Evidence map›Paper›PMID 41404757›Full record

ArticleJournal of the American Heart Association2026

Screening Patients for Elevated Left Ventricular End-Diastolic Pressure Using a Novel Noninvasive Brachial Cuff-ECG System: A Multicenter Validation Study.

David Shavelle, Derek Rinderknecht, Weiwei Jin, W B Chiu, Asia Krupa, Christopher Jerdonek, Kendra Cook, Niema Pahlevan, Farrell Mendelsohn, Thomas Cawthon and 9 more

Abstract readMulticenter StudyValidation Study
In one paragraph

Article in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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
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. 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

19 authors.

David ShavelleMemorialCare Heart and Vascular Institute Long Beach Medical Center Long Beach CA USA.ORCID 0000-0002-9209-9807
Derek RinderknechtVentric Health Pasadena CA USA.
Weiwei JinVentric Health Pasadena CA USA.ORCID 0000-0002-0919-2470
W B ChiuVentric Health Pasadena CA USA.ORCID 0009-0006-3738-1507
Asia KrupaVentric Health Pasadena CA USA.
Christopher JerdonekVentric Health Pasadena CA USA.ORCID 0009-0006-7103-9457
Kendra CookVentric Health Pasadena CA USA.
Niema PahlevanDepartment of Aerospace and Mechanical Engineering University of Southern California Los Angeles CA USA.ORCID 0000-0001-7498-0396
Farrell MendelsohnCardiology PC Birmingham AL USA.
Thomas CawthonCardiology PC Birmingham AL USA.
Ryan ReevesDivision of Cardiology UC San Diego Sulpizio Cardiovascular Center San Diego CA USA.ORCID 0000-0001-7887-964X
Richard McNamaraSpectrum Health Medical Group Cardiovascular Medicine Grand Rapids MI USA.ORCID 0000-0001-9496-262X
Ryan MadderSpectrum Health Medical Group Cardiovascular Medicine Grand Rapids MI USA.ORCID 0000-0002-3751-2910
Hoang NguyenCalifornia Heart Associates Fountain Valley CA USA.
Sarah ElsayedCalifornia Heart Associates Fountain Valley CA USA.ORCID 0000-0003-3888-5089
Tae YangCalifornia Heart Associates Fountain Valley CA USA.
John BahadoraniSouth Orange County Cardiology Group Laguna Hills CA USA.
Daniel LaMontSouth Orange County Cardiology Group Laguna Hills CA USA.
Steven BaileyDepartment of Medicine Ochsner LSU Health Shreveport Shreveport LA USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMeasurement of left ventricular end-diastolic pressure (LVEDP) is an established diagnostic method to evaluate heart failure but requires an invasive procedure. A noninvasive technique for detecting elevated LVEDP would improve the diagnosis of heart failure. Herein, we present the results of a multicenter study to validate a noninvasive system to detect elevated LVEDP.

methodsThe Vivio System includes a modified blood pressure cuff and single-lead ECG to capture brachial artery waveforms. A model was created to identify patients with elevated LVEDP (>18 mm Hg). For the invasive cohort, all patients were referred for coronary angiography and left heart catheterization for clinical indications. A group of 321 patients with no significant health problems were enrolled as a control cohort. Invasive LVEDP measurements were performed using Millar catheters. The training data set (n=262) contained 101 patients with LVEDP measurements (n=44 with LVEDP >18 mm Hg) and 161 controls. The validation data set (n=155) contained 75 patients with LVEDP measurements (n=40 with LVEDP >18 mm Hg) and 80 controls.

resultsLeave-one-out cross-validation on the training data set yielded a sensitivity of 0.84 (95% CI, 0.70-0.93]) and a specificity of 0.84 (95% CI, 0.79-0.89). The validation data set showed a sensitivity of 0.80 (95% CI, 0.64-0.91) and a specificity of 0.83 (95% CI, 0.75-0.90).

conclusionsThe Vivio System can accurately detect elevated LVEDP and has the potential to significantly improve early detection of heart failure in the outpatient setting.

Indexed as

Blood Pressure DeterminationBrachial ArteryElectrocardiographyHeart FailureVentricular Function, LeftVentricular PressureAgedEquipment DesignFemaleHumansMaleMiddle AgedPredictive Value of TestsReproducibility of Resultsheart failureleft heart catheterizationleft ventricular end‐diastolic pressurenoninvasive monitoring

Identifiers

PMID41404757
PMCPMC12909055

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.