Evidence map›Paper›PMID 31963483›Full record

ArticleJournal of clinical medicine2020

Incremental Value of ePLAR-The Echocardiographic Pulmonary to Left Atrial Ratio in the Assessment of Sub-Massive Pulmonary Emboli.

Isabel G Scalia, William M Scalia, Jonathon Hunter, Andrea Z Riha, David Wong, Yael Celermajer, David G Platts, Benjamin T Fitzgerald, Gregory M Scalia

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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.

Isabel G ScaliaRoyal Brisbane and Women's Hospital, Herston, QLD 4029, Australia.
William M ScaliaThe Prince Charles Hospital, Brisbane, QLD 4032, Australia.
Jonathon HunterRedcliffe District Hospital, Redcliffe, QLD 4032, Australia.
Andrea Z RihaThe Wesley Hospital, Brisbane, QLD 4066, Australia.
David WongThe Wesley Hospital, Brisbane, QLD 4066, Australia.
Yael CelermajerRoyal Brisbane and Women's Hospital, Herston, QLD 4029, Australia.
David G PlattsDepartment of Medicine, University of Queensland, Brisbane, QLD 4032, Australia.
Benjamin T FitzgeraldThe Wesley Hospital, Brisbane, QLD 4066, Australia.
Gregory M ScaliaDepartment of Medicine, University of Queensland, Brisbane, QLD 4032, Australia.ORCID 0000-0003-3453-7802

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute pulmonary embolism (PE) is characterized hemodynamically by abrupt obstruction in trans-pulmonary blood flow. The echocardiographic Pulmonary to Left Atrial ratio (ePLAR, tricuspid regurgitation V

methodsIn total, 110 (57.4 ± 17.6 years) patients with confirmed sub-massive pulmonary emboli with contemporaneous echocardiograms (0.3 ± 0.9 days) were compared with 110 age-matched controls (AMC).

resultsTricuspid velocities were higher than AMC (2.6 ± 0.6 m/s vs. 2.4 ± 0.3 m/s,

conclusionsRaised ePLAR values in acute sub-massive pulmonary embolism suggest elevated trans-pulmonary gradients even in the absence of acutely increased pulmonary artery pressures. ePLAR dramatically increases the sensitivity of echocardiography for detection of hemodynamic perturbations in sub-massive pulmonary embolism patients, which may offer clinical utility in diagnosis and management.

Indexed as

echocardiographyePLARpulmonary embolus

Identifiers

PMID31963483
PMCPMC7020061

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