Evidence map›Paper›PMID 32649698›Full record

ArticlePloS one2020

Diagnostic criteria for left ventricular non-compaction in cardiac computed tomography.

Tobias A Fuchs, Ladina Erhart, Jelena R Ghadri, Bernhard A Herzog, Andreas Giannopoulos, Ronny R Buechel, Simon F Stämpfli, Christiane Gruner, Aju P Pazhenkottil, Markus Niemann and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 16 citations in OpenAlex.

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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 at 2 institutions in 2 countries.

Tobias A FuchsDepartment of Cardiology, University Heart Center, Zurich, Switzerland.ORCID 0000-0001-8812-9359
Ladina ErhartDepartment of Cardiology, University Heart Center, Zurich, Switzerland.
Jelena R GhadriDepartment of Cardiology, University Heart Center, Zurich, Switzerland.
Bernhard A HerzogDepartment of Nuclear Medicine, Cardiac Imaging, University Hospital Zurich, Zurich, Switzerland.
Andreas GiannopoulosDepartment of Nuclear Medicine, Cardiac Imaging, University Hospital Zurich, Zurich, Switzerland.
Ronny R BuechelDepartment of Nuclear Medicine, Cardiac Imaging, University Hospital Zurich, Zurich, Switzerland.
Simon F StämpfliDepartment of Cardiology, University Heart Center, Zurich, Switzerland.
Christiane GrunerDepartment of Cardiology, University Heart Center, Zurich, Switzerland.
Aju P PazhenkottilDepartment of Cardiology, University Heart Center, Zurich, Switzerland.
Markus NiemannDepartment of Cardiology, University Heart Center, Zurich, Switzerland.
Philipp A KaufmannDepartment of Nuclear Medicine, Cardiac Imaging, University Hospital Zurich, Zurich, Switzerland.
Felix C TannerDepartment of Cardiology, University Heart Center, Zurich, Switzerland.
University Hospital of Zurich · CHZurich Heart House · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLeft ventricular non-compaction (LVNC) is characterized by a 2-layered myocardium composed of a noncompacted (NC) and a compacted (C) layer. The echocardiographic NC:C ratio is difficult to assess in many patients. The aim of the study was to assess the value of cardiac computed tomography (CCT) for the diagnosis of LVNC.

methodsIn this prospective controlled study, segmental analysis of transthoracic echocardiography (TTE) and prospective ECG-triggered CCT was performed in 17 patients with LVNC and 19 healthy controls. In TTE maximal NC and C thickness was measured at enddiastole and endsystole in the segment with most prominent trabeculation in short axis views. In CCT, maximal segmental NC and C thickness was measured during diastole, and NC:C ratio was determined. Spearman's correlation coefficient and receiver operating characteristic curves were calculated.

resultsThe median [IQR] radiation dose was 1.3[1.2-1.5]mSv. The CCT thickness of the C layer was significantly lower in patients with LVNC as compared to controls in the inferolateral, midventricular, lateral-, inferior-, and septal-apical segments. The CCT NC:C ratio differed significantly between LVNC and controls in the inferior-midventricular and all the apical segments. NC:C ratio correlated significantly between TTE and CCT at enddiastole (σ = 0.8) and endsystole (σ = 0.9). Using a CCT NC:C ratio ≥1.8, all LVNC patients could be identified.

conclusionLVNC can be diagnosed with ECG-triggered low-dose CCT and discriminated from normal individuals using a NC:C ratio of ≥1.8 in diastole. There is a very good correlation of NC:C ratio in TTE and CCT.

Indexed as

AlgorithmsAdultCase-Control StudiesComputed Tomography AngiographyEchocardiographyFemaleHeart VentriclesHumansMaleMiddle AgedProspective StudiesROC CurveVentricular Dysfunction, Left

Identifiers

PMID32649698
PMCPMC7351212
OpenAlexW3041201008

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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.