Evidence map›Paper›PMID 40033957›Full record

SynthesisEchocardiography (Mount Kisco, N.Y.)2025

Echocardiographic Parameters of Right Ventricular Size and Function Associated With Right Heart Failure After Durable Left Ventricular Assist Device Implantation-A Systematic Review and Meta-Analysis.

Jia Cheng Kevyn Chai, Jia Le Chew, Anjalee Amarasekera, Hatem Soliman Aboumarie, Timothy C Tan

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Echocardiography (Mount Kisco, N.Y.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

5 authors.

Jia Cheng Kevyn ChaiDepartment of Cardiology, Blacktown Hospital, Western Sydney Local Health District, Blacktown, New South Wales, Australia.ORCID 0009-0004-7098-2537
Jia Le ChewDepartment of Cardiology, Blacktown Hospital, Western Sydney Local Health District, Blacktown, New South Wales, Australia.
Anjalee AmarasekeraWestmead Heart Rhythm Institute, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
Hatem Soliman AboumarieDepartment of Anaesthetics, Critical Care and Mechanical Circulatory Support, Harefield Hospital, Royal Brompton and Harefield Hospitals, London, UK.ORCID 0000-0002-3254-6820
Timothy C TanDepartment of Cardiology, Blacktown Hospital, Western Sydney Local Health District, Blacktown, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLate-onset Right Ventricular (RV) failure is an established complication of Durable Left-Ventricular Assist Device (D-LVAD) implantation. Transthoracic echocardiography (TTE) remains the primary imaging modality for serial monitoring in this population, but its interpretation remains challenging due to device-related changes in RV size and function and a lack of guidelines addressing this impact. This study aims to examine the diagnostic and prognostic utility of TTE parameters of RV size and function in the detection of late-onset RV failure post-implantation. METHODS AND

resultsA systematic literature search of medical databases was performed to identify all relevant studies assessing TTE parameters in adult patients with D-LVADs (January 2003-August 2023; English only). Of the 350 studies identified, nine studies with a pooled cohort of 627 patients and three studies with a pooled cohort of 175 patients (40 Cases and 135 controls) were meta-analyzed across a range of structural and functional TTE parameters. Compared to World Alliance Societies of Echocardiography (WASE) reference values, this population had dilated RV size (as quantified by RVEDD) and reduced systolic function (as quantified by TAPSE, RVFAC, and RVEF). TAPSE was positively associated with the non-RVF group, while RVEDD was negatively associated with the non-RVF group.

conclusionsBased on the available studies, there was baseline RV dilatation and reduced systolic function in patients with D-LVADs. Additionally, TAPSE and RVEDD demonstrated a statistically significant association with the development of RVF post-implantation, indicating a potential role as prognostic markers. Further studies should also be conducted to establish post-implantation TTE reference values.

Indexed as

EchocardiographyHeart-Assist DevicesHeart FailureHeart VentriclesVentricular Dysfunction, RightVentricular Function, RightHumansPrognosisfractional area changeheart failurenon‐invasive cardiac Imagingright ventricular sizeRVS’transthoracic echocardiography

Identifiers

PMID40033957
PMCPMC11877009

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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.