastolic pressure (r = -0.3, p = 0.004). The remaining echocardiographic variables did not correlate with ventricular end-diastolic pressure.

conclusionIn this cohort of infants with single ventricle physiology prior to superior cavopulmonary anastomosis, most conventional echocardiographic measures of diastolic function did not correlate with ventricular end-diastolic pressure at cardiac catheterisation. These limitations should be factored into the interpretation of quantitative echo data in this patient population.

Indexed as

Antihypertensive AgentsCardiac CatheterizationDiastoleDouble-Blind MethodEchocardiography, DopplerEnalaprilFemaleFollow-Up StudiesHeart Defects, CongenitalHeart VentriclesHumansInfantInfant, NewbornMaleRetrospective StudiesVentricular Function, LeftAntihypertensive AgentsEnalaprilDiastolic functioninfantssingle ventricle

Identifiers

PMID31477187
PMCPMC6746584
OpenAlexW2972082339

What OpenQuestion holds

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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.