Evidence map›Paper›PMID 39152294›Full record

ArticleScientific reports2024

Prognostic values of left atrial strain analyzed by four-dimensional speckle tracking echocardiography in uremia with preserved ejection fraction.

Lei Li, Chunyuan You, Lai Zhang, Jun Yang, Yang Wang, Pingyang Zhang

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Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
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4citing papers in PubMed
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1 · What the graph read from it

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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.

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Lei LiDepartment of Echocardiography, Nanjing First Hospital, Nanjing Medical University, Changle Road 68, Nanjing, 210006, Jiangsu Province, China.
Chunyuan YouDepartment of Cardiology, Wuxi No.2 People's Hospital, Wuxi, 214000, China.
Lai ZhangDepartment of Nephrology, Wuxi No.2 People's Hospital, Wuxi, 214000, China.
Jun YangDepartment of Cardiology, Wuxi No.2 People's Hospital, Wuxi, 214000, China.
Yang WangDepartment of Cardiology, Wuxi No.2 People's Hospital, Wuxi, 214000, China.
Pingyang ZhangDepartment of Echocardiography, Nanjing First Hospital, Nanjing Medical University, Changle Road 68, Nanjing, 210006, Jiangsu Province, China. junxiao2010@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Little is known about the prognostic value of left atrial strain by four-dimensional speckle-tracking echocardiography in end-stage renal disease patients with preserved left ventricular ejection fraction. This prospective study collected clinical and echocardiographic data from 80 stable dialysis patients (mean age 57 ± 10 years; 62.5% men). All patients underwent the dedicated four-dimensional speckle-tracking echocardiography to measure LASr (peak longitudinal strain of reservoir function), LAScd (peak longitudinal strain of conduit function), LASct (peak longitudinal strain of contractile function), LASr_c (peak circumferential strain of reservoir function), LAScd_c (peak circumferential strain of conduit function) and LASct_c (peak circumferential strain of contractile function). These patients were enrolled from August 2021 to August 2023 and followed-up for 19 months (interquartile-range 15 to 20 months). The primary outcome was a composite of all-cause mortality or major adverse cardiovascular events (MACEs). The study patients were classified into event (developed mortality or MACEs) and event-free group according to the primary outcome. Multivariate Cox regression analysis was used to investigate risk factors for all-cause mortality or MACEs. The event group had lower LASr (16.4% vs. 21.2%, P = 0.0003), LASct (8.2% vs. 11.2%, P = 0.01), LASr_c (25.2% vs. 35.0%, P = 0.0004) and LASct_c (14.9% vs. 20.9%, P = 0.001) than the event-free group. Using optimal cut-off value determined by ROC curve, the less LASr (LASr < 18.5%), LASct (LASct < 8.5%), LASr_c (LASr_c < 28.5%), and LASct_c (LASct_c < 17.5%) group had a higher mortality or MACEs rate. Multivariate cox regression analyses revealed that LASr (HR = 0.81, 95% CI [0.17; 0.91], P = 0.0005, per 1% increase) and LASr_c (HR = 0.93, 95% CI [0.87; 0.98], P = 0.01, per 1% increase) were independent predictors of all-cause mortality or MACEs. Less peak longitudinal and circumferential strains of reservoir function are predictive of poor prognosis among end-stage renal disease patients with preserved left ventricular ejection fraction.

Indexed as

EchocardiographyStroke VolumeUremiaAgedAtrial Function, LeftFemaleHeart AtriaHumansKidney Failure, ChronicMaleMiddle AgedPrognosisProspective StudiesRenal DialysisEnd-stage renal diseaseFour-dimensional speckle-tracking echocardiographyLeft atrial circumferential strainLeft atrial longitudinal strain

Identifiers

PMID39152294
PMCPMC11329677

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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.