Evidence map›Paper›PMID 40653465›Full record

ReviewEcho research and practice2025

Cardiac function and mechanics in systemic sclerosis: a systematic review and meta-analysis.

Mihnea Casian, Alina Dima, Ciprian Jurcuț, Laura Andrei, Jamie Edwards, Jamie O'Driscoll, Bogdan A Popescu, Ruxandra Jurcuț

Abstract readReview
In one paragraph

Review in Echo research and practice, 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

8 authors.

Mihnea CasianUniversity of Medicine and Pharmacy "Carol Davila", Str. Dionisie Lupu 37, Sector 2, 020021, Bucharest, Romania. mihnea.casian@drd.umfcd.ro.ORCID http://orcid.org/0000-0002-7302-3591
Alina DimaUniversity of Medicine and Pharmacy "Carol Davila", Str. Dionisie Lupu 37, Sector 2, 020021, Bucharest, Romania.
Ciprian JurcuțDepartment of Internal Medicine, "Dr. Carol Davila" Central University Emergency Military Hospital, Bucharest, Romania.
Laura AndreiUniversity of Medicine and Pharmacy "Carol Davila", Str. Dionisie Lupu 37, Sector 2, 020021, Bucharest, Romania.
Jamie EdwardsCardiac Investigations, St George's University Hospitals NHS Foundation Trust, Blackshaw Road, Tooting, London, UK.
Jamie O'DriscollCardiac Investigations, St George's University Hospitals NHS Foundation Trust, Blackshaw Road, Tooting, London, UK.
Bogdan A PopescuUniversity of Medicine and Pharmacy "Carol Davila", Str. Dionisie Lupu 37, Sector 2, 020021, Bucharest, Romania.
Ruxandra JurcuțUniversity of Medicine and Pharmacy "Carol Davila", Str. Dionisie Lupu 37, Sector 2, 020021, Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe study aimed to evaluate differences in conventional, tissue Doppler imaging (TDI) and speckle-tracking echocardiographic (STE) parameters of all cardiac chambers between SSc patients and healthy controls.

methodsA study search strategy based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was performed. MEDLINE, Scopus and Web of Science were searched using the following keywords: "speckle tracking", "global strain", "longitudinal strain", "circumferential strain", "radial strain", "atrial strain", "right ventricular strain", or "left ventricular strain" and "systemic sclerosis". Primary pooled analyses were performed on each cardiac parameter independently to determine the weighted mean difference (WMD) between SSc and controls. Further independent subgroup analyses were performed to compare symptomatic vs asymptomatic SSc and diffuse vs limited SSc.

resultsThe systematic review and meta-analysis included 41 case-control eligible reports studies with a pooled sample size of 2497 SSc cases and 1439 controls. Significant weighted mean differences (WMD) between SSc patients and healthy controls were identified in septal S' wave (WMD 0.343 cm/s, CI [- 0.540-0.145], I

conclusionSSc is associated with significantly impaired cardiac function and mechanics compared to healthy individuals, even in the absence of symptoms or pulmonary hypertension.

Indexed as

CardiacEchocardiographySpeckle-trackingStrainSubclinicalSystemic sclerosisTDI

Identifiers

PMID40653465
PMCPMC12257727

What OpenQuestion holds

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LicenceCC BY
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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.