Evidence map›Paper›PMID 33407517›Full record

ArticleCardiovascular ultrasound2021

Prognostic effect of increased left ventricular wall thickness in severe aortic stenosis.

Kyungil Park, Tae-Ho Park, Yoon-Seong Jo, Young-Rak Cho, Jong-Sung Park, Moo-Hyun Kim, Young-Dae Kim

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular ultrasound, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Left ventricular changes in moderate aortic stenosis in women compared to men.European heart journal. Imaging methods and practice · 2026
    Article
  2. Review
  3. Article
  4. Understanding Aortic Stenosis and Transcatheter Aortic Valve Replacement in Women.Structural heart : the journal of the Heart Team · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Review
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

7 authors at 1 institution in 1 country.

Kyungil ParkDivision of Cardiology, Department of Internal Medicine, Dong-A University Hospital, Daeshingongwon-Ro 26, Seo-gu, Busan, 602-715, Republic of Korea.
Tae-Ho ParkDivision of Cardiology, Department of Internal Medicine, Dong-A University Hospital, Daeshingongwon-Ro 26, Seo-gu, Busan, 602-715, Republic of Korea. thpark65@dau.ac.kr.ORCID http://orcid.org/0000-0002-9968-8276
Yoon-Seong JoDivision of Cardiology, Department of Internal Medicine, Dong-A University Hospital, Daeshingongwon-Ro 26, Seo-gu, Busan, 602-715, Republic of Korea.
Young-Rak ChoDivision of Cardiology, Department of Internal Medicine, Dong-A University Hospital, Daeshingongwon-Ro 26, Seo-gu, Busan, 602-715, Republic of Korea.
Jong-Sung ParkDivision of Cardiology, Department of Internal Medicine, Dong-A University Hospital, Daeshingongwon-Ro 26, Seo-gu, Busan, 602-715, Republic of Korea.
Moo-Hyun KimDivision of Cardiology, Department of Internal Medicine, Dong-A University Hospital, Daeshingongwon-Ro 26, Seo-gu, Busan, 602-715, Republic of Korea.
Young-Dae KimDivision of Cardiology, Department of Internal Medicine, Dong-A University Hospital, Daeshingongwon-Ro 26, Seo-gu, Busan, 602-715, Republic of Korea.
Dong-A University Hospital · KR

Funding

Dong-A University 2020-11
6 · The paper itself

Abstract

backgroundIt is unclear whether increased left ventricular (LV) thickness is associated with worse clinical outcomes in severe aortic stenosis (AS). The aim of this study was to determine the effect of increased LV wall thickness (LVWT) on major clinical outcomes in patients with severe AS. METHODS AND

resultsThis study included 290 severe AS patients (mean age 69.4 ± 11.0 years; 136 females) between January 2008 and December 2018. For outcome assessment, the endpoint was defined as death from all causes, cardiovascular death, and the aortic valve replacement (AVR) surgery rate. During follow-up (48.7 ± 39.0 months), 157 patients had AVR, 43 patients died, and 28 patients died from cardiovascular causes. Patients with increased LVWT underwent AVR surgery much more than those without LVWT (60.0% vs. 39.0%, p < 0.001). Furthermore, in patients with increased LVWT, the all-cause and cardiovascular death rates were significantly lower in the AVR group than in the non-AVR group (8.8% vs. 27.3%, p < 0.001, 4.8%, vs. 21.0%, p < 0.001). Multivariate analysis revealed that increased LVWT, age, dyspnea, and AVR surgery were significantly correlated with cardiovascular death.

conclusionsIn patients with severe AS, increased LVWT was associated with a higher AVR surgery rate and an increased rate of cardiovascular death independent of other well-known prognostic variates. Thus, these findings suggest that increased LVWT might be used as a potential prognostic factor in severe AS patients.

Indexed as

Heart Valve Prosthesis ImplantationAgedAortic ValveAortic Valve StenosisDisease ProgressionEchocardiographyFemaleFollow-Up StudiesHeart VentriclesHumansMalePrognosisRetrospective StudiesSeverity of Illness IndexVentricular Function, LeftAortic stenosisEchocardiographyLeft ventricular hypertrophy

Identifiers

PMID33407517
PMCPMC7788729
OpenAlexW3119754609

What OpenQuestion holds

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LicenceCC BY
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.