Evidence map›Paper›PMID 32910428›Full record

ArticleJournal of nephrology2021

Evaluation of left atrial remodeling in kidney transplant patients using cardiac magnetic resonance imaging.

Flora Huang, Philip W Connelly, G V Ramesh Prasad, Michelle M Nash, Lakshman Gunaratnam, Djeven P Deva, Charmaine E Lok, Weiqiu Yuan, Rachel M Wald, Tamar Shalmon and 3 more

Abstract read
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Article in Journal of nephrology, 2021. 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
0.4field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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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

13 authors at 4 institutions in 2 countries.

Flora HuangDepartment of Medicine, University of Toronto, Toronto, Canada.
Philip W ConnellyDepartment of Medicine, University of Toronto, Toronto, Canada.
G V Ramesh PrasadDepartment of Medicine, University of Toronto, Toronto, Canada.
Michelle M NashDivision of Nephrology, St Michael's Hospital, Toronto, Canada.
Lakshman GunaratnamRegional Transplant Assessment Program, London Health Sciences Centre, Western University, London, Canada.
Djeven P DevaKeenan Research Centre, St. Michael's Hospital, Toronto, Canada.
Charmaine E LokDepartment of Medicine, University of Toronto, Toronto, Canada.
Weiqiu YuanDivision of Nephrology, St Michael's Hospital, Toronto, Canada.
Rachel M WaldDepartment of Medicine, University of Toronto, Toronto, Canada.
Tamar ShalmonDepartment of Medical Imaging, St. Michael's Hospital, University of Toronto, Toronto, Canada.
Ron WaldDepartment of Medicine, University of Toronto, Toronto, Canada.
Kim A ConnellyDepartment of Medicine, University of Toronto, Toronto, Canada.
Andrew T YanDepartment of Medicine, University of Toronto, Toronto, Canada. andrew.yan@unityhealth.to.ORCID http://orcid.org/0000-0002-2063-7485
St. Michael's Hospital · CAUniversity Health Network · CAUniversity of Toronto · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncreased left atrial (LA) size predicts cardiovascular events in patients with end-stage kidney disease. There is a paucity of data on LA changes after kidney transplantation (KT). Accordingly, we used cardiac magnetic resonance imaging (CMR) to evaluate LA remodeling after KT, and examined its relationship with left ventricular (LV) measurements, blood pressure and cardiac biomarkers.

methodsIn this prospective multi-center cohort study, 39 pre-transplant dialysis patients underwent KT and 42 eligible transplant recipients remained on dialysis. CMR, blood pressure and serum measurements for N-terminal pro b-type natriuretic peptide (NT-proBNP), high sensitivity C-reactive protein (hsCRP), and growth differentiation factor-15 (GDF-15) were performed at baseline and 12 months.

resultsAfter 12 months, there were no significant changes in LA end-systolic volume index, LA end-diastolic volume index, or LA ejection fraction (LAEF) within the KT or dialysis group; changes over time did not differ between the 2 groups (all p > 0.25). At baseline and over 12 months, LA volumes and LAEF positively correlated with LV volumes and mass while LAEF positively correlated with LV function. Changes in LA volumes also positively correlated with NT-proBNP and systolic blood pressure (sBP) while LAEF negatively correlated with NT-proBNP. GDF-15 correlated with LA measurements at baseline but not in 12-month changes. hsCRP did not correlate with any LA measurements.

conclusionsLA volumes and function as measured by CMR did not change significantly over 12 months post-KT. There were significant associations between LA and LV remodeling, NT-proBNP and sBP, suggesting common underlying pathophysiological mechanisms.

Indexed as

Atrial RemodelingKidney TransplantationBiomarkersCohort StudiesGrowth Differentiation Factor 15HumansMagnetic Resonance ImagingNatriuretic Peptide, BrainPeptide FragmentsProspective StudiesStroke VolumeBiomarkersGDF15 protein, humanGrowth Differentiation Factor 15Natriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Cardiac magnetic resonance imagingEnd-stage kidney diseaseKidney transplantationLeft atrium

Identifiers

PMID32910428
OpenAlexW3083985687

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.