ArticleJTCVS open2026
Echocardiographic correlates of pressure-volume-derived indices: Advancing intraoperative assessment of right ventricular function.
Article in JTCVS open, 2026. 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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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.
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10 authors.
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Abstract
Objectives: To evaluate the relationship between intraoperative 3-dimensional (3D) echocardiographic measures of right ventricular (RV) function and invasively derived RV-pulmonary arterial (RV-PA) coupling metrics obtained from single-beat end-systolic pressure-volume analysis, identify echocardiographic surrogates capable of discriminating impaired RV-PA coupling during cardiac surgery. Methods: In a prospective observational study of 78 adult patients undergoing cardiac surgery with transesophageal echocardiography and pulmonary artery catheter monitoring, RV volumes and functional indices were quantified using 3D TEE, whereas RV-PA coupling (Ees/Ea) was calculated using the V Results: Patients with impaired RV-PA coupling (28.2%) demonstrated significantly larger 3D end-systolic volume and reduced 3D ejection fraction (EF) and 4-dimensional-derived fractional area change (FAC) compared with those with preserved coupling. 3D EF showed the strongest correlation with coupling (ρ = 0.94, Conclusions: Intraoperative 3D volumetric indices, particularly 3D EF and FAC, may closely reflect invasively measured RV-PA coupling and potentially identify patients with impaired coupling. These findings may support the use of 3D echocardiography as a practical surrogate for intraoperative RV-PA coupling assessment during cardiac surgery.
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