Evidence map›Paper›PMID 33663225›Full record

Trial reportJournal of the American Heart Association2021

Acute Hemodynamic Effects of Cardiac Resynchronization Therapy Versus Alternative Pacing Strategies in Patients With Left Ventricular Assist Devices.

Brett Tomashitis, Catalin F Baicu, Ross A Butschek, Gregory R Jackson, Jeffrey Winterfield, Ryan J Tedford, Michael R Zile, Michael R Gold, Brian A Houston

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. 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

9 authors.

Brett TomashitisDepartment of Medicine Medical University of South Carolina Charleston SC.
Catalin F BaicuDivision of CardiologyDepartment of MedicineRalph H. Johnson Department of Veterans Affairs Medical Center Charleston SC.
Ross A ButschekDivision of Cardiology Department of Medicine Medical University of South Carolina Charleston SC.
Gregory R JacksonDivision of CardiologyDepartment of MedicineRalph H. Johnson Department of Veterans Affairs Medical Center Charleston SC.
Jeffrey WinterfieldDivision of Cardiology Department of Medicine Medical University of South Carolina Charleston SC.
Ryan J TedfordDivision of Cardiology Department of Medicine Medical University of South Carolina Charleston SC.
Michael R ZileDivision of CardiologyDepartment of MedicineRalph H. Johnson Department of Veterans Affairs Medical Center Charleston SC.
Michael R GoldDivision of Cardiology Department of Medicine Medical University of South Carolina Charleston SC.
Brian A HoustonDivision of Cardiology Department of Medicine Medical University of South Carolina Charleston SC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The hemodynamic effects of cardiac resynchronization therapy in patients with left ventricular assist devices (LVADs) are uncharacterized. We aimed to quantify the hemodynamic effects of different ventricular pacing configurations in patients with LVADs, focusing on short-term changes in load-independent right ventricular (RV) contractility. Methods and Results Patients with LVADs underwent right heart catheterization during spontaneous respiration without sedation and with pressures recorded at end expiration. Right heart catheterization was performed at different pacemaker configurations (biventricular pacing, left ventricular pacing, RV pacing, and unpaced conduction) in a randomly generated sequence with >3 minutes between configuration change and hemodynamic assessment. The right heart catheterization operator was blinded to the sequence. RV maximal change in pressure over time normalized to instantaneous pressure was calculated from digitized hemodynamic waveforms, consistent with a previously validated protocol. Fifteen patients with LVADs who were in sinus rhythm were included. Load-independent RV contractility, as assessed by RV maximal change in pressure over time normalized to instantaneous pressure, was higher in biventricular pacing compared with unpaced conduction (15.7±7.6 versus 11.0±4.0 s

Indexed as

Heart-Assist DevicesCardiac CatheterizationCardiac Pacing, ArtificialCardiac Resynchronization TherapyElectrocardiographyFemaleFollow-Up StudiesHeart FailureHeart VentriclesHemodynamicsHumansMaleMiddle AgedProspective StudiesTreatment Outcomecardiac resynchronization therapyleft ventricular assist deviceright ventricular contractility

Identifiers

PMID33663225
PMCPMC8174219

What OpenQuestion holds

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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.