Evidence map›Paper›PMID 42126017›Full record

ArticleTurk gogus kalp damar cerrahisi dergisi2026

The effects of revascularization of lower extremity arterial disease on cardiac diastolic functions.

İsmail Balaban, Kenan Toprak, Seda Tanyeri, Ahmet Karaduman, Ali Karagöz, Elnur Alizade, Selçuk Pala, Mehmet Kaan Kırali

Abstract read
In one paragraph

Article in Turk gogus kalp damar cerrahisi dergisi, 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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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

İsmail BalabanDepartment of Cardiology, University of Health Sciences Türkiye, Hamidiye Faculty of Medicine, Koşuyolu High Specialization Training and Research Hospital, İstanbul, Türkiye.ORCID 0000-0002-1866-349X
Kenan ToprakDepartment of Cardiology, Harran University Faculty of Medicine, Şanlıurfa, Türkiye.ORCID 0000-0001-8923-8709
Seda TanyeriDepartment of Cardiology, University of Health Sciences Türkiye, Hamidiye Faculty of Medicine, Koşuyolu High Specialization Training and Research Hospital, İstanbul, Türkiye.ORCID 0000-0002-0933-9233
Ahmet KaradumanDepartment of Cardiology, University of Health Sciences Türkiye, Hamidiye Faculty of Medicine, Koşuyolu High Specialization Training and Research Hospital, İstanbul, Türkiye.ORCID 0000-0002-4039-1259
Ali KaragözDepartment of Cardiology, University of Health Sciences Türkiye, Hamidiye Faculty of Medicine, Koşuyolu High Specialization Training and Research Hospital, İstanbul, Türkiye.ORCID 0000-0002-0438-2021
Elnur AlizadeDepartment of Cardiology, University of Health Sciences Türkiye, Hamidiye Faculty of Medicine, Koşuyolu High Specialization Training and Research Hospital, İstanbul, Türkiye.ORCID 0000-0001-6952-7386
Selçuk PalaDepartment of Cardiology, University of Health Sciences Türkiye, Hamidiye Faculty of Medicine, Koşuyolu High Specialization Training and Research Hospital, İstanbul, Türkiye.ORCID 0000-0003-3523-1573
Mehmet Kaan KıraliDepartment of Cardiovascular Surgery, University of Health Sciences Türkiye, Hamidiye Faculty of Medicine, Koşuyolu High Specialization Training and Research Hospital, İstanbul, Türkiye.ORCID 0000-0003-0044-4691

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lower extremity arterial disease (LEAD) is a systemic atherosclerotic condition associated with increased arterial stiffness, impaired ventricular-arterial coupling, and a higher prevalence of left ventricular diastolic dysfunction (LVDD). Although endovascular revascularization improves limb perfusion, its early effects on echocardiographic indices of LVDD function and their clinical significance remain unclear. This study aimed to evaluate early changes in selected echocardiographic indices of LVDD function following successful revascularization in patients with LEAD. Methods: This prospective single-center study included 74 patients who underwent endovascular revascularization for aortoiliac or femoropopliteal disease. Transthoracic echocardiography was performed 24-48 hours before and 48-120 hours after the intervention. Diastolic indices, including e' velocity, E/e' ratio, isovolumetric relaxation time (IVRT), and IVRT/TE-e' ratio, were measured according to American Society of Echocardiography/EACVI guidelines. Longitudinal changes were analyzed using linear mixed-effects models incorporating lesion location and lesion laterality as covariates. Results: Statistically significant early changes were observed in selected diastolic parameters following revascularization. Mitral annular e' velocity increased from 7.91±2.43 to 8.69±2.35 cm/s (p=0.036), while the E/e' ratio decreased from 8.97±2.44 to 7.53±2.27 (p<0.001). IVRT (p=0.029) and the IVRT/TE-e' ratio (p=0.018) also decreased significantly. No changes were observed in blood pressure, heart rate, or left ventricular systolic function. Lesion location did not influence changes in e' velocity or E/e' ratio; however, aortoiliac disease was associated with a greater reduction in the IVRT/TE-e' ratio (p=0.021). Lesion laterality did not affect diastolic outcomes. Conclusion: Successful endovascular revascularization in patients with LEAD was associated with early changes in selected echocardiographic indices of LVDD. The clinical significance of these changes and whether they translate into long-term outcomes warrant further investigation.

Indexed as

diastolic indicesechocardiographyendovascular revascularizationLower extremity arterial diseasemyocardial relaxation

Identifiers

PMID42126017
PMCPMC13658967

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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.