Evidence map›Paper›PMID 40576858›Full record

ArticleThe international journal of cardiovascular imaging2025

Non-invasive left ventricular pressure-strain loop in predicting coronary artery occlusion in patients with non-ST segment elevation acute coronary syndrome: a cohort study.

Yao Huang, Lingping Huang, Guangrui Feng, Huirong Sun, Jian Wu, Wei Hu

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Article in The international journal of cardiovascular imaging, 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

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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

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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

6 authors.

Yao HuangDepartment of Ultrasound, Xianning Central Hospital, The First Affiliated Hospital of Hubei University of Science and Technology, Hubei, 437000, China.
Lingping HuangDepartment of Ultrasound, Xianning Central Hospital, The First Affiliated Hospital of Hubei University of Science and Technology, Hubei, 437000, China.
Guangrui FengDepartment of Cardiology, Xianning Central Hospital, The First Affiliated Hospital of Hubei University of Science and Technology, Hubei, 437000, China.
Huirong SunDepartment of Cardiology, Xianning Central Hospital, The First Affiliated Hospital of Hubei University of Science and Technology, Hubei, 437000, China.
Jian WuDepartment of Articular surgery, Xianning Central Hospital, The First Affiliated Hospital of Hubei University of Science and Technology, Hubei, 437000, China.
Wei HuDepartment of Radiology, Xianning Central Hospital, The First Affiliated Hospital of Hubei University of Science and Technology, Hubei, 437000, China. huwei202309@163.com.

Funding

Natural Science Foundation Project of Hubei Province 2022CFB551research project of Xianning Central Hospital 2021XYB030Xianning Central Hospital Hospital-Level General Research Project 2024XYB029Xianning city level science and technology plan project 2023ZRKX089
6 · The paper itself

Abstract

This cohort study aims to evaluate the capability of non-invasive left ventricular pressure-strain loop (LV-PSL) analysis using myocardial work parameters to predict coronary artery occlusion in patients with non-ST-segment elevation acute coronary syndrome (NSTE-ACS). A total of 113 patients suspected of having NSTE-ACS underwent PSL analysis prior to coronary angiography to obtain myocardial work parameters such as global work index (GWI), global constructive work (GCW), global wasted work (GWW), and work efficiency (GWE). Based on the results of coronary angiography, patients were categorized into two groups: non-occluded (65 cases) and occluded (26 cases). The study compared differences in left ventricular global longitudinal strain (GLS) and myocardial work parameters between the groups and assessed the predictive value of these parameters for diagnosing coronary artery occlusion. The occluded group exhibited significantly higher GWI, GCW, and GWE values and lower GLS and GWW values (P < 0.05). The area under the curve (AUC) for detecting coronary occlusion was superior for GWI compared to GLS, GCW, GWW, and GWE. Additionally, combining GLS with myocardial work parameters improved diagnostic efficacy (P = 0.016). GWI-focused LV-PSL analysis more effectively detects coronary occlusion in NSTE-ACS, guiding early intervention and improving diagnostic accuracy.

Indexed as

Acute Coronary SyndromeCoronary OcclusionMyocardial ContractionNon-ST Elevated Myocardial InfarctionVentricular Function, LeftVentricular PressureAgedCoronary AngiographyFemaleHumansMaleMiddle AgedPredictive Value of TestsReproducibility of ResultsRetrospective StudiesAcute coronary syndromeMyocardial workPressure-strain loop

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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.