Evidence map›Paper›PMID 41543411›Full record

Observational studyAnnals of cardiac anaesthesia2026

Evaluating the Use of Post-Systolic Shortening and Global Longitudinal Strain in Predicting Immediate Postoperative Course after Coronary Artery Bypass Grafting: Prospective Observational Study.

Nanditha Sreedhar, Guru Police Patel, Anandathirtha Holavanahalli, Shivraj Nallur Somanna, Farhath Unnisa

Abstract readObservational Study
In one paragraph

Observational study in Annals of cardiac anaesthesia, 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

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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

5 authors.

Nanditha SreedharDepartment of General Anesthesia (Cardiac Anesthesia), Ramaiah Medical College, Bangalore, Karnataka, India.
Guru Police PatelConsultant Cardiac Anaesthesia, Ramaiah Memorial Hospital, Bangalore, Karnataka, India.
Anandathirtha HolavanahalliCardiac Aortic and Transplant Surgery, Ramaiah Memorial Hospital, Bangalore, Karnataka, India.
Shivraj Nallur SomannaDepartment of Community Medicine, Ramaiah Medical College, Bangalore, Karnataka, India.
Farhath UnnisaDepartment of CTVS, Ramaiah Memorial Hospital, Bangalore, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the use of post-systolic shortening (PSS) and global longitudinal strain (GLS) in predicting immediate postoperative adverse events after coronary artery bypass grafting (CABG).

designA prospective observational study.

settingConducted in a single tertiary care hospital.

participantsA total of 71 patients undergoing elective CABG were included in our study. Our patients were aged between 45 and 75 years and included both off-pump and on-pump cases. We excluded patients with left ventricular function less than 30%, severe diastolic dysfunction, severe right ventricular dysfunction, concomitant more than moderate valve dysfunction, arrhythmias, left or right bundle branch blocks, and unwillingness to participate in the study.

methodsPreoperative echocardiogram included left ventricular post-systolic index (LV PSI) and GLS. Postoperatively, composite adverse events were documented by measuring the vasoactive-inotrope score (VIS) of ≥ 10 at 24 h, total duration of inotropes >40 h, intensive care unit (ICU) stay >7 days, and adverse events like low cardiac output, acute kidney injury, ventilation requirement of >24 h, and any mortality. MEASUREMENTS AND MAIN

resultsLeft ventricular global longitudinal strain (LV GLS) and LV PSI values were analyzed using receiver operating characteristic (ROC) curves, and the area under the curve (AUC) was used to compare the prediction and to derive a cutoff. AUC for LV GLS and LV PSI was 0.92 each and showed good prediction. We got a cutoff of -14.6 for LV GLS and a cutoff of 10.5 for LV PSI.

conclusionWe conclude that GLS and PSI can effectively predict immediate postoperative adverse events effectively in patients undergoing CABG.

Indexed as

Coronary Artery BypassPostoperative ComplicationsAgedEchocardiographyFemaleGlobal Longitudinal StrainHumansMaleMiddle AgedPredictive Value of TestsProspective StudiesSystoleVentricular Function, LeftGLSPostoperative adverse eventsPSS

Identifiers

PMID41543411
PMCPMC12935109

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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.