Evidence map›Paper›PMID 34117638›Full record

Trial reportClinical cardiology2021

Exploratory echocardiographic strain parameters for the estimation of myocardial infarct size in ST-elevation myocardial infarction.

Varius Dannenberg, Finn Christiansen, Matthias Schneider, Stefan Kastl, Thomas Martin Hofbauer, Thomas Scherz, Julia Mascherbauer, Dietrich Beitzke, Christoph Testori, Irene Marthe Lang and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Clinical cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01777750 (Strategic Target Temperature Management in Myocardial Infarction), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 30% 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.

NCT01777750 nacompletednot on this map

Strategic Target Temperature Management in Myocardial Infarction

TypeinterventionalSponsorMedical University of ViennaRan2013 to 2019Enrolled120ConditionsST-elevation Myocardial InfarctionArmsEMCOOLS flex pad, Philips Innercool RTx
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. 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

11 authors at 3 institutions in 1 country.

Varius DannenbergDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Finn ChristiansenDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0003-0759-6575
Matthias SchneiderDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-6320-3708
Stefan KastlDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Thomas Martin HofbauerDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Thomas ScherzDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Julia MascherbauerDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Dietrich BeitzkeDepartment of Biomedical Imaging and Image-guided therapy, Medical University of Vienna, Vienna, Austria.
Christoph TestoriDepartment of Internal Medicine, Cardiology and Nephrology, Landesklinikum Wiener Neustadt, Vienna, Austria.
Irene Marthe LangDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Andreas MangoldDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0003-0029-6852
Medical University of Vienna · ATFachhochschule Wiener Neustadt · ATKarl Landsteiner University of Health Sciences · AT

Funding

Austrian Science Fund APKLI209Vienna Major Fund 15214
6 · The paper itself

Abstract

backgroundOutcome after ST-elevation myocardial infarction (STEMI) can be most reliably estimated by cardiac magnetic resonance (CMR) imaging. However, CMR is expensive, laborious, and has only limited availability. In comparison, transthoracic echocardiography (TTE) is widely available and cost-efficient. HYPOTHESIS: TTE strain parameters can be used as surrogate markers for CMR-measured parameters after STEMI.

methodsTTE strain analysis was performed of patients included in a controlled, prospective STEMI trial (NCT01777750) 4 ± 2 days after the event. Longitudinal peak strain (LPS), post-systolic shortening, early systolic lengthening, early systolic lengthening time, and time to peak shortening were measured, and index parameters were computed. Global longitudinal strain (GLS) and ejection fraction (EF) were compiled. Parameters were correlated with CMR-measured variables 4 ± 2 days after STEMI.

resultsIn 70 STEMI patients, high quality CMR and TTE data were available. Highest correlation with CMR-measured infarct size was observed with GLS (r = 0.577, p < 0.0001), LPS (r = 0.571, p < 0.0001), and EF (r = -0.533, p < 0.0001). Highest correlation with CMR-measured area at risk was observed with GLS (r = 0.666, p < 0.0001), LPS (0.661, p < 0.0001) and early systolic lengthening index (r = 0.540, p < 0.0001). Receiver operating characteristics for the detection of large infarcts (quartile with highest infarct size) showed the highest area under the curve for LPS, GLS, EF, and myocardial dysfunction index. Multiple linear regression displayed the best association between GLS and infarct size.

conclusionExploratory strain parameters significantly correlate with CMR-measured area at risk and infarct size and are of potential interest as endpoint variables in clinical trials.

Indexed as

Myocardial InfarctionST Elevation Myocardial InfarctionEchocardiographyHumansMagnetic Resonance Imaging, CineProspective StudiesReproducibility of Results

Identifiers

PMID34117638
PMCPMC8259148
OpenAlexW3168252950

What OpenQuestion holds

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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.