Evidence map›Paper›PMID 42416599›Full record

ArticleReviews in cardiovascular medicine2026

Changes in Cardiac-Arterial Coupling After Cardiac Surgery for Aortic Valve Disease.

Anna Giani, Oscar Plunde, Cristina Oliveira da Silva, Claudia Martins Sequeira, Kambiz Shahgaldi, Luis Miguel Cardoso Dos Santos, Francesco Fantin, Mauro Zamboni, Aristomenis Manouras, Anders Franco-Cereceda and 1 more

Abstract read
In one paragraph

Article in Reviews 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.

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

11 authors.

Anna GianiDepartment of Medicine Solna, Karolinska Institutet, 17176 Stockholm, Sweden.ORCID https://orcid.org/0000-0001-6864-8653
Oscar PlundeDepartment of Medicine Solna, Karolinska Institutet, 17176 Stockholm, Sweden.ORCID https://orcid.org/0000-0003-1343-2198
Cristina Oliveira da SilvaDepartment of Medicine Solna, Karolinska Institutet, 17176 Stockholm, Sweden.ORCID https://orcid.org/0009-0008-4774-4011
Claudia Martins SequeiraDepartment of Medicine Solna, Karolinska Institutet, 17176 Stockholm, Sweden.ORCID https://orcid.org/0009-0009-5992-5474
Kambiz ShahgaldiDepartment of Cardiology, Danderyd Hospital, 18288 Stockholm, Sweden.ORCID https://orcid.org/0000-0001-9677-8252
Luis Miguel Cardoso Dos SantosDepartment of Medicine Solna, Karolinska Institutet, 17176 Stockholm, Sweden.ORCID https://orcid.org/0000-0003-2971-6515
Francesco FantinCentre for Medical Sciences-CISMed, Department of Psychology and Cognitive Science-DIPSCO, Section of Geriatric Medicine, University of Trento, 38068 Rovereto, Italy.ORCID https://orcid.org/0000-0003-1763-6024
Mauro ZamboniDepartment of Medicine, Section of Geriatrics, University of Verona, 37126 Verona, Italy.ORCID https://orcid.org/0000-0001-6961-9483
Aristomenis ManourasDepartment of Medicine Solna, Karolinska Institutet, 17176 Stockholm, Sweden.ORCID https://orcid.org/0000-0002-6617-2070
Anders Franco-CerecedaHeart and Vascular Center, Karolinska University Hospital, 17176 Stockholm, Sweden.ORCID https://orcid.org/0000-0002-3427-9455
Magnus BäckDepartment of Medicine Solna, Karolinska Institutet, 17176 Stockholm, Sweden.ORCID https://orcid.org/0000-0003-0853-5141

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Aortic valve disease affects vascular and cardiac remodeling and function, with changes observed after cardiac surgery. Ventricular-arterial coupling (VAC), which reflects the interaction between the left ventricle and the arterial system, may be altered by aortic valve replacement (AVR). Therefore, this study aimed to determine changes in VAC and atrial-arterial coupling (AAC) in patients with aortic valve disease before and after AVR. Methods: A total of 41 patients (median age 67 years, interquartile range (IQR) 62-71) undergoing AVR, including 24 (58.5%) with aortic stenosis (AS), were evaluated before and early (3 days) after cardiac surgery. Left atrial reservoir strain (LARS) and left ventricular (LV) global longitudinal strain (GLS) were assessed by echocardiography. Carotid-femoral pulse wave velocity (cfPWV), brachial-ankle-PWV (baPWV), and cardio-ankle vascular index (CAVI) were measured. VAC and AAC were defined as ratios of arterial stiffness to cardiac strain (CAVI/GLS, CAVI/LARS, baPWV/GLS, baPWV/LARS, cfPWV/GLS, cfPWV/LARS). Results: Atrial and ventricular strain and arterial stiffness significantly worsened after surgery. Ventricular-arterial uncoupling was reflected by a substantial increase in arterial stiffness to LV strain ratios ( Conclusions: Worsened ventricular-arterial uncoupling can be detected early after cardiac surgery using novel measures of VAC, including ratios of peripheral arterial stiffness to cardiac deformation. This study extends these findings by demonstrating atrial-arterial uncoupling, suggesting a generalized cardiac-arterial uncoupling after valve surgery.

Indexed as

aortic valve replacementarterial stiffnessatrial-arterial couplingatrial functionventricular-arterial couplingventricular function

Identifiers

PMID42416599
PMCPMC13339173

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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.