Evidence map›Paper›PMID 36330592›Full record

ArticleClinical cardiology2022

Predicting progression of aortic stenosis by measuring serum calcification propensity.

Reto Kurmann, Eric Buffle, Andreas Pasch, Christian Seiler, Stefano F de Marchi

Open access · goldAbstract read
In one paragraph

Article in Clinical cardiology, 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
0.7field-weighted citation impact, top 29% 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, 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

5 authors at 2 institutions in 2 countries.

Reto KurmannDepartment of Cardiology, University Hospital Bern, Freiburgstrasse, Bern, Switzerland.
Eric BuffleDepartment of Cardiology, University Hospital Bern, Freiburgstrasse, Bern, Switzerland.
Andreas PaschDepartment of Cardiology, University Hospital Bern, Freiburgstrasse, Bern, Switzerland.
Christian SeilerDepartment of Cardiology, University Hospital Bern, Freiburgstrasse, Bern, Switzerland.
Stefano F de MarchiDepartment of Cardiology, University Hospital Bern, Freiburgstrasse, Bern, Switzerland.ORCID http://orcid.org/0000-0003-3149-2944
University Hospital of Bern · CHHiroshima Bunka Gakuen University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this prospective, double-blinded study in patients with aortic sclerosis was to determine whether a new calcification propensity measure in the serum could predict disease progression.

methodsWe included 129 consecutive patients with aortic sclerosis as assessed during a routine clinical echocardiographic exam. Clinical, echocardiographic, and serum laboratory parameters were collected, including a new blood test providing an overall measure of calcification propensity by monitoring the maturation time of calciprotein particles (T50 test). The echocardiographic exam was repeated after 1 year. Multiple regression analysis was performed to identify independent predictors of the annual increase of peak transvalvular Doppler velocity (∆vmax). Furthermore, the accuracy of the T50 test to detect patients with the most marked stenosis progression was assessed by receiver operating characteristic (ROC)-analysis.

resultsMean age was 75 ± 9 years, 79% were men. The T50 was 271 ± 58 min. Overall, there was no significant stenosis progression between baseline and follow-up (∆vmax 3.8 ± 29.8 cm/s, p = ns). The T50 test was not found to be an independent linear predictor in multivariate testing. By ROC-analysis, however, a T50-value ≤ 242 min was able to significantly detect a ∆vmax above the 90th percentile (∆vmax ≥ 43 cm/s, AUC = 0.67, p = .04, Sensitivity = 69%, Specificity = 70%).

conclusionsThe T50 test showed a modest but significant ability to identify a pronounced aortic stenosis progression in patients with aortic sclerosis. The test could not be established as an independent linear predictor of disease progression, possibly due to the low valvular disease burden and short follow-up interval.

Indexed as

Aortic Valve StenosisCalcinosisAgedAged, 80 and overConstriction, PathologicDisease ProgressionFemaleHumansMaleProspective StudiesSclerosisaortic sclerosisaortic stenosiscalcification propensityechocardiographyvalvular heart disease

Identifiers

PMID36330592
PMCPMC9748749
OpenAlexW4308187199

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LicenceCC BY
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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.