Evidence mapPaperPMID 29094192Full record

Observational studyPediatric cardiology2018

Changes in Bi-ventricular Function After Hematopoietic Stem Cell Transplant as Assessed by Speckle Tracking Echocardiography.

Stuart Covi, Yaddanapudi Ravindranath, Ahmad Farooqi, Sureyya Savasan, Roland Chu, Sanjeev Aggarwal

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Pediatric cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 25% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Cardiac pathophysiology in sickle cell disease.Journal of thrombosis and thrombolysis · 2021
    Review
  10. Review
  11. Article
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

6 authors at 1 institution in 1 country.

Stuart CoviDivision of Pediatric Cardiology, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, 48201, USA. scovi2@gmail.com.ORCID http://orcid.org/0000-0001-6210-1470
Yaddanapudi RavindranathDivision of Pediatric Hematology/Oncology and Pediatric Blood and Marrow Transplantation Program, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, 48201, USA.
Ahmad FarooqiDivision of Pediatric Cardiology, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, 48201, USA.
Sureyya SavasanDivision of Pediatric Hematology/Oncology and Pediatric Blood and Marrow Transplantation Program, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, 48201, USA.
Roland ChuDivision of Pediatric Hematology/Oncology and Pediatric Blood and Marrow Transplantation Program, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, 48201, USA.
Sanjeev AggarwalDivision of Pediatric Cardiology, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI, 48201, USA.
Wayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hematopoietic stem cell transplant (HSCT) is a therapeutic option for patients with sickle cell disease (SCD) and severe acquired aplastic anemia (SAA). HSCT may have beneficial effects on ventricular function in damaged myocardium. We hypothesized improvement in ventricular performance and pulmonary hypertension following HSCT with strain echocardiography in SCD and SAA. Echocardiographic strain and other standard functional data were obtained via retrospective cohort analysis of patients (n = 23) with SCD and SAA who underwent HSCT and were followed at a single center between 2000 and 2014. Left ventricular global longitudinal strain was below normal at baseline, and decreased significantly (from - 16.6 to - 11.1, P = 0.05) from pre-HSCT to the initial post-HSCT echocardiogram at 109 (SD ± 83) days. At 351 (SD ± 115) days, longitudinal strain improved significantly from initial decline (from - 11.1 to - 17.5, P = 0.009) but was comparable to baseline (P = 0.43). Other measurements of bi-ventricular function did not change significantly. Tricuspid regurgitation velocities as surrogates for pulmonary hypertension improved in the subset of patients with baseline elevated values although data points were limited. Abnormal myocardial systolic function was detected at baseline with strain imaging. HSCT was associated with initial worsening longitudinal strain values, followed by improvement to baseline levels by 1 year. Insufficient data exist on whether pulmonary hypertension improves after HSCT.

Indexed as

AdolescentAnemia, AplasticAnemia, Sickle CellChildChild, PreschoolCohort StudiesEchocardiographyFemaleHeart VentriclesHematopoietic Stem Cell TransplantationHumansHypertension, PulmonaryMaleRetrospective StudiesTricuspid Valve InsufficiencyVentricular FunctionBi-ventricular functionStem cell transplantStrain

Identifiers

PMID29094192
OpenAlexW2765527450

What Socratic holds

Textmetadata
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.