Evidence map›Paper›PMID 37417082›Full record

ArticleLung India : official organ of Indian Chest Society

Pulmonary artery diameter correlates with echocardiographic parameters of right ventricular dysfunction in patients with acute pulmonary embolism.

Oisin O'Corragain, Rami Alashram, Gregory Millio, Catherine Vanchiere, John Hojoon Hwang, Maruti Kumaran, Chandra Dass, Huaqing Zhao, Joseph Panero, Vlad Lakhter and 6 more

Open access · diamondAbstract read
In one paragraph

Article in Lung India : official organ of Indian Chest Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
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

16 authors at 2 institutions in 2 countries.

Oisin O'CorragainDepartment of Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
Rami AlashramDepartment of Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
Gregory MillioDepartment of Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
Catherine VanchiereDepartment of Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
John Hojoon HwangDepartment of Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
Maruti KumaranDepartment of Radiology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
Chandra DassDepartment of Radiology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
Huaqing ZhaoDepartment of Clinical Sciences, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
Joseph PaneroDepartment of Radiology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
Vlad LakhterDepartment of Medicine, Section of Cardiology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
Rohit GuptaDepartment of Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
Riyaz BashirDepartment of Medicine, Section of Cardiology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
Gary CohenDepartment of Radiology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
David JimenezDepartment of Respiratory, Hospital Ramón y Cajal and Medicine, Universidad de Alcalá (Instituto de Ramón y Cajal de Investigación Sanitaria), Centro de Investigación Biomeédica en Red de Enfermedades Respiratorias, Madrid, Spain.
Gerard CrinerDepartment of Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
Parth RaliDepartment of Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA.
Temple University · USUniversidad de Alcalá · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Right ventricular dysfunction (RVD) is a key component in the process of risk stratification in patients with acute pulmonary embolism (PE). Echocardiography remains the gold standard for RVD assessment, however, measures of RVD may be seen on CTPA imaging, including increased pulmonary artery diameter (PAD). The aim of our study was to evaluate the association between PAD and echocardiographic parameters of RVD in patients with acute PE. Methods: Retrospective analysis of patients diagnosed with acute PE was conducted at large academic center with an established pulmonary embolism response team (PERT). Patients with available clinical, imaging, and echocardiographic data were included. PAD was compared to echocardiographic markers of RVD. Statistical analysis was performed using the Student's t test, Chi-square test, or one-way analysis of variance (ANOVA); P < 0.05 was considered statistically significant. Results: 270 patients with acute PE were identified. Patients with a PAD >30 mm measured on CTPA had higher rates of RV dilation (73.1% vs 48.7%, P < 0.005), RV systolic dysfunction (65.4% vs 43.7%, P < 0.005), and RVSP >30 mmHg (90.2% vs 68%, P = 0.004), but not TAPSE ≤1.6 cm (39.1% vs 26.1%, P = 0.086). A weak increasing linear relationship between PAD and RVSP was noted (r = 0.379, P = 0.001). Conclusions: Increased PAD in patients with acute PE was significantly associated with echocardiographic markers of RVD. Increased PAD on CTPA in acute PE can serve as a rapid prognostic tool and assist with PE risk stratification at the time of diagnosis, allowing rapid mobilization of a PERT team and appropriate resource utilization.

Indexed as

Echocardiographypulmonary embolismright ventricular dysfunction

Identifiers

PMID37417082
PMCPMC10401985
OpenAlexW4381988729

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.