Evidence map›Paper›PMID 34430942›Full record

ArticleHeart rhythm O22021

The physiological effects of cardiac resynchronization therapy on aortic and pulmonary flow and dynamic and static components of systemic impedance.

Baldeep S Sidhu, Simon Claridge, Haotian Gu, Ye Li, Justin Gould, Bradley Porter, Mark K Elliott, Vishal Mehta, Tom Jackson, Tiffany Patterson and 7 more

Abstract read
In one paragraph

Article in Heart rhythm O2, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

17 authors.

Baldeep S SidhuSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Simon ClaridgeSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Haotian GuBritish Heart Foundation Centre, King's College London, London, United Kingdom.
Ye LiBritish Heart Foundation Centre, King's College London, London, United Kingdom.
Justin GouldSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Bradley PorterSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Mark K ElliottSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Vishal MehtaSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Tom JacksonSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Tiffany PattersonGuy's and St Thomas' Hospital, London, United Kingdom.
Natalia BricenoGuy's and St Thomas' Hospital, London, United Kingdom.
Jack LeeSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Simon RedwoodGuy's and St Thomas' Hospital, London, United Kingdom.
Shaumik AdhyaGuy's and St Thomas' Hospital, London, United Kingdom.
Steven A NiedererSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Phil ChowienczykBritish Heart Foundation Centre, King's College London, London, United Kingdom.
Christopher A RinaldiSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients who improve following cardiac resynchronization therapy (CRT) have left ventricular (LV) remodeling and improved cardiac output (CO). Effects on the systemic circulation are unknown.

objectiveTo explore the effects of CRT on aortic and pulmonary blood flow and systemic afterload.

methodsAt CRT implant patients underwent a noninvasive assessment of central hemodynamics, including wave intensity analysis (n = 28). This was repeated at 6 months after CRT. A subsample (n = 11) underwent an invasive electrophysiological and hemodynamic assessment immediately following CRT. CRT response was defined as reduction in LV end-systolic volume ≥15% at 6 months.

resultsIn CRT responders (75% of those in the noninvasive arm), there was a significant increase in CO (from 3 ± 2 L/min to 4 ± 2 L/min,

conclusionImproved cardiac function following CRT is attributable to a combination of changes in the cardiac and cardiovascular system. The relative importance of these 2 mechanisms may then be important for optimizing CRT.

Indexed as

Aortic flowCardiac resynchronization therapyPhysiologyPressure-volume loopsPulmonary flowWave intensity analysis

Identifiers

PMID34430942
PMCPMC8369303

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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.