Evidence map›Paper›PMID 40753366›Full record

ArticleBMC cardiovascular disorders2025

Accuracy and reliability of non-invasive pressure-strain loop for myocardial work assessment in functional single ventricle patients.

Mengqian Liao, Xuechen Liu, Junxiang Pan, Tianhao Liao, Xuan Li, Zonghui Hou, Jian Cui, Lianyi Wang

Abstract readComparative Study
In one paragraph

Article in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Mengqian Liao *Heart Center, The First Hospital of Tsinghua University, No.6, First Street of Jiuxianqiao, Beijing, 100016, China.
Xuechen Liu *Heart Center, The First Hospital of Tsinghua University, No.6, First Street of Jiuxianqiao, Beijing, 100016, China.
Junxiang PanHeart Center, The First Hospital of Tsinghua University, No.6, First Street of Jiuxianqiao, Beijing, 100016, China.
Tianhao LiaoThe First Clinical Institute, Zunyi Medical University, Zunyi, 563000, China.
Xuan LiSchool of Medicine, University of Electronic Science and Technology of China, Chengdu, 610000, China.
Zonghui HouHeart Center, The First Hospital of Tsinghua University, No.6, First Street of Jiuxianqiao, Beijing, 100016, China.
Jian CuiHeart Center, The First Hospital of Tsinghua University, No.6, First Street of Jiuxianqiao, Beijing, 100016, China. 13621361740@qq.com.
Lianyi WangHeart Center, The First Hospital of Tsinghua University, No.6, First Street of Jiuxianqiao, Beijing, 100016, China. lywang@mail.tsinghua.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn biventricular circulation, myocardial work indices derived from pressure-strain loops (PSL) show potential for effectively evaluating ventricular function in both left and right ventricles. However, these novel myocardial work parameters have not been extensively investigated in patients with functional single ventricle (FSV).

objectivesTo assess the relationship between myocardial work indices and parameters from cardiac catheterization in FSV patients, and to compare differences between functional single ventricle subtypes.

methodsThis retrospective study analyzed 38 FSV patients, including 17 with single left ventricle (SLV) patients and 21 with single right ventricle (SRV) patients. All patients underwent echocardiography and cardiac catheterization on the same day. To analyze correlations, Spearman’s rank correlation coefficient was applied, while receiver operating characteristic (ROC) curves were developed to evaluate predictive accuracy.

resultsCompared to SLV patients, SRV patients exhibited significantly higher global wasted work (GWW) (194.0 [132.5, 309.5] vs. 101.0 [66.5, 143.5] mmHg%, p = 0.012) accompanied by significantly reduced global work efficiency (GWE) (86.0% [81.5, 90.0] vs. 93.0% [89.5, 95.0], p = 0.004). In all FSV patients, global work index (GWI) (r=-0.540, p < 0.01), global constructive work (GCW) (r=-0.436, p < 0.01), and GWE (r=-0.831, p < 0.001) showed significant negative correlations with ventricular end-diastolic pressure (VEDP), while GWW demonstrated a significant positive correlation with VEDP (r = 0.738, p < 0.001). PSL parameters exhibited good intra- and inter-observer reproducibility and high predictive value for VEDP > 10 mmHg.

conclusionsPressure-strain loop indices can effectively evaluate cardiac function in FSV patients and reveal functional differences between subtypes. Larger studies are needed to validate the value of these emerging indicators.

Indexed as

Cardiac CatheterizationHeart Defects, CongenitalHeart VentriclesMyocardial ContractionVentricular Function, LeftVentricular Function, RightVentricular PressureAdultFemaleGlobal Longitudinal StrainHumansMaleMiddle AgedPredictive Value of TestsReproducibility of ResultsRetrospective StudiesFunctional single ventricleMyocardial workPressure-strain loopVentricular function

Identifiers

PMID40753366
PMCPMC12318391

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