Evidence map›Paper›PMID 39985307›Full record

Trial reportClinical cardiology2025

Right Ventricular Systolic Dysfunction Predicts Recovery of Left Ventricular Systolic Function and Reduced Quality of Life in Patients With Arrhythmia-Induced Cardiomyopathy.

Thomas Körtl, Franziska Mühleck, Paul Baum, Markus Resch, Christine Meindl, Ekrem Üçer, Lars S Maier, Rolf Wachter, Samuel Sossalla, Christian Schach

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Thomas KörtlMedizinische Klinik I, Justus-Liebig-Universität Gießen, Gießen, Germany.ORCID http://orcid.org/0009-0001-0776-3508
Franziska MühleckKlinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig, Leipzig, Germany.
Paul BaumKlinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig, Leipzig, Germany.
Markus ReschAbteilung für Kardiologie, Caritas Krankenhaus St. Josef, Regensburg, Germany.
Christine MeindlUniversitäres Herzzentrum Regensburg, Klinik und Poliklinik für Kardiologie, Universitätsklinikum Regensburg, Regensburg, Germany.ORCID http://orcid.org/0000-0001-7086-0469
Ekrem ÜçerUniversitäres Herzzentrum Regensburg, Klinik und Poliklinik für Kardiologie, Universitätsklinikum Regensburg, Regensburg, Germany.
Lars S MaierUniversitäres Herzzentrum Regensburg, Klinik und Poliklinik für Kardiologie, Universitätsklinikum Regensburg, Regensburg, Germany.
Rolf WachterKlinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig, Leipzig, Germany.
Samuel SossallaMedizinische Klinik I, Justus-Liebig-Universität Gießen, Gießen, Germany.
Christian SchachUniversitäres Herzzentrum Regensburg, Klinik und Poliklinik für Kardiologie, Universitätsklinikum Regensburg, Regensburg, Germany.

Funding

This study was supported by research grants awarded to Samuel Sossalla by the Deutsche Forschungsgemeinschaft (DFG) (SO 1223/4-1) and the F. Thyssen Foundation (Az 10.19.2.026MN).
6 · The paper itself

Abstract

introductionArrhythmia-induced cardiomyopathy (AIC) is an underrecognized condition resulting in left ventricular systolic dysfunction (LVSD) that is primarily caused by atrial fibrillation (AFib). The relationship between AIC, right ventricular (RV) function, and quality of life (QoL) has not been well studied.

methodsWe performed a post-hoc analysis of our AIC trial in which we prospectively screened for patients with tachyarrhythmia and newly diagnosed, otherwise unexplained LVSD. Following rhythm restoration, patients were followed up at 2, 4, and 6 months. Only patients with persistent sinus rhythm were analyzed. RV function was assessed via echocardiography (tricuspid annular plane systolic excursion [TASPE] and fractional area change [FAC]) and QoL by the Minnesota Living with Heart Failure Questionnaire.

resultsOf a total of 50 patients recovering from LVSD, 41 were diagnosed with AIC and 9 with non-AIC. Initially, RV function was reduced in the AIC group and recovered after rhythm restoration, whereas no relevant changes were noted in the non-AIC group. QoL was reduced in both groups and also improved after rhythm restoration. Regression analysis identified low TAPSE as a predictive parameter for AIC diagnosis and worse QoL in AIC patients.

conclusionWe demonstrated that RV function and QoL are impaired in patients with AIC. Six months after rhythm restoration, TAPSE may serve as an early indicator of AIC while also correlating with QoL. This underscores the importance of detailed echocardiographic evaluation with a focus on RV function in patients with concomitant tachyarrhythmia and LVSD.

Indexed as

Arrhythmias, CardiacCardiomyopathiesQuality of LifeVentricular Dysfunction, LeftVentricular Dysfunction, RightVentricular Function, LeftVentricular Function, RightAgedEchocardiographyFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesRecovery of Functionarrhythmia‐induced cardiomyopathyatrial fibrillationquality of liferight ventricular function

Identifiers

PMID39985307
PMCPMC11845871

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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.