Evidence map›Paper›PMID 36522126›Full record

ArticleOpen heart2022

Imaging and haemodynamic parameters associated with clinical outcomes following isolated tricuspid valve surgery.

Essa Hariri, Habib Layoun, Jonathan Hansen, Ossama Abou Hassan, Joseph Kassab, Nicholas Kassis, Paul C Cremer, Mazen Hanna, Amgad Mentias, Scott D Flamm and 7 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Open heart, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 45% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

17 authors at 2 institutions in 2 countries.

Essa HaririDepartment of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Habib LayounHeart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID 0000-0001-7952-9967
Jonathan HansenHeart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Ossama Abou HassanHeart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID 0000-0003-2618-4285
Joseph KassabHeart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Nicholas KassisDepartment of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA.ORCID 0000-0002-7975-0861
Paul C CremerHeart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Mazen HannaHeart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Amgad MentiasHeart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Scott D FlammHeart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Remy DaouFamily Medicine Department, Hotel-Dieu De France, Achrafieh, Lebanon.
Brian GriffinHeart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Haytham ElgharablyHeart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Shinya UnaiHeart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Gosta PetterssonHeart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Samir KapadiaHeart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Serge C HarbHeart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA harbs@ccf.org.ORCID 0000-0002-7442-4928
Cleveland Clinic · USHôtel-Dieu de France · LB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIsolated tricuspid valve surgery (TVS) may be associated with high morbidity and mortality. The aim of this study was to investigate the association of preoperative imaging and haemodynamic data derived from echocardiography (ECHO), cardiac magnetic resonance (CMR) and right heart catheterisation (RHC) with postoperative outcomes following TVS.

methodsIn a retrospective cohort study, patients who underwent isolated TVS at our institution between 2012 and 2020 were screened and followed up to 1 year. We only included those who had all three tests before surgery: ECHO, CMR and RHC. Patients with congenital heart disease, infective endocarditis and those who underwent concomitant valve or pericardial surgery were excluded. The primary outcome was a composite of mortality and congestive heart failure at 1 year. Time-to-event analyses at 1 year and Cox proportional hazards regression analyses were performed.

resultsA total of 60 patients were included (mean age of 60±14 years, 63% women), of whom 67% underwent TV repair. The primary outcome occurred in 16 patients (27%) with a 1-year mortality of 7%. It was associated with ECHO-derived right ventricular (RV) free wall strain and RHC-derived RV systolic and diastolic as well as mean pulmonary pressures. On multivariable Cox regression analysis, only RV systolic and diastolic pressures were significantly associated with the primary outcome at 1 year (HRs=5.9 and 3.4, respectively, p<0.05).

conclusionBaseline invasive haemodynamic assessment could have a strong association with clinical outcomes and help risk-stratify patients undergoing isolated TVS.

Indexed as

Cardiac Surgical ProceduresTricuspid Valve InsufficiencyAgedFemaleHemodynamicsHumansMaleMiddle AgedRetrospective StudiesTricuspid ValveCardiac CatheterizationEchocardiographyHeart Failure, SystolicMagnetic Resonance ImagingTricuspid Valve Insufficiency

Identifiers

PMID36522126
PMCPMC9756202
OpenAlexW4311738252

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.