Evidence map›Paper›PMID 41413699›Full record

Observational studyNeurocritical care2026

Left Ventricular Hypertrophy and Ischemic Lesions After Intracerebral Hemorrhage.

Mohamed Ridha, Marialaura Simonetto, Fernanda Carvalho Poyraz, Evan Hess, Aditya Kumar, Seyedmehdi Payabvash, Sachin Agarwal, Shivani Ghoshal, Jan Claassen, E Sander Connolly and 3 more

Abstract readObservational Study
In one paragraph

Observational study in Neurocritical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Mohamed RidhaDepartment of Neurology, Ohio State University, Columbus, OH, USA.
Marialaura SimonettoDepartment of Neurology, Columbia University Irving Medical Center, New York City, NY, USA.
Fernanda Carvalho PoyrazDepartment of Neurology, Columbia University Irving Medical Center, New York City, NY, USA.
Evan HessDepartment of Neurology, Columbia University Irving Medical Center, New York City, NY, USA.
Aditya KumarDepartment of Neurology, Columbia University Irving Medical Center, New York City, NY, USA.
Seyedmehdi PayabvashDepartment of Radiology, Columbia University Irving Medical Center, New York City, NY, USA.
Sachin AgarwalDepartment of Neurology, Columbia University Irving Medical Center, New York City, NY, USA.
Shivani GhoshalDepartment of Neurology, Columbia University Irving Medical Center, New York City, NY, USA.
Jan ClaassenDepartment of Neurology, Columbia University Irving Medical Center, New York City, NY, USA.
E Sander ConnollyDepartment of Neurosurgery, Columbia University Irving Medical Center, New York City, NY, USA.
Soojin ParkDepartment of Neurology, Columbia University Irving Medical Center, New York City, NY, USA.
Marwah AbdallaDepartment of Internal Medicine and Cardiovascular Disease, Columbia University Irving Medical Center, New York City, NY, USA.
David RohDepartment of Neurology, Columbia University Irving Medical Center, New York City, NY, USA. dr2753@cumc.columbia.edu.ORCID http://orcid.org/0000-0003-1927-7686

Funding

Automated clinic blood pressure assessment and detection of white coat and masked hypertension study in African AmericansR01HL146636 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ABDALLA, MARWAH · 2020 to 2025
$3.8M
FunctIonal coaGulation and HemosTasis after IntraCerebral Hemorrhage (FIGHT-ICH)R01HL173606 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI David Roh · 2025 to 2026
$1.6M
Erythrocyte contribution to coagulopathy and cerebral oxygenation after intracerebral hemorrhageK23HL151901 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ROH, DAVID · 2021 to 2025
$950k
NHLBI NIH HHS K23 HL151901NHLBI NIH HHS K23HL151901NHLBI NIH HHS R01 HL146636NHLBI NIH HHS R01HL173606
6 · The paper itself

Abstract

backgroundCerebral ischemia is frequently detected after intracerebral hemorrhage (ICH) on diffusion-weighted imaging (DWI) and is associated with worse outcomes. Although the mechanism is uncertain, cerebral autoregulation impairment due to severe hypertension has been suggested from prior studies. We tested the hypothesis that more severe left ventricular hypertrophy (LVH), a marker of chronic hypertension-mediated organ damage, is associated with DWI lesions after ICH.

methodsUsing a single-center observational cohort study, we included all patients with spontaneous ICH between 2009 and 2019 with available magnetic resonance imaging (MRI) who underwent transthoracic echocardiography (TTE) during the index hospitalization. LVH was primarily categorized as none/mild or moderate/severe based on the TTE report and was secondarily defined using calculated left ventricular mass index (LVMI) measurement. The primary outcome measure was acute DWI lesion presence on brain MRI. The number of DWI lesions was assessed as a secondary outcome.

resultsA total of 187 patients (mean [SD] age 66.4 [14.5] years, 50.8% female) with a median baseline ICH volume of 12.6 (interquartile range 4.0-32.0) mL had TTE and DWI performed. Moderate/severe LVH was present in 23.5% of patients, and DWI lesions were detected in 30.5% of the cohort. Using multivariable logistic regression, the primary analysis found that moderate/severe LVH was associated with DWI lesion presence with adjustment for ICH severity (adjusted odds ratio [aOR] 2.74, confidence interval [CI] 1.32-5.71; p = 0.01). A similar association was demonstrated between the highest LVMI quartile and DWI lesion presence (aOR 3.60, CI 1.48-8.77; p = 0.01). Linear regression models found moderate/severe LVH was associated with greater DWI lesion count (adjusted B 1.32, CI 0.89-1.76; p < 0.01).

conclusionsGreater LVH severity was associated with the presence and burden of DWI lesions after acute ICH. Echocardiography may be a tool to inform secondary ischemia risk stratification and prevention strategies.

Indexed as

Brain IschemiaCerebral HemorrhageHypertrophy, Left VentricularAgedDiffusion Magnetic Resonance ImagingEchocardiographyFemaleHumansHypertensionMaleMiddle AgedCerebral hemorrhageHypertensionIschemiaLeft ventricular hypertrophy

Identifiers

PMID41413699
PMCPMC13050522

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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.