Evidence map›Paper›PMID 38895911›Full record

ArticleEchocardiography (Mount Kisco, N.Y.)2024

Impaired longitudinal systolic-diastolic coupling and cardiac response to exercise in patients with hypertrophic cardiomyopathy.

James P MacNamara, William M Turlington, Katrin A Dias, Christopher M Hearon, Erika Ivey, Vincent A Delgado, Tiffany L Brazile, Denis J Wakeham, Aslan T Turer, Mark S Link and 2 more

Abstract read
In one paragraph

Article in Echocardiography (Mount Kisco, N.Y.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

12 authors.

James P MacNamaraInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Dallas, Dallas, Texas, USA.ORCID 0000-0003-2795-6021
William M TurlingtonInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Dallas, Dallas, Texas, USA.
Katrin A DiasInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Dallas, Dallas, Texas, USA.
Christopher M HearonInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Dallas, Dallas, Texas, USA.
Erika IveyInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Dallas, Dallas, Texas, USA.
Vincent A DelgadoDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Tiffany L BrazileInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Dallas, Dallas, Texas, USA.
Denis J WakehamInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Dallas, Dallas, Texas, USA.ORCID 0000-0002-4200-3790
Aslan T TurerDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Mark S LinkDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Benjamin D LevineInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Dallas, Dallas, Texas, USA.
Satyam SarmaInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Dallas, Dallas, Texas, USA.

Funding

Targeting skeletal muscle to improve exercise capacity in heart failure with preserved ejection fraction.P01HL137630 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI LEVINE, BENJAMIN D · 2019 to 2023
$11.4M
Aging Fitness & Failure: Mechanisms of Diastolic DysfunctionR01AG017479 · NIA · UT SOUTHWESTERN MEDICAL CENTER · PI LEVINE, BENJAMIN D · 2001 to 2016
$7.8M
VASCULATA-2017R13HL137360 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MALIK, ASRAR B. · 2017 to 2017
$25k
American College of Sports MedicineAmerican Heart Association 19POST34380123Fichtenbaum Charitable TrustNHLBI NIH HHS P01 HL137630NHLBI NIH HHS R13 HL137360NIA NIH HHS R01 AG017479NIH HHS P01 HL137360-02NIH HHS RO1 AG017479
6 · The paper itself

Abstract

backgroundIn patients with hypertrophic cardiomyopathy (HCM), impaired augmentation of stroke volume and diastolic dysfunction contribute to exercise intolerance. Systolic-diastolic (S-D) coupling characterizes how systolic contraction of the left ventricle (LV) primes efficient elastic recoil during early diastole. Impaired S-D coupling may contribute to the impaired cardiac response to exercise in patients with HCM.

methodsPatients with HCM (n = 25, age = 47 ± 9 years) and healthy adults (n = 115, age = 49 ± 10 years) underwent a cardiopulmonary exercise testing (CPET) and echocardiogram. S-D coupling was defined as the ratio of LV longitudinal excursion of the mitral annulus during early diastole (ED

resultsS-D coupling was lower in HCM (Controls: 0.63 ± 0.08, HCM: 0.56 ± 0.10, p < 0.001). Peak V̇O

conclusionSystolic-diastolic coupling was impaired in patients with HCM and was associated with fitness and the cardiac response to exercise. Inefficient S-D coupling may link insufficient stroke volume generation, diastolic dysfunction, and exercise intolerance in HCM.

Indexed as

Cardiomyopathy, HypertrophicDiastoleExercise TestStroke VolumeSystoleAdultEchocardiographyExerciseExercise ToleranceFemaleHeart VentriclesHumansMaleMiddle AgedOxygen Consumptioncardiac mechanicsexercise physiologyhypertrophic cardiomyopathysystolic–diastolic coupling

Identifiers

PMID38895911
PMCPMC11250570

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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.