Evidence map›Paper›PMID 35583115›Full record

ReviewDeutsches Arzteblatt international2022

The Diagnosis and Treatment of Postoperative Right Heart Failure.

Juliane Ende, Manuel Wilbring, Georg Ende, Thea Koch

Open access · greenAbstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2022. 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
0.2field-weighted citation impact, top 54% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Observational
  2. Article
  3. In Reply.Deutsches Arzteblatt international · 2023
    Article
  4. Oxygen Therapy in Right Heart Failure.Deutsches Arzteblatt international · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Juliane EndeDepartment of Anesthesiology and Intensive Care Medicine, Emergency Medicine and Pain Management, Hospital Dresden-Friedrichstadt; Department of Cardiac Surgery, University Heart Center Dresden, University Hospital, Technische Universität Dresden; Department of Internal Medicine and Cardiology, University Heart Center Dresden, University Hospital, Technische Universität Dresden; Department of Anesthesiology and Intensive Care Medicine, University Hospital, Technische Universität Dresden.
Manuel Wilbring
Georg Ende
Thea Koch
Technische Universität Dresden · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute right heart failure is a life-threatening condition that can arise postoperatively. The options for symptomatic treatment have been markedly expanded in recent years through the introduction of percutaneously implantable mechanical cardiac support systems.

methodsThis review is based on publications retrieved by a selective literature search in PubMed as well as on guidelines from Germany and abroad.

resultsThe diagnostic evaluation of right heart failure is chiefly based on echocardiography and pulmonary arterial catheteri - zation and is intended to lead to immediate treatment. Alongside treatment of the cause of the condition, supportive management is crucial to patient survival. A variety of ventilation strategies depending on the situation, catecholamine therapies, inhaled selective pulmonary vasodilators, and cardiac support systems are available for this purpose. The in-hospital mortality of postoperative right heart failure is 5-17 %. The results of the use of cardiac support systems reported in case series are dis - appointing, but nonetheless good compared to what these critically ill patients would face without such treatment. In one observational study, the 30-day survival rate was 73.3%.

conclusionSurvival is aided by the rapid recognition of right heart failure, targeted multidisciplinary treatment, and contact with an extracorporeal life support (ECLS) center for additional supportive treatment measures. Further studies on the use of pharmacological and mechanical cardiac support systems must be carried out to provide stronger evidence on which treatment recommendations can be based.

Indexed as

Extracorporeal Membrane OxygenationHeart FailureCritical IllnessGermanyHumansObservational Studies as TopicVasodilator AgentsVasodilator Agents

Identifiers

PMID35583115
PMCPMC9669324
OpenAlexW4280562669

What OpenQuestion holds

Textmetadata
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.