Evidence map›Paper›PMID 31848778›Full record

ArticleClinical and experimental medicine2020

Early echocardiographic detection of left ventricular diastolic dysfunction in patients with systemic lupus erythematosus asymptomatic for cardiovascular disease.

Patrizia Leone, Sebastiano Cicco, Marcella Prete, Antonio Giovanni Solimando, Nicola Susca, Lucilla Crudele, Alessio Buonavoglia, Paolo Colonna, Franco Dammacco, Angelo Vacca and 1 more

Abstract read
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In one paragraph

Article in Clinical and experimental medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  7. Review
  8. Increased TIM-3Clinical and experimental medicine · 2022
    Article
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  17. Immune Checkpoint Inhibitor-Related Myositis: From Biology to Bedside.International journal of molecular sciences · 2020
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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

11 authors.

Patrizia Leone *Department of Biomedical Sciences and Human Oncology, Unit of Internal Medicine "Guido Baccelli", University of Bari Medical School, Policlinico - 11, Piazza G. Cesare, 70124, Bari, Italy.
Sebastiano Cicco *Department of Biomedical Sciences and Human Oncology, Unit of Internal Medicine "Guido Baccelli", University of Bari Medical School, Policlinico - 11, Piazza G. Cesare, 70124, Bari, Italy.
Marcella PreteDepartment of Biomedical Sciences and Human Oncology, Unit of Internal Medicine "Guido Baccelli", University of Bari Medical School, Policlinico - 11, Piazza G. Cesare, 70124, Bari, Italy.
Antonio Giovanni SolimandoDepartment of Biomedical Sciences and Human Oncology, Unit of Internal Medicine "Guido Baccelli", University of Bari Medical School, Policlinico - 11, Piazza G. Cesare, 70124, Bari, Italy.
Nicola SuscaDepartment of Biomedical Sciences and Human Oncology, Unit of Internal Medicine "Guido Baccelli", University of Bari Medical School, Policlinico - 11, Piazza G. Cesare, 70124, Bari, Italy.
Lucilla CrudeleDepartment of Biomedical Sciences and Human Oncology, Unit of Internal Medicine "Guido Baccelli", University of Bari Medical School, Policlinico - 11, Piazza G. Cesare, 70124, Bari, Italy.
Alessio BuonavogliaDepartment of Biomedical Sciences and Human Oncology, Unit of Internal Medicine "Guido Baccelli", University of Bari Medical School, Policlinico - 11, Piazza G. Cesare, 70124, Bari, Italy.
Paolo ColonnaDepartment of Cardiology, University Hospital Policlinico, Bari, Italy.
Franco DammaccoDepartment of Biomedical Sciences and Human Oncology, Unit of Internal Medicine "Guido Baccelli", University of Bari Medical School, Policlinico - 11, Piazza G. Cesare, 70124, Bari, Italy.
Angelo VaccaDepartment of Biomedical Sciences and Human Oncology, Unit of Internal Medicine "Guido Baccelli", University of Bari Medical School, Policlinico - 11, Piazza G. Cesare, 70124, Bari, Italy.
Vito RacanelliDepartment of Biomedical Sciences and Human Oncology, Unit of Internal Medicine "Guido Baccelli", University of Bari Medical School, Policlinico - 11, Piazza G. Cesare, 70124, Bari, Italy. vito.racanelli1@uniba.it.ORCID http://orcid.org/0000-0002-8639-1940

Funding

Associazione Italiana per la Ricerca sul Cancro 20441
6 · The paper itself

Abstract

Cardiovascular disease (CVD) is a major complication of systemic lupus erythematosus (SLE) and is now a leading cause of death for these patients. In this study, 23 SLE patients asymptomatic for CVD underwent a comprehensive echocardiographic examination to detect subclinical cardiac involvement. According to their SELENA-SLEDAI score, they were divided into two groups: SELENA-SLEDAI ≤ 12 (n = 13, 12 females) and SELENA-SLEDAI > 12 (n = 10, all females), indicative of mild-to-moderate and severe SLE, respectively. Patients in the latter group had significant increases in left ventricular (LV) mass, LV end-diastolic volume, left atrial volume and right heart parameters (pulmonary arterial pressure, tricuspid regurgitation velocity and diameter of the inferior cava) compared to the mild-to-moderate group. Alterations of the early to late diastolic trans-mitral flow velocity (E/A) were found in 39% of patients, equally distributed between the two groups. The Framingham score of all patients correlated directly with LV mass, interventricular septum thickness and posterior wall thickness, but did not significantly differ between patients with severe and mild-to-moderate SLE. These findings reveal the presence of early-stage, and thus clinically silent, diastolic dysfunction in patients with severe SLE. They demonstrate the poor predictive value of the Framingham score in CVD risk stratification of patients with SLE, thus highlighting the crucial role of echocardiography in the diagnostic workup of these patients.

Indexed as

AdultEarly DiagnosisEchocardiography, Doppler, ColorFemaleHumansLupus Erythematosus, SystemicMaleMiddle AgedSensitivity and SpecificityVentricular Dysfunction, LeftCardiovascular diseaseEchocardiographyLeft ventricular diastolic dysfunctionSystemic lupus erythematosus

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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.