Evidence map›Paper›PMID 38708598›Full record

ArticleCirculation. Heart failure2024

Relationship of TAPSE Normalized by Right Ventricular Area With Pulmonary Compliance, Exercise Capacity, and Clinical Outcomes.

Ran Tao, Naga Dharmavaram, Ahmed El Shaer, Shannon Heffernan, Wanxin Tu, James Ma, Mariana Garcia-Arango, Aurangzeb Baber, Ravi Dhingra, James Runo and 3 more

Abstract read
In one paragraph

Article in Circulation. Heart failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Article
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  7. Article
  8. Wave intensity analysis with exercise identifies impairments in pulmonary hypertension.American journal of physiology. Heart and circulatory physiology · 2025
    Article
  9. Article
  10. Breaking down the recovery of OPhysiological reports · 2025
    Article
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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

13 authors.

Ran TaoDepartment of Internal Medicine, School of Medicine and Public Health (R.T., A.E.S., S.H., M.G.-A.), University of Wisconsin-Madison.
Naga DharmavaramDivision of Cardiovascular Medicine, School of Medicine and Public Health (N.D., A.B., R.D., S.C.M., P.R., F.R.), University of Wisconsin-Madison.ORCID 0000-0001-9882-6991
Ahmed El ShaerDepartment of Internal Medicine, School of Medicine and Public Health (R.T., A.E.S., S.H., M.G.-A.), University of Wisconsin-Madison.
Shannon HeffernanDepartment of Internal Medicine, School of Medicine and Public Health (R.T., A.E.S., S.H., M.G.-A.), University of Wisconsin-Madison.
Wanxin TuDepartment of Statistics, School of Computer, Data & Information (W.T., J.M.), University of Wisconsin-Madison.ORCID 0009-0005-2651-6317
James MaDepartment of Statistics, School of Computer, Data & Information (W.T., J.M.), University of Wisconsin-Madison.
Mariana Garcia-ArangoDepartment of Internal Medicine, School of Medicine and Public Health (R.T., A.E.S., S.H., M.G.-A.), University of Wisconsin-Madison.ORCID 0000-0001-5475-245X
Aurangzeb BaberDivision of Cardiovascular Medicine, School of Medicine and Public Health (N.D., A.B., R.D., S.C.M., P.R., F.R.), University of Wisconsin-Madison.
Ravi DhingraDivision of Cardiovascular Medicine, School of Medicine and Public Health (N.D., A.B., R.D., S.C.M., P.R., F.R.), University of Wisconsin-Madison.ORCID 0000-0003-0110-3223
James RunoDivision of Pulmonary and Critical Care, School of Medicine and Public Health (J.R.), University of Wisconsin-Madison.
S Carolina MasriDivision of Cardiovascular Medicine, School of Medicine and Public Health (N.D., A.B., R.D., S.C.M., P.R., F.R.), University of Wisconsin-Madison.ORCID 0000-0002-4616-7928
Peter RahkoDivision of Cardiovascular Medicine, School of Medicine and Public Health (N.D., A.B., R.D., S.C.M., P.R., F.R.), University of Wisconsin-Madison.ORCID 0000-0001-7196-9319
Farhan RazaDivision of Cardiovascular Medicine, School of Medicine and Public Health (N.D., A.B., R.D., S.C.M., P.R., F.R.), University of Wisconsin-Madison.ORCID 0000-0001-5750-2034

Funding

Institutional Career Development CoreKL2TR002374 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI Bo Liu, Marin Leigh Schweizer · 2017 to 2026
$9.7M
American Heart Association-American Stroke Association 23CDA1057697NCATS NIH HHS KL2 TR002374
6 · The paper itself

Abstract

backgroundWhile tricuspid annular plane systolic excursion (TAPSE) captures the predominant longitudinal motion of the right ventricle (RV), it does not account for ventricular morphology and radial motion changes in various forms of pulmonary hypertension. This study aims to account for both longitudinal and radial motions by dividing TAPSE by RV area and to assess its clinical significance.

methodsWe performed a retrospective analysis of 71 subjects with New York Heart Association class II to III dyspnea who underwent echocardiogram and invasive cardiopulmonary exercise testing (which defined 4 hemodynamic groups: control, isolated postcapillary pulmonary hypertension, combined postcapillary pulmonary hypertension, and pulmonary arterial hypertension). On the echocardiogram, TAPSE was divided by RV area in diastole (TAPSE/RVA-D) and systole (TAPSE/RVA-S). Analyses included correlations (Pearson and linear regression), receiver operating characteristic, and survival curves.

resultsOn linear regression analysis, TAPSE/RVA metrics (versus TAPSE) had a stronger correlation with pulmonary artery compliance (r=0.48-0.54 versus 0.38) and peak VO

conclusionsIn a broad cohort with suspected pulmonary hypertension, TAPSE divided by RV area was superior to TAPSE alone in correlations with pulmonary compliance and exercise capacity. As a prognostic marker of right heart function, TAPSE/RVA-D <1.1 and TAPSE/RVA-S <1.5 predicted adverse cardiovascular outcomes.

Indexed as

Exercise TestExercise TolerancePulmonary ArteryVentricular Function, RightAgedEchocardiographyFemaleHeart VentriclesHumansHypertension, PulmonaryMaleMiddle AgedPredictive Value of TestsPrognosisRetrospective StudiesTricuspid Valveexercise tolerancepulmonary arterial hypertensionpulmonary arteryright ventricular functionROC curve

Identifiers

PMID38708598
PMCPMC11108738

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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.