Evidence map›Paper›PMID 31902085›Full record

ArticleJournal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing2020

ICD-measured heart sounds and their correlation with echocardiographic indexes of systolic and diastolic function.

Leonardo Calò, Alessandro Capucci, Luca Santini, Domenico Pecora, Stefano Favale, Barbara Petracci, Giulio Molon, Valter Bianchi, Laura Cipolletta, Ermenegildo De Ruvo and 5 more

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In one paragraph

Article in Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Heart Failure Diagnostic Alerts to Prompt Pharmacist Evaluation and Medication Optimization.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025
    Article
  4. Review
  5. Article
  6. Performance of a multi-sensor implantable defibrillator algorithm for heart failure monitoring in the presence of atrial fibrillation.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Observational
  7. Article
  8. Heart failure and telemedicine: where are we and where are we going? Opportunities and critical issues.European heart journal supplements : journal of the European Society of Cardiology · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Performance of a HeartLogicFrontiers in cardiovascular medicine · 2022
    Article
  13. Article
  14. Observational
  15. Article
  16. 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

15 authors at 8 institutions in 1 country.

Leonardo CalòDivision of Cardiology, Policlinico Casilino, Via Casilina 1049, 00169, Rome, Italy. leonardocalo.doc@gmail.com.
Alessandro CapucciUniversità Politecnica delle Marche, Ancona, Italy.
Luca Santini"Giovan Battista Grassi" Hospital, Rome, Ostia lido, Italy.
Domenico PecoraFondazione Poliambulanza, Brescia, Italy.
Stefano FavaleUniversity of Bari, Policlinico di Bari, Bari, Italy.
Barbara PetracciFondazione Policlinico S. Matteo IRCCS, Pavia, Italy.
Giulio MolonSacro Cuore-Don Calabria Hospital, Verona, Negrar, Italy.
Valter BianchiUnità Operativa di Elettrofisiologia, Studio e Terapia delle Aritmie, Monaldi Hospital, Naples, Italy.
Laura CipollettaUniversità Politecnica delle Marche, Ancona, Italy.
Ermenegildo De RuvoDivision of Cardiology, Policlinico Casilino, Via Casilina 1049, 00169, Rome, Italy.
Fabrizio Ammirati"Giovan Battista Grassi" Hospital, Rome, Ostia lido, Italy.
Carmelo La GrecaFondazione Poliambulanza, Brescia, Italy.
Monica CampariBoston Scientific Italia, Milan, Italy.
Sergio ValsecchiBoston Scientific Italia, Milan, Italy.
Antonio D'OnofrioUnità Operativa di Elettrofisiologia, Studio e Terapia delle Aritmie, Monaldi Hospital, Naples, Italy.
Azienda Ospedaliero Universitaria San Giovanni Battista · ITFondazione Poliambulanza Istituto Ospedaliero · ITMarche Polytechnic University · ITOspedale Monaldi · ITPoliclinico Casilino · ITOspedale Sacro Cuore Don Calabria · ITPoliclinico San Matteo Fondazione · ITUniversity of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNovel implantable defibrillators (ICDs) allow first (S1) and third (S3) heart sounds to be measured by means of an embedded accelerometer. ICD-measured S1 and S3 have been shown to significantly correlate with hemodynamic changes in acute animal models. The HeartLogic algorithm (Boston Scientific) measures and combines multiple parameters, including S3 and S1, into a single index to predict impending heart failure decompensation. We evaluated the echocardiographic correlates of ICD-measured S1 and S3 in patients with ICD and cardiac resynchronization therapy ICD.

methodsThe HeartLogic feature was activated in 104 patients. During in-office visits, patients underwent echocardiographic evaluation, and parameters of systolic and diastolic function were correlated with S3 and S1 amplitude measured on the same day as the visit.

resultsS3 amplitude inversely correlated with deceleration time of the E-wave (r = -0.32; 95% CI -0.46 - -0.17; P < 0.001), and S1 amplitude significantly correlated with left ventricular ejection fraction (r = 0.17; 95% CI 0.03-0.30; P = 0.021). S3 > 0.9 mG detected a restrictive filling pattern with 85% (95% CI 72%-93%) sensitivity and 82% (95% CI 75%-88%) specificity, while S1 < 1.5 mG detected ejection fraction < 35% with 28% (95% CI 19%-40%) sensitivity and 88% (95% CI 80%-93%) specificity.

conclusionICD-measured heart sound parameters are significantly correlated with echocardiographic indexes of systolic and diastolic function. This confirms their utility for remote patient monitoring when used as single sensors and their potential relevance when considered in combination with other physiological ICD sensors that evaluate various aspects of heart failure physiology.

Indexed as

Heart FailureHeart SoundsAnimalsEchocardiographyHumansStroke VolumeSystoleVentricular Function, LeftDiastoleHeart failureHeart soundsICDSystole

Identifiers

PMID31902085
OpenAlexW2997610526

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.