Evidence map›Paper›PMID 34355777›Full record

Observational studyCardiology journal2023

Echocardiographic markers of cardiac amyloidosis in patients with heart failure and left ventricular hypertrophy.

Jorge Melero Polo, Ana Roteta Unceta-Barrenechea, Pablo Revilla Martí, Raquel Pérez-Palacios, Anyuli Gracia Gutiérrez, Esperanza Bueno Juana, Alejandro Andrés Gracia, Saida Atienza Ayala, Miguel Ángel Aibar Arregui

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Cardiology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Cardiovascular system characteristics in HIV/AIDS patients with talaromycosis.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
    Article
  5. Cardiac Amyloidosis: Tribulations and New Frontiers.Journal of personalized medicine · 2025
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. 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 at 2 institutions in 1 country.

Jorge Melero PoloCardiology Department, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain. jorgemeleropolo@gmail.com.ORCID 0000-0002-8405-4721
Ana Roteta Unceta-BarrenecheaNuclear Medicine Department, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
Pablo Revilla MartíCardiology Department, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
Raquel Pérez-PalaciosBiochemistry and Molecular Biology, IIS-Aragón, Zaragoza, Spain.
Anyuli Gracia GutiérrezInternal Medicine Department, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
Esperanza Bueno JuanaInternal Medicine Department, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
Alejandro Andrés GraciaNuclear Medicine Department, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
Saida Atienza AyalaNeurology Department, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
Miguel Ángel Aibar ArreguiInternal Medicine Department, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
Hospital Clínico Universitario Lozano Blesa · ESInstituto de Investigación Sanitaria Aragón · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac amyloidosis (CA), following a non-invasive diagnosis, constitutes an increasingly prevalent heart failure (HF) etiology. This study aims to determine which echocardiography findings help to diagnose CA in patients with left ventricular hypertrophy (LVH) admitted for decompensated HF.

methodsThe present study is a retrospective observational study on a cohort of 85 LVH patients admitted for HF decompensation, in which 99mTc-DPD scanning was performed to rule out transthyretin CA. The echocardiographic findings obtained were compared between CA and non-CA groups.

resultsFrom a total number of 85 patients, 49 (57.6%) met the CA criteria and 36 (42.3%) were ruled out for the disease. Interventricular septum thickness (16 ± 3 mm vs. 14 ± 3 mm), left ventricular posterior wall thickness (14 ± 3 mm vs. 11 ± 2 mm), left ventricular mass (259 ± 76 g vs. 224 ± 53 g), left ventricular end-diastolic diameter (48 ± 7 mm vs. 53 ± 6 mm), left ventricular end-diastolic indexed volume (51 ± 18 cm3/m2 vs. 59 ± 16 cm3/m2), tricuspid annular plane systolic excursion (16 ± 5 mm vs. 20 ± 4 mm), right atrial area (27.4 ± 8.4 cm2 vs. 22.2 ± 5.7 cm2) and strain relative apical sparing (2.2 ± 0.9 vs. 1.03 ± 0.4; p = 0.04) were significantly associated with the diagnosis of CA.

conclusionsIn patients with LVH admitted for HF decompensation, there are several echocardiographic features (LVH, reduced left ventricular cavity size, strain relative apical sparing, right atrial dilation, and altered right ventricular function) that are associated with the diagnosis of cardiac amyloidosis.

Indexed as

AmyloidosisAtrial FibrillationHeart FailureEchocardiographyHumansHypertrophy, Left Ventricularcardiac amyloidosisechocardiographyheart failureleft ventricular hypertrophy

Identifiers

PMID34355777
PMCPMC10129250
OpenAlexW3192438678

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.