Evidence map›Paper›PMID 37697922›Full record

ArticleESC heart failure2023

The potential predictive value of cardiac mechanics for left ventricular reverse remodelling in dilated cardiomyopathy.

Ao Kan, Qimin Fang, Shuhao Li, Wenying Liu, Xinwei Tao, Kaiyao Huang, Mengyao Hu, Zhaofeng Feng, Lianggeng Gong

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Review
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 2 institutions in 2 countries.

Ao KanDepartment of Radiology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Qimin FangDepartment of Radiology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Shuhao LiDepartment of Radiology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Wenying LiuDepartment of Radiology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Xinwei TaoBayer Healthcare, Shanghai, China.
Kaiyao HuangDepartment of Radiology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Mengyao HuDepartment of Radiology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Zhaofeng FengDepartment of Radiology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Lianggeng GongDepartment of Radiology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.ORCID 0000-0001-7900-874X
Nanchang University · CNBayer (United States) · US

Funding

Jiangxi Province Key Project of Education Department GJJ210113Jiangxi Provincial Key Natural Science Foundation of China 20212ACB206021National Natural Science Foundation of China 81860316National Natural Science Foundation of China 82260342
6 · The paper itself

Abstract

aimsLeft ventricular reverse remodelling (LVRR) is an important objective of optimal medical management for dilated cardiomyopathy (DCM) patients, as it is associated with favourable long-term outcomes. Cardiac magnetic resonance (CMR) can comprehensively assess cardiac structure and function. We aimed to assess the CMR parameters at baseline and investigate independent variables to predict LVRR in DCM patients. METHODS AND

resultsNighty-eight initially diagnosed DCM patients who underwent CMR and echocardiography examinations at baseline were included. CMR parameters and feature tracking (FT) based left ventricular (LV) global strain (nStrain) and nStrain indexed to LV cardiac mass index (rStrain) were measured. The predictors of LVRR were determined by multivariate logistic regression analyses. Receiver operating characteristic (ROC) curves were used to evaluate the diagnostic performance of CMR parameters and were compared by the DeLong test. At a median follow-up time of 9 [interquartile range, 7-12] months, 35 DCM patients (36%) achieved LVRR. The patients with LVRR had lower LV volume, mass, LGE extent and stroke volume index (LVSVi) and higher left ventricular remodelling index (LVRI), nStrains, rStrains, and peak systolic strain rate (PSSR) in the longitudinal direction and rStrains in the circumferential direction at baseline (all P < 0.05). In the multivariate logistic regression analyses, LVRI [per SD, odds ratio (OR) 1.79; 95% confidence interval (CI) 1.08-2.98; P = 0.024] and the ratio of global longitudinal peak strain (rGLPS) (per SD, OR 1.88; 95% CI 1.18-3.01; P = 0.008) were independent predictors of LVRR. The combination of LVSVi, LVRI, and rGLPS had a greater area under the curve (AUC) than the combination of LVSVi and LVRI (0.75 vs. 0.68), but not significantly (P = 0.09).

conclusionsPatients with LVRR had a lower LV volume index, lower LVSV index, lower LGE extent, higher LVRI, and preserved myocardial deformation in the longitudinal direction at baseline. LVRI and rGLPS at baseline were independent determinants of LVRR.

Indexed as

Cardiomyopathy, DilatedHeartHumansMyocardiumStroke VolumeVentricular RemodelingCardiac magnetic resonance feature trackingDilated cardiomyopathyReverse remodellingStrain

Identifiers

PMID37697922
PMCPMC10682859
OpenAlexW4386624616

What Socratic holds

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LicenceCC BY-NC-ND
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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.