Evidence map›Paper›PMID 37422337›Full record

Observational studyJournal of cardiothoracic and vascular anesthesia2023

Integrating Right Ventricular Pressure Waveform Analysis With Two-Point Volume Measurement for Quantification of Systolic and Diastolic Function: Experimental Validation and Clinical Application.

Paul M Heerdt, Manuel Martin-Flores, Hannah T Oakland, Phillip Joseph, Inderjit Singh

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of cardiothoracic and vascular anesthesia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. 3D echo derived right ventricular principal surface strain in pulmonary arterial hypertension.American journal of physiology. Heart and circulatory physiology · 2026
    Article
  2. Review
  3. 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.

Paul M HeerdtDepartment of Anesthesiology, Applied Hemodynamics, Yale School of Medicine, New Haven, CT. Electronic address: paul.heerdt@yale.edu.
Manuel Martin-FloresDepartment of Clinical Sciences, Cornell University College of Veterinary Medicine, Ithaca, NY.
Hannah T OaklandDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Yale New Haven Hospital and Yale School of Medicine, New Haven, CT.
Phillip JosephDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Yale New Haven Hospital and Yale School of Medicine, New Haven, CT.
Inderjit SinghDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Yale New Haven Hospital and Yale School of Medicine, New Haven, CT.
Yale New Haven Hospital · USCornell University · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Training Translational Lung Biology and PathobiologyT32HL007778 · NHLBI · YALE UNIVERSITY · PI Erica L Herzog, NAFTALI KAMINSKI · 1994 to 2026
$14.4M
Imaging and Targeting Lung Proteolysis in ARDSR01HL159459 · NHLBI · YALE UNIVERSITY · PI SINUSAS, ALBERT J · 2021 to 2024
$2.9M
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS R01 HL159459NHLBI NIH HHS T32 HL007778
6 · The paper itself

Abstract

objectiveTo define in an experimental model the variance, accuracy, precision, and concordance of single-beat measures of right ventricular (RV) contractility and diastolic capacitance relative to conventional reference standards, and apply the methods to a clinical data set.

designA retrospective, observational analysis of recorded pressure waveforms and RV volume measurements.

settingAt a university laboratory.

participantsArchived data from previous studies of anesthetized swine and awake patients undergoing clinically-indicated right-heart catheterization.

interventionsRecording of RV pressure with simultaneous measurement of RV volume by conductance (swine) or 3-dimensional (3D) echocardiography (humans) during changes in contractility and/or loading conditions. MEASUREMENTS AND MAIN

resultsUsing experimental data, single-beat measures of RV contractility quantified as end-systolic elastance, and diastolic capacitance quantified as the predicted volume at an end-diastolic pressure of 15 mmHg (V15), were compared to multi-beat, preload- variant, reference standards using correlation, Bland-Altman analysis, and 4-quadrant concordance testing. This analysis indicated that the methods were not directly interchangeable with reference standards, but were sufficiently robust to suggest potential clinical utility. Clinical application supported this potential by demonstrating enhanced assessment of the response to inhaled nitric oxide in patients undergoing diagnostic right-heart catheterization.

conclusionsStudy results supported the possibility of integrating automated RV pressure analysis with RV volume measured by 3D echocardiography to create a comprehensive assessment of RV systolic and diastolic function at the bedside.

Indexed as

Heart VentriclesVentricular Dysfunction, RightAnimalsDiastoleHumansRetrospective StudiesStroke VolumeSwineSystoleVentricular Function, RightVentricular Pressurecontractilitydiastolic functionpressure-volume relationshipright ventricle

Identifiers

PMID37422337
PMCPMC10529383
OpenAlexW4380742856

What OpenQuestion holds

Textmetadata
LicenceTDM
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.