Evidence map›Paper›PMID 35346663›Full record

ArticleIndian heart journal

Right ventricular systolic pressure - Non-invasive bedside predictor of mortality and readmission in heart failure with reduced and preserved ejection fraction hospitalization.

Monil Majmundar, Tikal Kansara, Ashish Kumar, Hansang Park, Palak Shah, Rajkumar Doshi, Harshvardhan Zala, Hossam Amin, Shobhana Chaudhari, Ankur Kalra

Abstract read
In one paragraph

Article in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. Potential role of peripheral blood mononuclear cellJournal of geriatric cardiology : JGC · 2024
    Article
  4. 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.

Monil MajmundarDepartment of Cardiology, Maimonides Medical Center, Brooklyn, NY, USA; Section of Cardiovascular Research, Heart, Vascular, and Thoracic Department, Cleveland Clinic Akron General, Akron, OH, USA.
Tikal KansaraDepartment of Internal Medicine, New York Medical College/Metropolitan Hospital, NY, USA.
Ashish KumarSection of Cardiovascular Research, Heart, Vascular, and Thoracic Department, Cleveland Clinic Akron General, Akron, OH, USA; Department of Internal Medicine, Cleveland Clinic Akron General, Akron, OH, USA.
Hansang ParkDepartment of Internal Medicine, New York Medical College/Metropolitan Hospital, NY, USA.
Palak ShahDepartment of Internal Medicine, New York Medical College/Metropolitan Hospital, NY, USA.
Rajkumar DoshiDepartment of Cardiology, St. Joseph's Medical Center, Paterson, NJ, USA.
Harshvardhan ZalaDepartment of Clinical Research, Icahn School of Medicine, Mount Sinai Hospital, NYC, NY, USA.
Hossam AminDepartment of Internal Medicine, New York Medical College/Metropolitan Hospital, NY, USA.
Shobhana ChaudhariDepartment of Internal Medicine, New York Medical College/Metropolitan Hospital, NY, USA.
Ankur KalraSection of Cardiovascular Research, Heart, Vascular, and Thoracic Department, Cleveland Clinic Akron General, Akron, OH, USA; Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address: kalramd.ankur@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the prognostic role of right ventricular systolic pressure (RVSP) in patients with heart failure (HF).

backgroundAlthough RVSP is a readily available echocardiographic parameter, it is often underused. Its prognostic role in patients with heart failure is not well established compared with pulmonary artery pressure measured by right heart catheterization.

methodsThis single-center retrospective cohort study included patients with acute heart failure hospitalization admitted to the hospital from January 2005 to December 2018. The primary predictor was right ventricular systolic pressure (RVSP) obtained from bedside transthoracic echocardiography at admission. We divided RVSP into two groups, RVSP <40 mm Hg (reference group) and RVSP ≥40 mm Hg. Primary outcome was all-cause mortality. Secondary outcomes were all-cause readmission and cardiac readmission. We conducted propensity-score matching and applied cox-proportional hazard model to compute hazard ratio (HR) with 95% confidence interval (CI).

resultsOut of 972 HF patients, 534 patients had RVSP <40 mm Hg and 438 patients had RVSP ≥40 mm Hg. Patients with RVSP ≥40 mm Hg compared with RVSP <40 mm Hg were associated with higher rates of death [HR: 1.60, 95% CI: 1.22-2.09, P-value = 0.001], all-cause readmissions [HR: 1.37, 95% CI: 1.09-1.73, P-value = 0.008] and cardiac readmissions [HR: 1.41, 95% CI: 1.07-1.85, P-value = 0.014].

conclusionHigher RVSP (≥40 mm Hg) in HF patients was associated with higher rates of death, all-cause readmissions, and cardiac readmissions. RVSP can be considered as a prognostic marker for mortality and readmission.

Indexed as

Heart FailurePatient ReadmissionBlood PressureHospitalizationHumansPrognosisRetrospective StudiesStroke VolumeDeathHeart failureReadmissionRight ventricular systolic pressure

Identifiers

PMID35346663
PMCPMC9453053

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.