Evidence map›Paper›PMID 42291566›Full record

ArticleFrontiers in cardiovascular medicine2026

Myocardial work efficiency in children with Wolff-Parkinson-White preexcitation before and after accessory pathway ablation.

Tereza Hadžić, Olena Iurchenko, Jan Kovanda, Viktor Tomek, Terézia Tavačová, Peter Kubuš, Jan Janoušek

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 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

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

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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

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5 · Who and what money

Authors and funding

7 authors.

Tereza HadžićChildren's Heart Centre, 2nd Faculty of Medicine, Charles University and Motol and Homolka University Hospital, Prague, Czechia.
Olena IurchenkoChildren's Heart Centre, 2nd Faculty of Medicine, Charles University and Motol and Homolka University Hospital, Prague, Czechia.
Jan KovandaChildren's Heart Centre, 2nd Faculty of Medicine, Charles University and Motol and Homolka University Hospital, Prague, Czechia.
Viktor TomekChildren's Heart Centre, 2nd Faculty of Medicine, Charles University and Motol and Homolka University Hospital, Prague, Czechia.
Terézia TavačováChildren's Heart Centre, 2nd Faculty of Medicine, Charles University and Motol and Homolka University Hospital, Prague, Czechia.
Peter KubušChildren's Heart Centre, 2nd Faculty of Medicine, Charles University and Motol and Homolka University Hospital, Prague, Czechia.
Jan JanoušekChildren's Heart Centre, 2nd Faculty of Medicine, Charles University and Motol and Homolka University Hospital, Prague, Czechia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objective: Ventricular preexcitation alters the electromechanical activation sequence and may induce left ventricular (LV) contractile discoordination and pathologic remodeling. We aimed to evaluate LV myocardial work (MW) before and after accessory pathway (AP) ablation and to compare it to controls in a prospective observational study. Methods: MW calculation was performed in 37 pediatric patients with Wolff-Parkinson-White preexcitation before and within 24 h after catheter ablation using a commercial software. MW was calculated as the area under pressure-strain loop derived from speckle tracking echocardiography and blood pressure. Thirty healthy age- and weight-matched individuals were used as controls. Results: Before ablation LV ejection fraction (mean 55.3 in patients vs. 59.3% in controls, Conclusion: Ventricular preexcitation is associated with decreased LV MW efficiency which correlates negatively with the degree of preexcitation and improves early after ablation. Wasted work in asymptomatic preexcitation may be considered when assessing the potential for pathologic LV remodeling or discussing the indication for prophylactic ablation.

Indexed as

ablationmyocardial workpediatric cardiologyspeckle-tracking echocardiographyWolff-Parkinson-White syndrome

Identifiers

PMID42291566
PMCPMC13260303

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