Evidence map›Paper›PMID 35414701›Full record

ArticleScientific reports2022

Stress pulmonary circulation parameters assessed by a cardiovascular magnetic resonance in patients after a heart transplant.

Lukáš Opatřil, Roman Panovsky, Mary Mojica-Pisciotti, Jan Máchal, Jan Krejčí, Tomáš Holeček, Lucia Masárová, Věra Feitová, Július Godava, Vladimír Kincl and 3 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 41% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

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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

13 authors at 3 institutions in 1 country.

Lukáš OpatřilFirst Department of Internal Medicine and Cardioangiology, St. Anne's University Hospital, Pekarska 53, 656 91, Brno, Czech Republic.
Roman PanovskyFirst Department of Internal Medicine and Cardioangiology, St. Anne's University Hospital, Pekarska 53, 656 91, Brno, Czech Republic. panovsky@fnusa.cz.
Mary Mojica-PisciottiInternational Clinical Research Centre, St. Anne's University Hospital, Brno, Czech Republic.
Jan MáchalInternational Clinical Research Centre, St. Anne's University Hospital, Brno, Czech Republic.
Jan KrejčíFirst Department of Internal Medicine and Cardioangiology, St. Anne's University Hospital, Pekarska 53, 656 91, Brno, Czech Republic.
Tomáš HolečekInternational Clinical Research Centre, St. Anne's University Hospital, Brno, Czech Republic.
Lucia MasárováFirst Department of Internal Medicine and Cardioangiology, St. Anne's University Hospital, Pekarska 53, 656 91, Brno, Czech Republic.
Věra FeitováInternational Clinical Research Centre, St. Anne's University Hospital, Brno, Czech Republic.
Július GodavaFirst Department of Internal Medicine and Cardioangiology, St. Anne's University Hospital, Pekarska 53, 656 91, Brno, Czech Republic.
Vladimír KinclFirst Department of Internal Medicine and Cardioangiology, St. Anne's University Hospital, Pekarska 53, 656 91, Brno, Czech Republic.
Tomáš KepákInternational Clinical Research Centre, St. Anne's University Hospital, Brno, Czech Republic.
Gabriela ZávodnáFaculty of Medicine, Masaryk University, Brno, Czech Republic.
Lenka ŠpinarováFirst Department of Internal Medicine and Cardioangiology, St. Anne's University Hospital, Pekarska 53, 656 91, Brno, Czech Republic.
St. Anne's University Hospital Brno · CZMasaryk University · CZUniversity Hospital Brno · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rest pulmonary circulation parameters such as pulmonary transit time (PTT), heart rate corrected PTT (PTTc) and pulmonary transit beats (PTB) can be evaluated using several methods, including the first-pass perfusion from cardiovascular magnetic resonance. As previously published, up to 58% of patients after HTx have diastolic dysfunction detectable only in stress conditions. By using adenosine stress perfusion images, stress analogues of the mentioned parameters can be assessed. By dividing stress to rest biomarkers, potential new ratio parameters (PTT ratio and PTTc ratio) can be obtained. The objectives were to (1) provide more evidence about stress pulmonary circulation biomarkers, (2) present stress to rest ratio parameters, and (3) assess these biomarkers in patients with presumed diastolic dysfunction after heart transplant (HTx) and in childhood cancer survivors (CCS) without any signs of diastolic dysfunction. In this retrospective study, 48 patients after HTx, divided into subgroups based on echocardiographic signs of diastolic dysfunction (41 without, 7 with) and 39 CCS were enrolled. PTT was defined as the difference between the onset time of the signal intensity increase in the left and the right ventricle. PTT in rest conditions were without significant differences when comparing the CCS and HTx subgroup without diastolic dysfunction (4.96 ± 0.93 s vs. 5.51 ± 1.14 s, p = 0.063) or with diastolic dysfunction (4.96 ± 0.93 s vs. 6.04 ± 1.13 s, p = 0.13). However, in stress conditions, both PTT and PTTc were significantly lower in the CCS group than in the HTx subgroups, (PTT: 3.76 ± 0.78 s vs. 4.82 ± 1.03 s, p < 0.001; 5.52 ± 1.56 s, p = 0.002). PTT ratio and PTTc ratio were below 1 in all groups. In conclusion, stress pulmonary circulation parameters obtained from CMR showed prolonged PTT and PTTc in HTx groups compared to CCS, which corresponds with the presumption of underlying diastolic dysfunction. The ratio parameters were less than 1.

Indexed as

Heart TransplantationPulmonary CirculationHumansMagnetic Resonance ImagingMagnetic Resonance SpectroscopyRetrospective Studies

Identifiers

PMID35414701
PMCPMC9005501
OpenAlexW4223424008

What OpenQuestion holds

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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.