Evidence map›Paper›PMID 33224777›Full record

ReviewCardiovascular diagnosis and therapy2020

Diagnosis and treatment of right ventricular dysfunction in congenital heart disease.

Béatrice Santens, Alexander Van De Bruaene, Pieter De Meester, Michele D'Alto, Sushma Reddy, Daniel Bernstein, Martin Koestenberger, Georg Hansmann, Werner Budts

Open access · diamondAbstract readReview
In one paragraph

Review in Cardiovascular diagnosis and therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Cardiac Function in Pediatric Nephrotic Syndrome: Tissue Doppler Echocardiography.Research in heart yield and translational medicine · 2025
    Article
  11. Review
  12. Venous Congestion Assessed by Venous Excess Ultrasound (VExUS) and Acute Kidney Injury in Children with Right Ventricular Dysfunction.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Congenital Heart Disease: The State-of-the-Art on Its Pharmacological Therapeutics.Journal of cardiovascular development and disease · 2022
    Review
  18. Article
  19. Article
  20. Getting to the bottom of right heart failure.Cardiovascular diagnosis and therapy · 2020
    Article
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 5 institutions in 5 countries.

Béatrice SantensCongenital and Structural Cardiology, University Hospitals Leuven, Leuven, Belgium.
Alexander Van De BruaeneCongenital and Structural Cardiology, University Hospitals Leuven, Leuven, Belgium.
Pieter De MeesterCongenital and Structural Cardiology, University Hospitals Leuven, Leuven, Belgium.
Michele D'AltoDepartment of Cardiology, University "L. Vanvitelli" - Monaldi Hospital, Naples, Italy.
Sushma ReddyDepartment of Pediatrics (Cardiology), Stanford University, California, United States of America.
Daniel BernsteinDepartment of Pediatrics (Cardiology), Stanford University, California, United States of America.
Martin KoestenbergerDepartment of Pediatric Cardiology, Medical University Graz, Graz, Austria.
Georg HansmannDepartment of Pediatric Cardiology and Critical care, Hannover Medical School, Hannover, Germany.
Werner BudtsCongenital and Structural Cardiology, University Hospitals Leuven, Leuven, Belgium.
KU Leuven · BEStanford University · USMedical University of Graz · ATMedizinische Hochschule Hannover · DEOspedale Monaldi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Right ventricular (RV) function is important for clinical status and outcomes in children and adults with congenital heart disease (CHD). In the normal RV, longitudinal systolic function is the major contributor to global RV systolic function. A variety of factors contribute to RV failure including increased pressure- or volume-loading, electromechanical dyssynchrony, increased myocardial fibrosis, abnormal coronary perfusion, restricted filling capacity and adverse interactions between left ventricle (LV) and RV. We discuss the different imaging techniques both at rest and during exercise to define and detect RV failure. We identify the most important biomarkers for risk stratification in RV dysfunction, including abnormal NYHA class, decreased exercise capacity, low blood pressure, and increased levels of NTproBNP, troponin T, galectin-3 and growth differentiation factor 15. In adults with CHD (ACHD), fragmented QRS is independently associated with heart failure (HF) symptoms and impaired ventricular function. Furthermore, we discuss the different HF therapies in CHD but given the broad clinical spectrum of CHD, it is important to treat RV failure in a disease-specific manner and based on the specific alterations in hemodynamics. Here, we discuss how to detect and treat RV dysfunction in CHD in order to prevent or postpone RV failure.

Indexed as

Congenital heart disease (CHD)heart failure (HF)right ventricular dysfunctionsystemic right ventriculartreatment of heart failure

Identifiers

PMID33224777
PMCPMC7666946
OpenAlexW3034238608

What OpenQuestion holds

Textmetadata
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.