Evidence map›Paper›PMID 41251959›Full record

SynthesisJournal of echocardiography2026

Right ventricular function assessment following transcatheter aortic valve implantation/replacement (TAVI/TAVR): a systematic review and meta-analysis comparing speckle tracking and conventional echocardiographic approaches.

Ehsan Goudarzi, Saba Aghajani, Navid Ebrahimi, Diba Akarzadeh, Minoo Javadi, Seyedeh Shahrzad Layegh Mirhosseyni, Yasaman Zarinfar, Isa Khaheshi

Abstract readSystematic ReviewMeta-AnalysisComparative Study
PubMed Publisher
In one paragraph

Synthesis in Journal of echocardiography, 2026. 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

8 authors.

Ehsan GoudarziSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Saba AghajaniSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Navid EbrahimiSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Diba AkarzadehStudent Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Minoo JavadiDepartment of Medicine, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Seyedeh Shahrzad Layegh MirhosseyniDepartment of Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Yasaman ZarinfarSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Isa KhaheshiCardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. isa_khaheshi@yahoo.com.ORCID http://orcid.org/0000-0001-6694-6542

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study evaluates alterations in right ventricular strains using speckle-tracking echocardiography (STE) following transcatheter aortic valve implantation/replacement (TAVI/TAVR) and compares these alterations with conventional echocardiographic measurements. A systematic search identified studies assessing RVFWLS and RVGLS via STE pre- and post-TAVI/TAVR. Secondary outcomes included LVEF, TAPSE, FAC, and LVGLS changes. Echocardiographic parameters of TAVI/TAVR patients were compared to those of SAVR patients. Subgroup analyses were based on follow-up duration (≤ 1 month vs. >1 month). Meta-regression examined associations between baseline LVEF, RV strain parameters, and AVA with RV strain changes. Risk of bias assessments, sensitivity analyses, and publication bias evaluations ensured result robustness. Thirteen studies comprising 1,399 patients were analyzed. RVFWLS significantly improved post-TAVI/TAVR (MD = 1.57, SMD = 0.23, p < 0.001). RVGLS showed minor improvement (SMD = 0.09, p = 0.028). LVGLS exhibited considerable improvement (MD = 1.14, SMD = 0.27, p < 0.001). RVFWLS demonstrated the most improvement among all parameters at follow-up > 1 month, whereas within the first month, LVGLS showed greater improvement than RVFWLS. (SMD = 0.30, MD = 1.98, p < 0.001). Lower AVA was associated with greater RVFWLS improvement (coefficient= -0.11, p = 0.08). Among the echocardiographic parameters, only RVFWLS and LVGLS showed consistent improvement after TAVI/TAVR. RVFWLS demonstrated the greatest improvement beyond 1 month of follow-up, whereas LVGLS showed the largest early improvement within the first month. In contrast, changes in RVGLS, LVEF, TAPSE, and FAC were generally small.Keywords: speckle-tracking echocardiography, echocardiography, transcatheter aortic valve implantation, transcatheter aortic valve replacement, right ventricle.

Indexed as

Aortic Valve StenosisEchocardiographyHeart VentriclesTranscatheter Aortic Valve ReplacementVentricular Function, RightHumans

Identifiers

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Read underepoch 390

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.