Evidence map›Paper›PMID 33066772›Full record

ArticleCardiovascular ultrasound2020

Mechanistic validation of the 2016 American Society of Echocardiography/European Association of Cardiovascular Imaging Guidelines for the assessment of diastolic dysfunction in heart failure with reduced ejection fraction.

Ythan H Goldberg, David Megyessi, Mischa Flam, Daniel M Spevack, Martin G Sundqvist, Martin Ugander

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In one paragraph

Article in Cardiovascular ultrasound, 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

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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

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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.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ythan H GoldbergDepartment of Medicine, Albert Einstein College of Medicine-Montefiore Medical Center, Bronx, NY, USA.
David MegyessiDepartment of Clinical Physiology, Karolinska University Hospital, and Karolinska Institutet, Stockholm, Sweden.
Mischa FlamDepartment of Clinical Physiology, Karolinska University Hospital, and Karolinska Institutet, Stockholm, Sweden.
Daniel M SpevackWestchester Medical Center, Valhalla, NY, USA.
Martin G SundqvistDepartment of Cardiology, Södersjukhuset, and Karolinska Institutet, Stockholm, Sweden.
Martin UganderDepartment of Clinical Physiology, Karolinska University Hospital, and Karolinska Institutet, Stockholm, Sweden. martin.ugander@ki.se.ORCID http://orcid.org/0000-0003-3665-2038

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe American Society for Echocardiography/European Association of Cardiovascular Imaging (ASE/EACVI) 2016 guidelines for assessment of diastolic dysfunction (DD) are based primarily on the effects of diastolic dysfunction on left ventricular filling hemodynamics. However, these measures do not provide quantifiable mechanistic information about diastolic function. The Parameterized Diastolic Filling (PDF) formalism is a validated theoretical framework that describes DD in terms of the physical properties of left ventricular filling.

aimsWe hypothesized that PDF analysis can provide mechanistic insight into the mechanical properties governing higher grade DD.

methodsPatients referred for echocardiography showing reduced left ventricular ejection fraction (< 45%) were prospectively classified into DD grade according to 2016 ASE/EACVI guidelines. Serial E-waves acquired during free breathing using pulsed wave Doppler of transmitral blood flow were analyzed using the PDF formalism.

resultsHigher DD grade (grade 2 or 3, n = 20 vs grade 1, n = 30) was associated with increased chamber stiffness (261 ± 71 vs 169 ± 61 g/s

conclusionsHigher grade DD was associated with changes in the mechanical properties that determine the physics of poorer left ventricular filling. These findings provide mechanistic insight into, and independent validation of the appropriateness of the 2016 guidelines for assessment of DD.

Indexed as

EchocardiographyPractice Guidelines as TopicSocieties, MedicalAgedDiastoleEuropeFemaleHeart FailureHumansMaleMiddle AgedRetrospective StudiesStroke VolumeVentricular DysfunctionDiastolic functionHemodynamicsPulsed-wave DopplerTransthoracic echocardiography

Identifiers

PMID33066772
PMCPMC7568361

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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.