Evidence map›Paper›PMID 37466025›Full record

ArticleAnatolian journal of cardiology2023

Could Impedance Cardiography be a Non-Invasive Alternative Method of Measuring Cardiac Output in Patients with Pulmonary Hypertension?

Burcu Yağmur, Evrim Şimşek, Meral Kayıkçıoğlu, Elif İlkay Yüce, Yeşim Bayazıt Candemir, Sanem Nalbantgil, Nesrin Moğolkoç, Levent Can, Hakan Kültürsay

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Article in Anatolian journal of cardiology, 2023. 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
0.5field-weighted citation impact, top 29% 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.

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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

9 authors at 1 institution in 1 country.

Burcu YağmurDepartment of Cardiology, Faculty of Medicine, Ege University, İzmir, Türkiye.
Evrim ŞimşekDepartment of Cardiology, Faculty of Medicine, Ege University, İzmir, Türkiye.
Meral KayıkçıoğluDepartment of Cardiology, Faculty of Medicine, Ege University, İzmir, Türkiye.
Elif İlkay YüceDepartment of Cardiology, Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Türkiye.
Yeşim Bayazıt CandemirDepartment of Cardiology, Faculty of Medicine, Ege University, İzmir, Türkiye.
Sanem NalbantgilDepartment of Cardiology, Faculty of Medicine, Ege University, İzmir, Türkiye.
Nesrin MoğolkoçDepartment of Pulmonology, Faculty of Medicine, Ege University, İzmir, Türkiye.
Levent CanDepartment of Cardiology, Faculty of Medicine, Ege University, İzmir, Türkiye.
Hakan KültürsayDepartment of Cardiology, Faculty of Medicine, Ege University, İzmir, Türkiye.
Ege University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary hypertension guidelines recommend invasive right heart catheterization for diagnosis and clinical follow-up. Our aim was to compare non-invasive impedance cardiography with invasive techniques for cardiac index measurements and mortality prediction in patients with pulmonary hypertension.

methodsBetween 2008 and 2018, 284 right heart catheterizations were performed for the diagnosis of pulmonary hypertension in 215 patients with mean pulmonary artery pressure >25 mm Hg, and at least 2 methods used for cardiac output measurement were included in the study retrospectively. Patients were evaluated with Pearson's correlation in 3 groups: estimated Fick (eFick) method and thermodilution (group 1), eFick method and impedance cardiography (group 2), and thermodilution and impedance cardiography (group 3). We also compared the predictive power of cardiac index measured by different methods for 1-year overall mortality and hospitalizations.

resultsThere were strong and moderate positive correlations in groups 1 and 3, respectively (r = 0.634, P <.001, r = 0.534, P =.001), and the weakest correlation was in group 2 (r = 0.390, P =.001). The mean difference (bias) between eFick method versus impedance cardiography, impedance cardiography vs. thermodilution, and eFick method vs. thermodilution was 0.6 mL/min, 0.47 mL/min, and -0.2 mL/min respectively, but limits of agreement were wide. In both groups, cardiac index <2.5 L/min/m2 as measured by thermodilution significantly predicted 1-year mortality. Also, impedance cardiography was better than eFick method in predicting mortality (P =.02).

conclusionsOur single-center real-life data showed that for cardiac output and cardiac index measurements, impedance cardiography provides a moderate correlation with thermodilution and is fair with eFick method methods. Moreover, thermodilution appeared superior to both eFick method and impedance cardiography, while impedance cardiography was even better than eFick method in predicting 1-year adverse events, including total mortality and hospitalization, in patients with pulmonary hypertension.

Indexed as

Cardiography, ImpedanceHypertension, PulmonaryCardiac CatheterizationCardiac OutputHumansRetrospective Studies

Identifiers

PMID37466025
PMCPMC10621604
OpenAlexW4384663032

What OpenQuestion holds

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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.