Evidence map›Paper›PMID 34627579›Full record

Observational studyIndian heart journal

An echocardiographic evaluation to determine the immediate and short-term changes in biventricular systolic and diastolic functions after PDA device closure-an observational analytical prospective study (echo- PDA study).

Awadhesh Kumar Sharma, Abhishek Agarwal, Santosh Kumar Sinha, M M Razi, Umeshwar Pandey, Praveen Shukla, Ramesh Thakur, C M Verma, R K Bansal, Vinay Krishna

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06324903 (Role of Echocardiography in Optimization of Cardiac Catheterization Performance in Children With Congenital Heart Disease), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT06324903 unknown statusnot on this map

Role of Echocardiography in Optimization of Cardiac Catheterization Performance in Children With Congenital Heart Disease

TypeobservationalSponsorAssiut UniversityRan2024 to 2025Enrolled67ConditionsEchocardiographyArmsechocardiography and percutaneous cardiac catheterization
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Awadhesh Kumar SharmaDepartment of Cardiology, LPS Institute of Cardiology, GSVM Medical College, Kanpur, UP, 208019, India. Electronic address: awakush@gmail.com.
Abhishek AgarwalDepartment of Cardiology, LPS Institute of Cardiology, GSVM Medical College, Kanpur, UP, 208019, India.
Santosh Kumar SinhaDepartment of Cardiology, LPS Institute of Cardiology, GSVM Medical College, Kanpur, UP, 208019, India.
M M RaziDepartment of Cardiology, LPS Institute of Cardiology, GSVM Medical College, Kanpur, UP, 208019, India.
Umeshwar PandeyDepartment of Cardiology, LPS Institute of Cardiology, GSVM Medical College, Kanpur, UP, 208019, India.
Praveen ShuklaDepartment of Cardiology, LPS Institute of Cardiology, GSVM Medical College, Kanpur, UP, 208019, India.
Ramesh ThakurDepartment of Cardiology, LPS Institute of Cardiology, GSVM Medical College, Kanpur, UP, 208019, India.
C M VermaDepartment of Cardiology, LPS Institute of Cardiology, GSVM Medical College, Kanpur, UP, 208019, India.
R K BansalDepartment of Cardiology, LPS Institute of Cardiology, GSVM Medical College, Kanpur, UP, 208019, India.
Vinay KrishnaDepartment of Cardiothoracic Surgury, LPS Institute of Cardiology, GSVM Medical College, Kanpur, UP, 208019, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectives-This prospective study with a sizable cohort was undertaken to assess changes in left and right ventricle systolic and diastolic functions after percutaneous patent ductus arteriosus device closure with appropriate follow up evaluation.

methods- It is an observational analytical prospective study. Ninety-eight patients were recruited out of which sixty-eight patients underwent percutaneous PDA device closure and were taken for final analysis. The primary objective was to study the left and right ventricular systolic and diastolic functions pre- and post-procedure at 48 h with follow up analysis at six months.

results- The mean age of the patients was 7.88 ± 5.05 years with the female to male ratio was 3.85:1. Thirty-three (48.52%) of the patients had immediate post PDA device closure LV systolic dysfunction. It was more common in those having pre-procedure mean low LVEF and those having a significant reduction in mitral A velocity. It became normal at six months follow up. The study reported immediate decrease in mea/n LVEF from 63.55 ± 8.11% to 48.19 ± 7.9%. The changes in LVEDD, LVEF, LVFS and LVEDV were statistically significant (p < 0.0001). In diastolic functions, there were significant reductions in peak early and late diastolic velocities. There was no statistically significant difference in right chamber functional assessment.

conclusionAsymptomatic LV systolic and diastolic dysfunction in immediate post PDA closure period is a common complication and reported in around 48.5% cases. It was more common in those having pre-procedure mean low LVEF and those having a significant reduction in mitral A velocity.

Indexed as

Ductus Arteriosus, PatentChildChild, PreschoolDiastoleEchocardiographyFemaleHumansMaleProspective StudiesSystoleCongenital heart diseaseDevice closureDiastolic dysfunctionLeft ventricular systolic dysfunctionPatent ductus arteriosus

Identifiers

PMID34627579
PMCPMC8551535

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Registered trials

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