Evidence map›Paper›PMID 32385572›Full record

ReviewHerzschrittmachertherapie & Elektrophysiologie2020

[Echocardiographic assessment of myocardial function during His bundle and right ventricular pacing].

W Fehske, C W Israel, S Winter, P Ghorbany, D Q Nguyen, J-U Voigt

Abstract readReview
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In one paragraph

Review in Herzschrittmachertherapie & Elektrophysiologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

6 authors.

W FehskeKlinik für Innere Medizin III (Kardiologie), St. Vinzenz-Hospital, Köln, Deutschland.
C W IsraelKlinik für Innere Medizin - Kardiologie, Nephrologie und Diabetologie, Evangelisches Klinikum Bethel, Bielefeld, Deutschland.
S WinterKlinik für Innere Medizin III (Kardiologie), St. Vinzenz-Hospital, Köln, Deutschland.
P GhorbanyKlinik für Innere Medizin III (Kardiologie), St. Vinzenz-Hospital, Köln, Deutschland.
D Q NguyenKlinik für Innere Medizin III (Kardiologie), St. Vinzenz-Hospital, Köln, Deutschland.
J-U VoigtKlinik für Kardiovaskuläre Erkrankungen, Universitätsklinikum Gasthuisberg, Katholische Universität Löwen, Löwen, Belgien. jens-uwe.voigt@uzleuven.be.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn patients with pacemaker (PM) therapy, His bundle stimulation (HBS) may lead to a more synchronous activation of the left ventricle (LV) than conventional right ventricular stimulation (RVS). In this study, we investigated to which extent this effect can be objectified by means of contemporary echocardiographic functional imaging.

methodsIn all, 15 RVS patients (6 women, mean age 76.6 ± 4.1 years) and 15 HBS patients (6 women, mean age 74.6 ± 3.7 years) underwent echocardiography with and without cardiac pacing. Besides LV end-diastolic volume (EDV), ejection fraction (EF), and global strain (GLS), we measured global and regional myocardial work and LV efficiency based on noninvasive pressure-strain loops.

resultsIn all HBS patients, optimization of PM settings resulted in immediate changes in myocardial function parameters. With pacing, RVS patients showed a higher decrease in EF and GLS than HBS patients. Global LV work and LV work efficiency decreased significantly only in RVS patients.

conclusionChanges in regional and global myocardial function can by proven and quantified by functional echocardiography. In patients under PM therapy, HBS shows functional advantages in comparison to conventional RVS.

Indexed as

Heart VentriclesAgedAged, 80 and overBundle of HisEchocardiographyFemaleHumansMaleStroke VolumeVentricular Dysfunction, LeftVentricular Function, LeftHeart failureLeft ventricular functionSpeckle trackingStrain imagingSynchronization

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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.