Evidence map›Paper›PMID 36369588›Full record

SynthesisThe international journal of cardiovascular imaging2023

Speckle-tracking echocardiography for predicting improvement of myocardial contractile function after revascularization: a meta-analysis of prospective trials.

Haitham Ballo, Fatma Doghman, Juha Hartikainen, Antti Saraste, Juhani Knuuti

Open access · hybridAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in The international journal of cardiovascular imaging, 2023. 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 31% 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, 5 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Objective, observer-independent evaluation of myocardial perfusion and function: role of SPECT.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2022
    Review
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 3 institutions in 1 country.

Haitham BalloTurku PET Centre, University of Turku and Turku University Hospital, Turku, Finland. haitham.ballo@utu.fi.
Fatma DoghmanDepartment of Pulmonary Diseases, Turku University Hospital, Turku, Finland.
Juha HartikainenHeart Center, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.
Antti SarasteTurku PET Centre, University of Turku and Turku University Hospital, Turku, Finland.
Juhani KnuutiTurku PET Centre, University of Turku and Turku University Hospital, Turku, Finland.
Turku University Hospital · FITurku PET Centre · FIUniversity of Eastern Finland · FI

Funding

Academy of Finland 310136Finnish Cultural Foundation 00180171
6 · The paper itself

Abstract

Some studies have indicated that the use of 2D-Speckle tracking echocardiography (2DSTE) aids in predicting recovery of myocardial contractile function after revascularization in patients with chronic ischemic left ventricular (LV) dysfunction or acute myocardial infarction (MI). The purpose of this meta-analysis was to evaluate the diagnostic accuracy of 2DSTE strain in the detection of myocardial viability at rest and during low-dose dobutamine (LDD) stress. A systematic review for all prospective trials using 2DSTE to assess myocardial viability until January 2019 was done. Using a standard approach of meta-analysis for diagnostic tests. Overall, nine studies including 525 patients with either chronic ischemic heart disease or acute MI fulfilled the inclusion criteria. Seven studies used longitudinal strain (LS) at rest, nine studies used circumferential strain (CS) at rest, four studies used LS during LDD stress, and four studies used CS during LDD stress. LS and CS during LDD stress showed equally high sensitivity (81.5% and 81.5% respectively) and specificity (81.3% and 81.4% respectively) for detecting reversible dysfunction. At rest, LS and CS showed equally lower sensitivity (67.1%, p < 0.0001 vs. LDD stress and 68.7%, p < 0.0001, vs. LDD stress, respectively) and specificity (64%, p < 0.0001 vs. LDD stress and 65.7%, p = 0.0008 vs. LDD stress, respectively) as compared with LDD stress. LS and CS by 2DSTE during LDD stress accurately identify reversible ischemic myocardial dysfunction in patients with chronic ischemic LV dysfunction or after MI. The use of LDD stress can be recommended over resting strain measures in this setting.

Indexed as

Myocardial InfarctionMyocardial IschemiaVentricular Dysfunction, LeftEchocardiographyHumansMyocardiumPredictive Value of TestsProspective Studies2D-Speckle tracking echocardiographyMyocardial viabilityRevascularization

Identifiers

PMID36369588
PMCPMC9947084
OpenAlexW4308790786

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.