Evidence mapPaperPMID 27267255Full record

Trial reportCardiovascular ultrasound2016

Coronary flow velocity reserve by echocardiography: feasibility, reproducibility and agreement with PET in overweight and obese patients with stable and revascularized coronary artery disease.

Rasmus Huan Olsen, Lene Rørholm Pedersen, Martin Snoer, Thomas Emil Christensen, Adam Ali Ghotbi, Philip Hasbak, Andreas Kjaer, Steen B Haugaard, Eva Prescott

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cardiovascular ultrasound, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. Multimodality Cardiac Imaging in COVID.Circulation research · 2023
    Review
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  11. Determination of [N-13]-ammonia extraction fraction in patients with coronary artery disease by calibration to invasive coronary and fractional flow reserve.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  12. Article
  13. Review
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  16. Advances in translational imaging of the microcirculation.Microcirculation (New York, N.Y. : 1994) · 2021
    Review
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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

9 authors at 4 institutions in 1 country.

Rasmus Huan OlsenDepartment of Cardiology, Bispebjerg Hospital, University of Copenhagen, Building 67, Bispebjerg Bakke 23, DK-2400, Copenhagen NV, Denmark. rasmus.huan.olsen@regionh.dk.
Lene Rørholm PedersenDepartment of Cardiology, Bispebjerg Hospital, University of Copenhagen, Building 67, Bispebjerg Bakke 23, DK-2400, Copenhagen NV, Denmark.
Martin SnoerDepartment of Cardiology, Bispebjerg Hospital, University of Copenhagen, Building 67, Bispebjerg Bakke 23, DK-2400, Copenhagen NV, Denmark.
Thomas Emil ChristensenDepartment of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Adam Ali GhotbiDepartment of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Philip HasbakDepartment of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Andreas KjaerDepartment of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Steen B HaugaardDepartment of Internal Medicine and Clinical Research Centre, Amager and Hvidovre Hospitals, University of Copenhagen, Copenhagen, Denmark.
Eva PrescottDepartment of Cardiology, Bispebjerg Hospital, University of Copenhagen, Building 67, Bispebjerg Bakke 23, DK-2400, Copenhagen NV, Denmark.
University of Copenhagen · DKBispebjerg Hospital · DKRigshospitalet · DKAmager Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary flow velocity reserve (CFVR) measured by transthoracic Doppler echocardiography of the LAD is used to assess microvascular function but validation studies in clinical settings are lacking. We aimed to assess feasibility, reproducibility and agreement with myocardial flow reserve (MFR) measured by PET in overweight and obese patients.

methodsParticipants with revascularized coronary artery disease were examined by CFVR. Subgroups were examined by repeated CFVR (reproducibility) or Rubidium-82-PET (agreement). To account for time variation, results were computed for scans performed within a week (1-week) and for all scans regardless of time gap (total) and to account for scar tissue for patients with and without previous myocardial infarction (MI).

resultsEighty-six patients with median BMI 30.9 (IQR 29.4-32.9) kg × m(-2) and CFVR 2.29 (1.90-2.63) were included. CFVR was feasible in 83 (97 %) using a contrast agent in 14 %. For reproducibility overall (n = 21) limits of agreement (LOA) were (-0.75;0.71), within-subjects coefficient of variation (CV) 11 %, and reliability 0.84. For reproducibility within 1-week (n = 13) LOA were (-0.33;0.25), within-subjects CV 5 %, and reliability 0.97. Agreement with MFR of the LAD territory (n = 35) was without significant bias and overall LOA were (-1.40;1.46). Agreement was best for examinations performed within 1-week of participants without MI of the LAD-territory (n = 12); LOA = (-0.68;0.88).

conclusionsCFVR was highly feasible with a good reproducibility on par with other contemporary measures applied in cardiology. Agreement with MFR was acceptable, though discrepancy related to prior MI has to be considered. CFVR of LAD is a valid tool in overweight and obese patients.

Indexed as

Myocardial RevascularizationAgedBlood Flow VelocityCoronary AngiographyCoronary Artery DiseaseCoronary CirculationCoronary VesselsEchocardiography, DopplerFeasibility StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedOverweightPositron-Emission TomographyCoronary artery diseaseCoronary flow reserveEchocardiographyMicrovascular functionObesityPositron emission tomography

Identifiers

PMID27267255
PMCPMC4897868
OpenAlexW2413984437

What Socratic 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 Socratic graph.