Evidence map›Paper›PMID 37746896›Full record

ArticleArtificial organs2023

An in silico study of the effects of left ventricular assist device on right ventricular function and inter-ventricular interaction.

Lei Fan, Jenny S Choy, Sangjin Lee, Kenneth S Campbell, Jonathan F Wenk, Ghassan S Kassab, Daniel Burkhoff, Lik Chuan Lee

Open access · greenAbstract read
In one paragraph

Article in Artificial organs, 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
1.2field-weighted citation impact, top 23% 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, 11 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

8 authors at 6 institutions in 1 country.

Lei FanJoint Department of Biomedical Engineering, Marquette University and Medical College of Wisconsin, Milwaukee, Wisconsin, USA.ORCID https://orcid.org/0000-0002-7161-1277
Jenny S ChoyCalifornia Medical Innovations Institute, San Diego, California, USA.
Sangjin LeeDivision of Medicine, Advanced Heart Failure and Transplantation, Spectrum Health Meijer Heart & Vascular Institute, Grand Rapids, Michigan, USA.
Kenneth S CampbellPhysiology and Cardiovascular Medicine, University of Kentucky, Lexington, Kentucky, USA.
Jonathan F WenkDepartment of Mechanical Engineering, University of Kentucky, Lexington, Kentucky, USA.
Ghassan S KassabCalifornia Medical Innovations Institute, San Diego, California, USA.
Daniel BurkhoffCardiovascular Research Foundation, New York, New York, USA.
Lik Chuan LeeDepartment of Mechanical Engineering, Michigan State University, East Lansing, Michigan, USA.
California Medical Innovations Institute · USUniversity of Kentucky · USCardiovascular Research Foundation · USMarquette University · USMichigan State University · USSpectrum Health · US

Funding

Data-driven optimization of therapy for heart failureR01HL163977 · NHLBI · UNIVERSITY OF KENTUCKY · PI CAMPBELL, KENNETH S, LEE, LIK CHUAN · 2022 to 2025
$2.4M
NHLBI NIH HHS R01 HL163977NIH HHS
6 · The paper itself

Abstract

backgroundLeft ventricular assist device (LVAD) is associated with a high incidence of right ventricular (RV) failure, which is hypothesized to be caused by the occurring inter-ventricular interactions when the LV is unloaded. Factors contributing to these interactions are unknown.

methodsWe used computer modeling to investigate the impact of the HeartMate 3 LVAD on RV functions. The model was first calibrated against pressure-volume (PV) loops associated with a heart failure (HF) patient and validated against measurements of inter-ventricular interactions in animal experiments. The model was then applied to investigate the effects of LVAD on (1) RV chamber contractility indexed by

resultsThe impact of LVAD on RV chamber contractility is small at a pump speed lower than 4k rpm. At a higher pump speed between 4k and 9k rpm, however, RV chamber contractility is reduced (by ~3% at 6k rpm and ~10% at 9k rpm). The reduction of RV chamber contractility is greater with a thinner septal wall or with a lower myocardial contractility at the LV free wall, septum, or RV free wall.

conclusionRV chamber contractility is reduced at a pump speed higher than 4k rpm, and this reduction is greater with a thinner septal wall or lower regional myocardial contractility. Findings here may have clinical implications in identifying LVAD patients who may suffer from RV failure.

Indexed as

Heart-Assist DevicesHeart FailureVentricular Dysfunction, RightAnimalsDiastoleHeart VentriclesHumansVentricular Function, LeftVentricular Function, Rightcomputational modelinginter-ventricular interactionsLVADright ventricular failure

Identifiers

PMID37746896
PMCPMC10964177
OpenAlexW4387002936

What OpenQuestion holds

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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.