Evidence map›Paper›PMID 38195528›Full record

ArticleEcho research and practice2024

Coronary slow flow and its correlation with reduced left ventricle global longitudinal strain: a case-control study.

Ahmed Shawky Shereef, Mohamed Gamal Abdelmajeed, Mohamad Hossam Alshair, Ibtesam Ibrahim El-Dosouky, Wael Ali Khalil, Shaimaa Wageeh, Islam Elsayed Shehata

Open access · goldAbstract read
In one paragraph

Article in Echo research and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.8field-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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Simple risk stratification for a complex coronary phenotype: association of the ACEF score with coronary slow flow.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2026
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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

7 authors at 1 institution in 1 country.

Ahmed Shawky ShereefDepartment of Cardiology, Faculty of Medicine, Zagazig University, Zagazig, 44519, Egypt.ORCID http://orcid.org/0000-0002-0230-5209
Mohamed Gamal AbdelmajeedDepartment of Cardiology, Faculty of Medicine, Zagazig University, Zagazig, 44519, Egypt.ORCID http://orcid.org/0009-0008-9260-1669
Mohamad Hossam AlshairDepartment of Cardiology, Faculty of Medicine, Zagazig University, Zagazig, 44519, Egypt.ORCID http://orcid.org/0000-0001-7639-055X
Ibtesam Ibrahim El-DosoukyDepartment of Cardiology, Faculty of Medicine, Zagazig University, Zagazig, 44519, Egypt.ORCID http://orcid.org/0000-0003-4385-5458
Wael Ali KhalilDepartment of Cardiology, Faculty of Medicine, Zagazig University, Zagazig, 44519, Egypt.ORCID http://orcid.org/0000-0002-7296-092X
Shaimaa WageehDepartment of Cardiology, Faculty of Medicine, Zagazig University, Zagazig, 44519, Egypt.ORCID http://orcid.org/0000-0002-4629-4791
Islam Elsayed ShehataDepartment of Cardiology, Faculty of Medicine, Zagazig University, Zagazig, 44519, Egypt. iemshehata@zu.edu.eg.ORCID http://orcid.org/0000-0002-3850-9027
Zagazig University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary slow flow (CSF) often links to inflammation and endothelial function disturbance. While conventional ejection fraction measurements fall short in identifying myocardial dysfunction, left ventricular global longitudinal strain (LV GLS) has shown superior efficacy in this regard. Our study aimed to explore subclinical left ventricular systolic dysfunction by assessing LV GLS in patients diagnosed with coronary slow flow (CSF).

methodsThe study included sixty patients with CSF and sixty control individuals without CSF. Coronary angiography employed the Thrombolysis in Myocardial Infarction (TIMI) frame count (TFC) to identify CSF. LV GLS values were evaluated and compared between the two groups.

resultsSignificantly reduced LV GLS was evident in the CSF group compared to the control group (- 16.18 ± 1.25 vs. - 19.34 ± 1.33, p < 0.001). A notable correlation (r = 0.492, p < 0.001) between LV GLS and TFC was observed in the CSF group. Multivariate logistic regression analysis highlighted reduced LV-GLS (OR 2.2, 95% CI 1.57-3.09, p < 0.001) and smoking (OR 11.55, 95% CI 3.24-41.2, p < 0.001) as significant predictors for CSF presence. The receiver operating characteristic curve established that an LV GLS value of ≥ - 17.8% accurately predicted the presence of CSF (AUC: 0.958, 95% CI: 0.924-0.991, p < 0.001) with 90% specificity and 91.7% sensitivity.

conclusionOur study indicates that reduced LV GLS is associated with CSF presence, offering a valuable means to early detect subclinical left ventricular systolic dysfunction in high-risk patients susceptible to heart failure.

trial registrationZU-IRB#7038/12-7-2021 Registered 12 July 2021, email: IRB_123@medicine.zu.edu.eg.

Indexed as

Coronary angiographyCoronary slow flowEchocardiographyLV strainMyocardial dysfunction

Identifiers

PMID38195528
PMCPMC10777566
OpenAlexW4390779564

What OpenQuestion holds

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LicenceCC BY
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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.