Evidence map›Paper›PMID 42041977›Full record

ArticleJournal of cardiovascular development and disease2026

Prognostic Value of the RVFWLS/PASP Ratio in Pulmonary Arterial Hypertension.

Hongjie Bian, Qinhua Zhao, Fengling Ju, Lan Wang, Yupei Han, Hongling Qiu, Cijun Luo, Pei Gang, Ke Li, Xumeng Ding

Abstract read
In one paragraph

Article in Journal of cardiovascular development and disease, 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

10 authors.

Hongjie BianNanyang Second General Hospital, Henan Medical University, Nanyang 473000, China.
Qinhua ZhaoShanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.ORCID 0000-0003-4309-8880
Fengling JuNanyang Second General Hospital, Henan Medical University, Nanyang 473000, China.
Lan WangShanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.ORCID 0000-0002-7270-1397
Yupei HanNanyang Second General Hospital, Henan Medical University, Nanyang 473000, China.
Hongling QiuShanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.ORCID 0000-0002-9992-3811
Cijun LuoShanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.
Pei GangNanyang Second General Hospital, Henan Medical University, Nanyang 473000, China.
Ke LiNanyang Second General Hospital, Henan Medical University, Nanyang 473000, China.
Xumeng DingNanyang Second General Hospital, Henan Medical University, Nanyang 473000, China.

Funding

Xu meng Ding 24JCQY056Xu meng Ding LHGJ20240772
6 · The paper itself

Abstract

backgroundThe right ventricular free wall longitudinal strain to pulmonary arterial systolic pressure (RVFWLS/PASP) ratio is an emerging echocardiographic index for evaluating right ventricular-pulmonary artery (RV-PA) coupling. This study aimed to evaluate its prognostic significance and incremental value in risk stratification for patients with pulmonary arterial hypertension (PAH).

methodsWe conducted a retrospective-prospective cohort study of 149 adult PAH patients (87 idiopathic PAH and 62 connective tissue disease-associated PAH). RVFWLS was measured via speckle tracking echocardiography, and PASP was estimated using Doppler. The primary endpoint was event-free survival, defined as the first occurrence of all-cause mortality, lung transplantation, or rehospitalization for right heart failure. Kaplan-Meier and multivariate Cox regression analyses were performed to identify independent predictors.

resultsDuring a median follow-up of 32 months, 78 primary events occurred. Patients in the lower RVFWLS/PASP group (<0.246%/mmHg) exhibited significantly worse exercise capacity, higher NT-proBNP levels, and poorer hemodynamics compared with the higher group (≥0.246%/mmHg) (all

conclusionsRVFWLS/PASP is a robust, independent determinant of long-term prognosis in patients with PAH. As a noninvasive measure of RV-PA coupling, it provides significant incremental value for clinical risk assessment and treatment monitoring.

Indexed as

echocardiographyprognosispulmonary arterial hypertensionright ventricle-pulmonary artery couplingright ventricular function

Identifiers

PMID42041977
PMCPMC13116821

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.