Evidence map›Paper›PMID 36539534›Full record

Trial reportClinical research in cardiology : official journal of the German Cardiac Society2023

Recovery of right ventricular function after intermediate-risk pulmonary embolism: results from the multicentre Pulmonary Embolism International Trial (PEITHO)-2.

Anna C Mavromanoli, Stefano Barco, Walter Ageno, Hélène Bouvaist, Marianne Brodmann, Claudio Cuccia, Francis Couturaud, Claudia Dellas, Konstantinos Dimopoulos, Daniel Duerschmied and 25 more

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Clinical research in cardiology : official journal of the German Cardiac Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 13 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

35 authors at 20 institutions in 12 countries.

Anna C MavromanoliCenter for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.
Stefano BarcoCenter for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.
Walter AgenoDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.
Hélène BouvaistDepartment of Cardiology, Pôle Thorax et Vaisseaux, CHU Grenoble Alpes, La Tronche, France.
Marianne BrodmannDepartment of Angiology, Medical University Graz, Graz, Austria.
Claudio CucciaCardiovascular Department, Fondazione Poliambulanza, Istituto Ospedaliero, Brescia, Italy.
Francis CouturaudDépartement de Médecine Interne et Pneumologie, Centre Hospitalo-Universitaire de Brest, Brest, France.
Claudia DellasClinic of Paediatric Cardiology and Intensive Care, ACHD Center, University Medical Center Goettingen, Goettingen, Germany.
Konstantinos DimopoulosRoyal Brompton Hospital, London, UK.
Daniel DuerschmiedDepartment of Cardiology, Angiology, Haemostaseology and Medical Intensive Care, University Medical Centre Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Klaus EmpenDepartment of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.
Pompilio FaggianoFondazione Ospedaliera Poliambulanza, Brescia, Italy.
Emile FerrariService de Cardiologie, Hôpital Pasteur, Centre Hospitalier Universitaire de Nice, Nice, France.
Nazzareno GalièCardiology Unit, IRCCS Azienda Ospedaliero and Dipartimento DIMES-Università di Bologna, Bologna, Italy.
Marcello GalvaniDivision of Cardiology, Department of Cardiovascular Diseases - AUSL Romagna, Ospedale Morgagni-Pierantoni, Forli, Italy.
Alexandre GhuysenEmergency Care, University Hospital Centre Liège, Liège, Belgium.
George GiannakoulasCardiology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Menno V HuismanDepartment of Medicine - Thrombosis and Hemostasis, Leiden University Medical Center, Leiden, The Netherlands.
David JiménezDepartment of Respiratory Diseases, Ramon y Cajal Hospital, Universidad de Alcalá (IRYCIS), CIBER Enfermedades Respiratorias (CIBERES), Madrid, Spain.
Matija KozakDepartment of Vascular Diseases, University Medical Center, Ljubljana, Slovenia.
Irene M LangDepartment of Cardiology, Medical University of Vienna, Vienna, Austria.
Nicolas MeneveauDepartment of Cardiology, University Hospital Jean Minjoz, Besançon, France.
Thomas MünzelDepartment of Cardiology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Massimiliano PalazziniCardiology Unit, IRCCS Azienda Ospedaliero and Dipartimento DIMES-Università di Bologna, Bologna, Italy.
Antoniu Octavian PetrisCardiology Clinic, "St. Spiridon" County Clinical Emergency Hospital, Grigore T. Popa University of Medicine and Pharmacy Iasi, Iasi, Romania.
Giancarlo PiovaccariDepartment of Cardiovascular Diseases, Infermi Hospital, AUSL Romagna, Rimini, Italy.
Aldo SalviInternal and Subintensive Medicine Department, Azienda Ospedaliero-Universitaria "Ospedali Riuniti" di Ancona, Ancona, Italy.
Sebastian SchellongDepartment of Internal Medicine 2, Municipal Hospital Dresden, Dresden, Germany.
Kai-Helge SchmidtDepartment of Cardiology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Franck VerschurenEmergency Department, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.
Irene SchmidtmannInstitute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Gerrit ToengesInstitute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Frederikus A KlokCenter for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany.
Stavros V KonstantinidesCenter for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany. stavros.konstantinides@unimedizin-mainz.de.ORCID http://orcid.org/0000-0001-6359-7279
PEITHO-2 Investigators
Johannes Gutenberg University Mainz · DEDemocritus University of Thrace · GRMedical University of Vienna · ATAzienda USL di Bologna · ITFondazione Poliambulanza Istituto Ospedaliero · ITGrigore T. Popa University of Medicine and Pharmacy · ROHeidelberg University · DELeiden University Medical Center · NLUniversity of Insubria · ITAristotle University of Thessaloniki · GRCentre Hospitalier Universitaire de Grenoble · FRCentre Hospitalier Universitaire de Nice · FRCliniques Universitaires Saint-Luc · BEInserm · FRLjubljana University Medical Centre · SIMedical University of Graz · ATOspedale G.B. Morgagni - L.Pierantoni · ITOspedale Infermi di Rimini · ITOspedali Riuniti di Ancona · ITRoyal Brompton Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRight ventricular (RV) function plays a critical role in the pathophysiology and acute prognosis of pulmonary embolism (PE). We analyzed the temporal changes of RV function in the cohort of a prospective multicentre study investigating if an early switch to oral anticoagulation in patients with intermediate-risk PE is effective and safe.

methodsEchocardiographic and laboratory examinations were performed at baseline (PE diagnosis), 6 days and 6 months. Echocardiographic parameters were classified into categories representing RV size, RV free wall/tricuspid annulus motion, RV pressure overload and right atrial (RA)/central venous pressure.

resultsRV dysfunction based on any abnormal echocardiographic parameter was present in 84% of patients at baseline. RV dilatation was the most frequently abnormal finding (40.6%), followed by increased RA/central venous pressure (34.6%), RV pressure overload (32.1%), and reduced RV free wall/tricuspid annulus motion (20.9%). As early as day 6, RV size remained normal or improved in 260 patients (64.7%), RV free wall/tricuspid annulus motion in 301 (74.9%), RV pressure overload in 297 (73.9%), and RA/central venous pressure in 254 (63.2%). At day 180, the frequencies slightly increased. The median NT-proBNP level decreased from 1448 pg/ml at baseline to 256.5 on day 6 and 127 on day 180.

conclusionIn the majority of patients with acute intermediate-risk PE switched early to a direct oral anticoagulant, echocardiographic parameters of RV function normalised within 6 days and remained normal throughout the first 6 months. Almost one in four patients, however, continued to have evidence of RV dysfunction over the long term.

Indexed as

Pulmonary EmbolismVentricular Dysfunction, RightAcute DiseaseEchocardiographyHumansPrognosisProspective StudiesVentricular Function, RightDysfunctionEchocardiographyIntermediate-riskPulmonary embolismRight ventricle

Identifiers

PMID36539534
PMCPMC10562278
OpenAlexW4312065020

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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.