Evidence map›Paper›PMID 32751243›Full record

ArticleInternational journal of environmental research and public health2020

Echocardiography and Newer Imaging Techniques in Diagnosis and Long-Term Follow-Up of Primary Heart Tumors in Children.

Aleksandra Morka, Joanna Kohut, Beata Radzymińska-Chruściel, Tomasz Mroczek, Marcin Gładki, Piotr Weryński, Andrzej Rudziński, Janusz Skalski, Lesław Szydłowski

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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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 at 3 institutions in 1 country.

Aleksandra MorkaDepartment of Pediatric Cardiac Surgery, University Children's Hospital, Faculty of Health Sciences, Jagiellonian University Medical College, 30-663 Kraków, Poland.ORCID 0000-0002-8187-138X
Joanna KohutDepartment of Pediatric Cardiology, Faculty of Medical Sciences, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.
Beata Radzymińska-ChruścielClinic of Fetal Echocardiography, Medical Centre UJASTEK, 31-752 Kraków, Poland.
Tomasz MroczekDepartment of Pediatric Cardiac Surgery, University Children's Hospital, Faculty of Medicine, Jagiellonian University Medical College, 30-663 Kraków, Poland.
Marcin GładkiDepartment of Pediatric Cardiac Surgery, University Children's Hospital, 30-663 Kraków, Poland.
Piotr WeryńskiDepartment of Pediatric Cardiology, University Children's Hospital, Faculty of Medicine, Jagiellonian University Medical College, 30-663 Kraków, Poland.
Andrzej RudzińskiDepartment of Pediatric Cardiology, University Children's Hospital, Faculty of Medicine, Jagiellonian University Medical College, 30-663 Kraków, Poland.
Janusz SkalskiDepartment of Pediatric Cardiac Surgery, University Children's Hospital, Faculty of Medicine, Jagiellonian University Medical College, 30-663 Kraków, Poland.
Lesław SzydłowskiDepartment of Pediatric Cardiology, Faculty of Medical Sciences, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.
Jagiellonian University · PLMedical University of Silesia · PLUniwersytecki Szpital Dziecięcy · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary heart tumors (PHTs) in the pediatric population are very rare and do not manifest any characteristic symptoms.

methodsA retrospective analysis of 61 cases was undertaken. Data from three centers for the years 2003-2018 were gathered. The tumors' clinical course, location, number, hemodynamic, treatment, and follow-up were evaluated. Echocardiography was complemented with magnetic resonance imaging, computer tomography, and histopathological examination.

resultsOut of 61 PHT diagnoses, 56 (91.8%) were circumstantial including all 16 (26.2%) prenatal tumors. The reasons for cardiological consultations were arrhythmia, syncopes, lowered physical performance, and murmurs. Only five patients (8.2%) were suspected of tumors based on previous symptoms of sclerosis tuberosa. Rhabdomyoma was the most frequently found PHT (60.7%). The tumors were predominantly located in the ventricles (49.1%) and intraventricular septum (14.9%) and tended to be single (70.5%). About 37.7% of patients suffered from coexistent multi-organ problems, two (3.28%) from congenital heart defects and one (1.64%) from Carney's syndrome. Tumor resection was performed on 26 (42.7%) patients, of which 16 (61.5%) underwent total and 10 (38.5%) partial tumor resection. During the follow-up (mean 4.3 years), 54 patients (88.5%) have improved or were stable, while seven (11.5%) died.

conclusionsPrimary pediatric heart tumors are diagnosed completely circumstantially, and the most common is rhabdomyoma, although arrhythmia may suggest fibroma. Diagnosis of a heart tumor in children is not synonymous with fatal prognosis, and most of them require only constant observation. Life-saving operation allows improvement, while the prognosis for malignant tumors in children is definitely unfavorable.

Indexed as

AdolescentChildEchocardiographyFemaleFollow-Up StudiesHeart NeoplasmsHumansInfantInfant, NewbornMaleRetrospective StudiesVena Cava, Superiorchildrenprimary heart tumorrhabdomyomasclerosis tuberosa

Identifiers

PMID32751243
PMCPMC7432637
OpenAlexW3045574934

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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.