Evidence map›Paper›PMID 33654241›Full record

ArticleJournal of human hypertension2022

Impact of cardiovascular risk factors on myocardial work-insights from the STAAB cohort study.

Floran Sahiti, Caroline Morbach, Vladimir Cejka, Theresa Tiffe, Martin Wagner, Felizitas A Eichner, Götz Gelbrich, Peter U Heuschmann, Stefan Störk

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of human hypertension, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05960604 (Observational Study to Evaluate the Pressure Recording Analytical Method Parameters in Patients Susceptible to Post-induction Hypotension Due to Hypertension, Diabetes Mellitus, Cardiovascular Risk Factors, or Major Surgery), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.3field-weighted citation impact, top 7% 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.

NCT05960604 recruitingnot on this mapstarted 2024, after this paper: background citation

Observational Study to Evaluate the Pressure Recording Analytical Method Parameters in Patients Susceptible to Post-induction Hypotension Due to Hypertension, Diabetes Mellitus, Cardiovascular Risk Factors, or Major Surgery

TypeobservationalSponsorRecep Tayyip Erdogan UniversityRan2024 to 2027Enrolled660ConditionsCardiovascular Diseases, Surgery, Hypotension, Hypotension on InductionArmsPassive leg raising
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
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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

9 authors at 2 institutions in 1 country.

Floran SahitiComprehensive Heart Failure Center, University Hospital and University of Würzburg, Würzburg, Germany.ORCID 0000-0003-2033-9354
Caroline MorbachComprehensive Heart Failure Center, University Hospital and University of Würzburg, Würzburg, Germany.
Vladimir CejkaComprehensive Heart Failure Center, University Hospital and University of Würzburg, Würzburg, Germany.ORCID 0000-0003-4393-1772
Theresa TiffeComprehensive Heart Failure Center, University Hospital and University of Würzburg, Würzburg, Germany.
Martin WagnerInstitute of Clinical Epidemiology and Biometry, University of Würzburg, Würzburg, Germany.
Felizitas A EichnerComprehensive Heart Failure Center, University Hospital and University of Würzburg, Würzburg, Germany.
Götz GelbrichComprehensive Heart Failure Center, University Hospital and University of Würzburg, Würzburg, Germany.
Peter U Heuschmann *Comprehensive Heart Failure Center, University Hospital and University of Würzburg, Würzburg, Germany.
Stefan Störk *Comprehensive Heart Failure Center, University Hospital and University of Würzburg, Würzburg, Germany. Stoerk_S@ukw.de.ORCID 0000-0002-1771-7249
University of Würzburg · DEUniversitäts-Kinderklinik Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myocardial work is a new echocardiography-based diagnostic tool, which allows to quantify left ventricular performance based on pressure-strain loops, and has been validated against invasively derived pressure-volume measurements. Myocardial work is described by its components (global constructive work [GCW], global wasted work [GWW]) and indices (global work index [GWI], global work efficiency [GWE]). Applying this innovative concept, we characterized the prevalence and severity of subclinical left ventricular compromise in the general population and estimated its association with cardiovascular (CV) risk factors. Within the Characteristics and Course of Heart Failure STAges A/B and Determinants of Progression (STAAB) cohort study we comprehensively phenotyped a representative sample of the population of Würzburg, Germany, aged 30-79 years. Indices of myocardial work were determined in 1929 individuals (49.3% female, mean age 54 ± 12 years). In multivariable analysis, hypertension was associated with a mild increase in GCW, but a profound increase in GWW, resulting in higher GWI and lower GWE. All other CV risk factors were associated with lower GCW and GWI, but not with GWW. The association of hypertension and obesity with GWI was stronger in women. We conclude that traditional CV risk factors impact selectively and gender-specifically on left ventricular myocardial performance, independent of systolic blood pressure. Quantifying active systolic and diastolic compromise by derivation of myocardial work advances our understanding of pathophysiological processes in health and cardiac disease.

Indexed as

Cardiovascular DiseasesHypertensionAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedRisk FactorsStroke VolumeVentricular Function, Left

Identifiers

PMID33654241
PMCPMC8930764
OpenAlexW3134604963

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.