Evidence map›Paper›PMID 37970492›Full record

ArticleCJC pediatric and congenital heart disease2022

Prospective Assessment of Coronary Artery Flows Before and After Cardiopulmonary Bypass in Children With a Spectrum of Congenital Heart Disease.

Lynne E Nield, Conall T Morgan, Simone Diab, Maria Angeles Vera, Kyle Runeckles, Mark K Friedberg, Andreea Dragulescu, Osami Honjo, Katherine Taylor, Michael-Alice Moga and 3 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in CJC pediatric and congenital heart disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 92% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Lynne E NieldLabatt Family Heart Centre, Division of Cardiology, the Hospital for Sick Children, Toronto, Ontario, Canada.
Conall T MorganLabatt Family Heart Centre, Division of Cardiology, the Hospital for Sick Children, Toronto, Ontario, Canada.
Simone DiabLabatt Family Heart Centre, Division of Cardiology, the Hospital for Sick Children, Toronto, Ontario, Canada.
Maria Angeles VeraLabatt Family Heart Centre, Division of Cardiology, the Hospital for Sick Children, Toronto, Ontario, Canada.
Kyle RunecklesLabatt Family Heart Centre, Division of Cardiology, the Hospital for Sick Children, Toronto, Ontario, Canada.
Mark K FriedbergLabatt Family Heart Centre, Division of Cardiology, the Hospital for Sick Children, Toronto, Ontario, Canada.
Andreea DragulescuLabatt Family Heart Centre, Division of Cardiology, the Hospital for Sick Children, Toronto, Ontario, Canada.
Osami HonjoDivision of Cardiovascular Surgery, the Hospital for Sick Children, Toronto, Ontario, Canada.
Katherine TaylorDepartment of Anaesthesia and Pain Medicine, the Hospital for Sick Children, Toronto, Ontario, Canada.
Michael-Alice MogaDivision of Cardiac Intensive Care, the Hospital for Sick Children, Toronto, Ontario, Canada.
Cedric ManlhiotLabatt Family Heart Centre, Division of Cardiology, the Hospital for Sick Children, Toronto, Ontario, Canada.
Steven E S MinerDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada.
Luc MertensLabatt Family Heart Centre, Division of Cardiology, the Hospital for Sick Children, Toronto, Ontario, Canada.
Hospital for Sick Children · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Normative data for the effect of cardiopulmonary bypass (CPB) on coronary artery Doppler velocities by transesophageal echocardiography in paediatric patients with congenital heart disease (CHD) are lacking. The objective of the study was to prospectively examine the effects of CPB on coronary artery flow patterns by transesophageal echocardiography before and after CPB in children with CHD. Methods: All cases undergoing CHD surgery at the Hospital for Sick Children, Toronto, were eligible. The excluded cases included Norwood operation, heart transplantation, or weight <2.5 kg. Coronary Dopplers and coronary flow reserve (CFR) for the right coronary artery (RCA) and left anterior descending (LAD) were obtained. Multivariable analyses using linear regression models were performed, adjusted for age and cross-clamp time. Results: From May 2017 to June 2018, 69 children (median age at surgery: 0.7 years, interquartile range [IQR]: 0.4-3.7 years; median weight: 7.4 kg, IQR: 5.8-13.3 kg) were included. They were grouped into shunt lesions (N = 26), obstructive lesions (N = 26), transposition of the great arteries (N = 5), and single ventricle (N = 12). N = 39 (57%) were primary repairs, and 56 (81%) had 1 CPB run. For RCA and LAD peak velocities, there was an increase from pre- to post-CPB in RCA peak 39 cm/s (IQR: 30-54 cm/s) to 65 cm/s (IQR: 47-81 cm/s), Conclusions: Coronary flow velocities increase from pre- to post-CPB in congenital heart lesions. CFR is consistent across all lesions but is relatively low compared with the adult population.

Identifiers

PMID37970492
PMCPMC10642097
OpenAlexW4280601673

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.