Evidence map›Paper›PMID 33054561›Full record

Observational studyJournal of the American Heart Association2020

Subaortic Membranes in Patients With Hereditary Hemorrhagic Telangiectasia and Liver Vascular Malformations.

Agnes S Kim, Katharine J Henderson, Sumeet Pawar, Min Jung Kim, Shahnaz Punjani, Jeffrey S Pollak, John T Fahey, Guadalupe Garcia-Tsao, Lissa Sugeng, Lawrence H Young

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.1field-weighted citation impact, top 50% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Observational
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

10 authors at 2 institutions in 1 country.

Agnes S KimDepartment of Internal Medicine Calhoun Cardiology Center University of Connecticut School of Medicine Farmington CT.
Katharine J HendersonSection of Vascular and Interventional Radiology Department of Radiology and Biomedical Imaging Yale University School of Medicine New Haven CT.
Sumeet PawarSection of Cardiovascular Medicine Department of Internal Medicine Yale University School of Medicine New Haven CT.
Min Jung KimDepartment of Internal Medicine Calhoun Cardiology Center University of Connecticut School of Medicine Farmington CT.
Shahnaz PunjaniSection of Cardiovascular Medicine Department of Internal Medicine Yale University School of Medicine New Haven CT.
Jeffrey S PollakSection of Vascular and Interventional Radiology Department of Radiology and Biomedical Imaging Yale University School of Medicine New Haven CT.
John T FaheySection of Cardiology Department of Pediatrics Yale University School of Medicine New Haven CT.
Guadalupe Garcia-TsaoSection of Digestive Disease Department of Internal Medicine Yale University School of Medicine New Haven CT.
Lissa SugengSection of Cardiovascular Medicine Department of Internal Medicine Yale University School of Medicine New Haven CT.
Lawrence H YoungSection of Cardiovascular Medicine Department of Internal Medicine Yale University School of Medicine New Haven CT.
Yale University · USUniversity of Connecticut · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Background Patients with hereditary hemorrhagic telangiectasia have liver vascular malformations that can cause high-output cardiac failure (HOCF). Known sequelae include pulmonary hypertension, tricuspid regurgitation, and atrial fibrillation. Methods and Results The objectives of this study were to describe the clinical, echocardiographic, and hemodynamic characteristics and prognosis of hereditary hemorrhagic telangiectasia patients with HOCF who were found to have a subaortic membrane (SAoM). A retrospective observational analysis comparing patients with and without SAoM was performed. Among a cohort of patients with HOCF, 9 were found to have a SAoM in the left ventricular outflow tract by echocardiography (all female, mean age 64.8±4.0 years). The SAoM was discrete and located in the left ventricular outflow tract 1.1±0.1 cm below the aortic annular plane. It caused turbulent flow, mild obstruction (peak velocity 2.8±0.2 m/s, peak gradient 32±4 mm Hg), and no more than mild aortic insufficiency. Patients with SAoM (n=9) had higher cardiac output (12.1±1.3 versus 9.3±0.7 L/min,

Indexed as

Cardiac Output, HighDiscrete Subaortic StenosisHeart Defects, CongenitalHeart FailureLiverTelangiectasia, Hereditary HemorrhagicActivin Receptors, Type IIEchocardiographyFemaleHumansMaleMiddle AgedMutationPrognosisRetrospective StudiesSurvival AnalysisActivin Receptors, Type IIACVRL1 protein, humanechocardiographyhereditary hemorrhagic telangiectasiahigh‐output cardiac failuresubaortic membrane

Identifiers

PMID33054561
PMCPMC7763373
OpenAlexW3093401751

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.