Evidence map›Paper›PMID 34190849›Full record

SynthesisClinics (Sao Paulo, Brazil)

Prognostic power of conventional echocardiography in individuals without history of cardiovascular diseases: A systematic review and meta-analysis.

Luciana Pereira Fernandes, Ana Terra Fonseca Barreto, Mansueto Gomes Neto, Edmundo José Nassri Câmara, André Rodrigues Durães, Leonardo Roever, Roque Aras-Júnior

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinics (Sao Paulo, Brazil). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

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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 2 institutions in 1 country.

Luciana Pereira FernandesPrograma de Pos Graduacao em Medicina e Saude, Universidade Federal da Bahia, Salvador, BA, BR.ORCID http://orcid.org/0000-0002-3755-3659
Ana Terra Fonseca BarretoDepartamento de Ecocardiografia, Hospital Universitario Professor Edgar Santos (HUPES), Universidade Federal da Bahia, Salvador, BA, BR.ORCID http://orcid.org/0000-0002-7919-8579
Mansueto Gomes NetoGrupo de Pesquisa em Fisioterapia, Universidade Federal da Bahia, Salvador, BA, BR.ORCID http://orcid.org/0000-0002-0717-9694
Edmundo José Nassri CâmaraDepartamento de Medicina, Universidade Federal da Bahia, Salvador, BA, BR.ORCID http://orcid.org/0000-0001-8270-501X
André Rodrigues DurãesDepartamento de Medicina, Universidade Federal da Bahia, Salvador, BA, BR.ORCID http://orcid.org/0000-0002-1506-0327
Leonardo RoeverDepartamento de Pesquisa Clinica, Universidade Federal de Uberlandia, Uberlandia, MG, BR.ORCID http://orcid.org/0000-0002-7517-5548
Roque Aras-JúniorDepartamento de Medicina, Universidade Federal da Bahia, Salvador, BA, BR.ORCID http://orcid.org/0000-0002-2161-3696
Universidade Federal da Bahia · BRUniversidade Federal de Uberlândia · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Echocardiographic abnormalities are associated with a higher incidence of adverse cardiovascular outcomes. This systematic review and meta-analysis aimed to evaluate whether echocardiographic abnormalities are predictors of cardiovascular events in individuals without previous cardiovascular diseases. The PubMed, Scopus, and SciELO databases were searched for longitudinal studies investigating the association between echocardiographic abnormalities and cardiovascular events among individuals without known cardiovascular diseases. Two independent reviewers analyzed data on the number of participants, age and sex, echocardiographic alterations, follow-up time, and cardiovascular outcomes. The meta-analysis estimated the risk ratio (RR) and 95% confidence interval (CI). Heterogeneity was assessed using I2 test. Twenty-two longitudinal studies met the eligibility criteria, comprising a total of 55,603 patients. Left ventricular hypertrophy (LVH) was associated with non-fatal cardiovascular events (RR 2.16; 95% CI 1.22-3.84), death from cardiovascular disease (RR 2.58; 95% CI 1.83- 3.64), and all-cause mortality (RR 2.02; 95% CI 1.34-3.04). Left ventricular diastolic dysfunction (LVDD) and left atrial dilation (LA) were associated with fatal and non-fatal cardiovascular events (RR 2.01; 95% CI 1.32-3.07) and (RR 1.78; 95% CI 1.16-2.73), respectively. Aortic root dilation was associated with non-fatal cardiovascular events (RR 1.25; 95% CI 1.09-1.43). In conclusion, LVH, LVDD, dilations of the LA, and of the aortic root were associated with an increased risk of adverse events in individuals without previous cardiovascular diseases. This study suggests that simple data obtained on conventional echocardiography can be an important predictor of cardiovascular outcomes in a low-risk population.

Indexed as

Cardiovascular DiseasesEchocardiographyHumansHypertrophy, Left VentricularIncidencePrognosis

Identifiers

PMID34190849
PMCPMC8221562
OpenAlexW3176137208

What OpenQuestion holds

Textmetadata
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.