Evidence map›Paper›PMID 31894525›Full record

ArticleThe international journal of cardiovascular imaging2020

Right ventricular free wall strain predicts functional capacity in patients with repaired Tetralogy of Fallot.

Cuitlahuac Arroyo-Rodríguez, Juan Francisco Fritche-Salazar, Edith Liliana Posada-Martínez, Jose Antonio Arías-Godínez, Xochitl A Ortiz-León, Oscar Calvillo-Arguelles, María Eugenia Ruiz-Esparza, Juan Pablo Sandoval, Daniel Sierra-Lara, Diego Araiza-Garaygordobil and 2 more

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Article in The international journal of cardiovascular imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
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  3. Review
  4. Review
  5. The Right Heart in Congenital Heart Disease.Current heart failure reports · 2023
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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

12 authors.

Cuitlahuac Arroyo-RodríguezEchocardiography Laboratory, National Institute of Cardiology of Mexico, Ignacio Chávez, Juan Badiano 1, Seccion XVI, Tlalpan, Mexico City, Mexico.
Juan Francisco Fritche-SalazarEchocardiography Laboratory, National Institute of Cardiology of Mexico, Ignacio Chávez, Juan Badiano 1, Seccion XVI, Tlalpan, Mexico City, Mexico.
Edith Liliana Posada-MartínezEchocardiography Laboratory, National Institute of Cardiology of Mexico, Ignacio Chávez, Juan Badiano 1, Seccion XVI, Tlalpan, Mexico City, Mexico.
Jose Antonio Arías-GodínezEchocardiography Laboratory, National Institute of Cardiology of Mexico, Ignacio Chávez, Juan Badiano 1, Seccion XVI, Tlalpan, Mexico City, Mexico.
Xochitl A Ortiz-LeónEchocardiography Laboratory, National Institute of Cardiology of Mexico, Ignacio Chávez, Juan Badiano 1, Seccion XVI, Tlalpan, Mexico City, Mexico.
Oscar Calvillo-ArguellesEchocardiography Laboratory, National Institute of Cardiology of Mexico, Ignacio Chávez, Juan Badiano 1, Seccion XVI, Tlalpan, Mexico City, Mexico.
María Eugenia Ruiz-EsparzaEchocardiography Laboratory, National Institute of Cardiology of Mexico, Ignacio Chávez, Juan Badiano 1, Seccion XVI, Tlalpan, Mexico City, Mexico.
Juan Pablo SandovalPediatric Cardiology Department, National Institute of Cardiology of Mexico, Ignacio Chávez, Mexico City, Mexico.
Daniel Sierra-LaraCoronary Care Unit, National Institute of Cardiology of Mexico, Ignacio Chávez, Mexico City, Mexico.
Diego Araiza-GaraygordobilCoronary Care Unit, National Institute of Cardiology of Mexico, Ignacio Chávez, Mexico City, Mexico.
Eugenio PicanoBiomedicine Department, CNR, Institute of Clinical Physiology, Pisa, Italy.
Hugo Rodríguez-ZanellaEchocardiography Laboratory, National Institute of Cardiology of Mexico, Ignacio Chávez, Juan Badiano 1, Seccion XVI, Tlalpan, Mexico City, Mexico. drzanella@gmail.com.ORCID http://orcid.org/0000-0003-0336-5593

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To investigate the role of right ventricular free wall strain (RVFWSL) to predict low functional capacity in repaired tetralogy of Fallot (rTOF). We prospectively enrolled 33 patients with rTOF with moderate to severe PR who underwent rest and peak exercise echocardiography on a semisupine cycloergometer. Conventional function and strain imaging parameters of both ventricles were measured. Patients performing < 7 METS were defined to have low functional capacity. Logistic regression was used to identify parameters associated with low functional capacity. Eleven patients (33.3%) had low functional capacity. These patients were shorter (height 155 ± 7 vs 163 ± 9 cm, p = 0.023), more frequently female (27.3 vs 72.7%, p = 0.024) and had history of Blalock-Taussig shunt (45.5 vs 9.1%, p = 0.027). On multivariate analysis RVFWSL was the only predictor of low functional capacity OR 1.39 (CI 95%, 1.06-1.83., p = 0.018) per % change. A RVFWSL < 17% (absolute value) had an AUC of 0.785, sensitivity of 81.8% and specificity of 77.3% to predict low functional capacity. Right ventricular free wall strain is an independent predictor of low functional capacity in repaired tetralogy of Fallot with moderate to severe PR. A value < 17% might be useful in deciding when to perform pulmonary valve replacement, when functional capacity cannot be objectively measured.

Indexed as

Cardiac Surgical ProceduresEchocardiography, Doppler, ColorEchocardiography, StressExercise TestVentricular Function, RightAdolescentAdultBicyclingClinical Decision-MakingFemaleHeart Valve Prosthesis ImplantationHumansMalePatient SelectionPredictive Value of TestsProspective StudiesAdult congenital heart diseaseEchocardiographyGlobal longitudinal strainPulmonary valve replacementStress echocardiographyTetralogy of Fallot

Identifiers

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Read underepoch 390

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.