Evidence map›Paper›PMID 33558133›Full record

ArticleJournal of cardiothoracic and vascular anesthesia2021

Usefulness of Right Ventricular Longitudinal Shortening Fraction to Detect Right Ventricular Dysfunction in Acute Cor Pulmonale Related to COVID-19.

Christophe Beyls, Yohann Bohbot, Pierre Huette, Thomas Booz, Camille Daumin, Osama Abou-Arab, Yazine Mahjoub

Open access · bronzeAbstract read
In one paragraph

Article in Journal of cardiothoracic and vascular anesthesia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Echocardiographic assessment of the right ventricle in COVID-19: a systematic review.The international journal of cardiovascular imaging · 2021
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  13. The Right Ventricle in COVID-19.Journal of clinical medicine · 2021
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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

7 authors at 3 institutions in 1 country.

Christophe BeylsDepartment of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France. Electronic address: beyls.christophe59@gmail.com.
Yohann BohbotDepartment of Cardiology, Amiens University Hospital, Amiens, France.
Pierre HuetteDepartment of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France.
Thomas BoozDepartment of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France.
Camille DauminDepartment of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France.
Osama Abou-ArabDepartment of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France.
Yazine MahjoubDepartment of Anesthesiology and Critical Care Medicine, Amiens University Hospital, Amiens, France.
Centre Hospitalier Universitaire Amiens-Picardie · FRCentre Hospitalier Universitaire de Caen · FRUniversité de Picardie Jules Verne · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare two-dimensional-speckle tracking echocardiographic parameters (2D-STE) and classic echocardiographic parameters of right ventricular (RV) systolic function in patients with coronavirus disease 2019 (COVID-19)-related acute respiratory distress syndrome (CARDS) complicated or not by acute cor pulmonale (ACP).

designProspective, between March 1, 2020 and April 15, 2020.

settingIntensive care unit of Amiens University Hospital (France).

participantsAdult patients with moderate-to-severe CARDS under mechanical ventilation for fewer than 24 hours.

interventionsNone. MEASUREMENTS AND MAIN

resultsTricuspid annular displacement (TAD) parameters (TAD-septal, TAD-lateral, and RV longitudinal shortening fraction [RV-LSF]), RV global longitudinal strain (RV-GLS), and RV free wall longitudinal strain (RVFWLS) were measured using transesophageal echocardiography with a dedicated software and compared with classic RV systolic parameters (RV-FAC, S' wave, and tricuspid annular plane systolic excursion [TAPSE]). RV systolic dysfunction was defined as RV-FAC <35%. Twenty-nine consecutive patients with moderate-to-severe CARDS were included. ACP was diagnosed in 12 patients (41%). 2D-STE parameters were markedly altered in the ACP group, and no significant difference was found between patients with and without ACP for classic RV parameters (RV-FAC, S' wave, and TAPSE). In the ACP group, RV-LSF (17% [14%-22%]) had the best correlation with RV-FAC (r = 0.79, p < 0.001 v r = 0.27, p = 0.39 for RVGLS and r = 0.28, p = 0.39 for RVFWLS). A RV-LSF cut-off value of 17% had a sensitivity of 80% and a specificity of 86% to identify RV systolic dysfunction.

conclusionsClassic RV function parameters were not altered by ACP in patients with CARDS, contrary to 2D-STE parameters. RV-LSF seems to be a valuable parameter to detect early RV systolic dysfunction in CARDS patients with ACP.

Indexed as

COVID-19Pulmonary Heart DiseaseVentricular Dysfunction, RightAdultHumansProspective StudiesSARS-CoV-2Ventricular Function, Rightacute cor pulmonaleARDS (acute respiratory distress syndrome)COVID-19right ventricle dysfunctionspeckle trackingstraintricuspid

Identifiers

PMID33558133
PMCPMC7832272
OpenAlexW3123987177

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.