Evidence map›Paper›PMID 34222387›Full record

ReviewFrontiers in cardiovascular medicine2021

The Predictive Value of Right Ventricular Longitudinal Strain in Pulmonary Hypertension, Heart Failure, and Valvular Diseases.

Marijana Tadic, Nicoleta Nita, Leonhard Schneider, Johannes Kersten, Dominik Buckert, Birgid Gonska, Dominik Scharnbeck, Christine Reichart, Evgeny Belyavskiy, Cesare Cuspidi and 1 more

Abstract readReview
In one paragraph

Review in Frontiers in cardiovascular medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
–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

57 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

11 authors.

Marijana TadicKlinik für Innere Medizin II, Universitätsklinikum Ulm, Ulm, Germany.
Nicoleta NitaKlinik für Innere Medizin II, Universitätsklinikum Ulm, Ulm, Germany.
Leonhard SchneiderKlinik für Innere Medizin II, Universitätsklinikum Ulm, Ulm, Germany.
Johannes KerstenKlinik für Innere Medizin II, Universitätsklinikum Ulm, Ulm, Germany.
Dominik BuckertKlinik für Innere Medizin II, Universitätsklinikum Ulm, Ulm, Germany.
Birgid GonskaKlinik für Innere Medizin II, Universitätsklinikum Ulm, Ulm, Germany.
Dominik ScharnbeckKlinik für Innere Medizin II, Universitätsklinikum Ulm, Ulm, Germany.
Christine ReichartKlinik für Innere Medizin II, Universitätsklinikum Ulm, Ulm, Germany.
Evgeny BelyavskiyDepartment of Cardiology, Charité-University-Medicine (Campus Virchow - Klinikum), Berlin, Germany.
Cesare CuspidiDepartment of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy.
Wolfang RottbauerKlinik für Innere Medizin II, Universitätsklinikum Ulm, Ulm, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Right ventricular (RV) systolic function has an important role in the prediction of adverse outcomes, including mortality, in a wide range of cardiovascular (CV) conditions. Because of complex RV geometry and load dependency of the RV functional parameters, conventional echocardiographic parameters such as RV fractional area change (FAC) and tricuspid annular plane systolic excursion (TAPSE), have limited prognostic power in a large number of patients. RV longitudinal strain overcame the majority of these limitations, as it is angle-independent, less load-dependent, highly reproducible, and measure regional myocardial deformation. It has a high predictive value in patients with pulmonary hypertension, heart failure, congenital heart disease, ischemic heart disease, pulmonary embolism, cardiomyopathies, and valvular disease. It enables detection of subclinical RV damage even when conventional parameters of RV systolic function are in the normal range. Even though cardiac magnetic resonance-derived RV longitudinal strain showed excellent predictive value, echocardiography-derived RV strain remains the method of choice for evaluation of RV mechanics primarily due to high availability. Despite a constantly growing body of evidence that support RV longitudinal strain evaluation in the majority of CV patients, its assessment has not become the part of the routine echocardiographic examination in the majority of echocardiographic laboratories. The aim of this clinical review was to summarize the current data about the predictive value of RV longitudinal strain in patients with pulmonary hypertension, heart failure and valvular heart diseases.

Indexed as

aortic stenosisheart failurelongitudinal strainmitral regurgitationoutcomepulmonary hypertensionright ventricletricuspid regurgitation

Identifiers

PMID34222387
PMCPMC8247437

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Registered trials

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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.