Evidence map›Paper›PMID 40185598›Full record

ArticleJACC. Case reports2025

Transesophageal Echocardiogram With Isoproterenol to Unmask Previously Occult Left Ventricular Outflow Tract Obstruction.

Aakash Bavishi, Kutaiba Nazif, Robyn Bryde, Matthew W Martinez

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 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. 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

4 authors.

Aakash BavishiUniversity of Illinois-Chicago, Chicago, Illinois, USA.
Kutaiba NazifAtlantic Health Medical Center, Morristown, New Jersey, USA.
Robyn BrydeAtlantic Health Medical Center, Morristown, New Jersey, USA.
Matthew W MartinezAtlantic Health Medical Center, Morristown, New Jersey, USA. Electronic address: matthew.martinez@atlantichealth.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thorough and accurate evaluation of left ventricular outflow tract (LVOT) obstruction is critical in the assessment and management of patients with hypertrophic cardiomyopathy (HCM). Although Doppler echocardiography has become the initial modality to assess LVOT obstruction, it may not identify all patients with labile obstruction. In patients with a high clinical suspicion of LVOT obstruction, further provocative testing is needed. In HCM patients with poor transthoracic echocardiogram windows or who are unable to exercise, isoproterenol-guided transesophageal echocardiogram (TEE) remains a viable option to assess for systolic anterior motion (SAM) and LVOT obstruction. We report 4 individuals in whom there was no obvious SAM or LVOT obstruction at rest but who had severe LVOT obstruction unmasked by isoproterenol-guided TEE.

Indexed as

echocardiographyhypertrophic cardiomyopathy

Identifiers

PMID40185598
PMCPMC12046884

What OpenQuestion holds

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Registered trials

None linked

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.