Evidence map›Paper›PMID 37703105›Full record

ArticleArquivos brasileiros de cardiologia2023

Right Ventricular Function and Exercise Tolerance in Patients with ST-Elevation Myocardial Infarction.

Denisse Guzman-Ramirez, Anival Trujillo-Garcia, Meredith Lopez-Rincon, Roxella Botello Lopez

Open access · diamondAbstract read
In one paragraph

Article in Arquivos brasileiros de cardiologia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Denisse Guzman-RamirezInstituto Mexicano del Seguro Social Delegacion Nuevo Leon - Hospital de Cardiologia UMAE - Departamento de Ecocardiografía, Monterrey, Nuevo Leon - México.ORCID 0000-0001-6072-499X
Anival Trujillo-GarciaInstituto Mexicano del Seguro Social Delegacion Nuevo Leon - Hospital de Cardiologia UMAE - Departamento de Ecocardiografía, Monterrey, Nuevo Leon - México.
Meredith Lopez-RinconInstituto Mexicano del Seguro Social Delegacion Nuevo Leon - Hospital de Cardiologia UMAE - Departamento de Ecocardiografía, Monterrey, Nuevo Leon - México.
Roxella Botello LopezInstituto Mexicano del Seguro Social Delegacion Nuevo Leon - Hospital de Cardiologia UMAE - Departamento de Ecocardiografía, Monterrey, Nuevo Leon - México.
Mexican Social Security Institute · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFollowing ST-segment elevation myocardial infarction (STEMI), patients with cardiac dysfunction have limitations in performing physical activity. Right ventricular (RV) function is a determinant in improving functional capacity, and cardiac rehabilitation (CR) is essential for this patient cohort.

objectiveTo evaluate the association of RV function with exercise tolerance after a CR program in patients with STEMI.

methodsRetrospective cohort study in patients with STEMI from January to December 2019. They underwent an echocardiographic assessment of RV function before a 16-session CR program. A cardiopulmonary exercise (CPX) testing was performed before and after the CR program. We analyzed whether RV function measured before CR was significantly associated with exercise tolerance before and after the CR program and the degree of improvement. Comorbidity, demographic and anatomic variables were documented. A p-value < 0.05 was considered statistically significant.

resultsA total of 109 patients were included. Of all, 3.7% had global RV dysfunction, 10.1% had radial RV dysfunction, and 11% had longitudinal RV dysfunction. An association between radial or longitudinal RV dysfunction and the absence of improvement in cardiorespiratory fitness (> 1 peak VO2equivalents) was observed (p = 0.028, p = 0.008, respectively). A significant correlation was observed between longitudinal RV dysfunction with initial peak VO2equivalents (pVO2eq) (p = 0.046), final pVO2eq (p = 0.003), and difference in pVO2eq (p = 0.009). A correlation was also identified between global RV dysfunction and the initial pVO2eq (p = 0.045), final pVO2eq (p = 0.012), and difference in pVO2eq (p = 0.032).

conclusionsRV dysfunction is associated with a lower capacity to exercise; CR programs can be extended or modified in these patients.

Indexed as

Cardiac RehabilitationST Elevation Myocardial InfarctionVentricular Dysfunction, RightExercise ToleranceHumansRetrospective StudiesVentricular Function, Right

Identifiers

PMID37703105
PMCPMC10519353
OpenAlexW4386288952

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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.