Evidence map›Paper›PMID 41674122›Full record

Observational studyEchocardiography (Mount Kisco, N.Y.)2026

Assessing Cardiac Mechanical Dysfunction in Transfusion-Dependent β-Thalassemia With History of Atrial Fibrillation: The Role of Speckle Tracking Echocardiography.

Federico Marchini, Maria Mele, Elena Marchetti, Laura Rotondo, Federica Frascaro, Michele Malagù, Rita Pavasini, Elisabetta Tonet, Matteo Serenelli, Alberto Cossu and 5 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Echocardiography (Mount Kisco, N.Y.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05508932 (Atrial Fibrillation in Beta-Thalassemia), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT05508932 recruitingnot on this map

Atrial Fibrillation in Beta-Thalassemia

TypeobservationalSponsorUniversity Hospital of FerraraRan2022 to 2032Enrolled350ConditionsAtrial Fibrillation, Thalassemia
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Observational
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

15 authors.

Federico MarchiniCardiology Unit, Azienda Ospedaliero Universitaria Di Ferrara, Ferrara, Italy.ORCID 0000-0003-2622-4881
Maria MeleCardiology Unit, Azienda Ospedaliero Universitaria Di Ferrara, Ferrara, Italy.
Elena MarchettiCardiology Unit, Azienda Ospedaliero Universitaria Di Ferrara, Ferrara, Italy.
Laura RotondoCardiology Unit, Azienda Ospedaliero Universitaria Di Ferrara, Ferrara, Italy.
Federica FrascaroCardiology Unit, Azienda Ospedaliero Universitaria Di Ferrara, Ferrara, Italy.
Michele MalagùCardiology Unit, Azienda Ospedaliero Universitaria Di Ferrara, Ferrara, Italy.ORCID 0000-0002-1972-9665
Rita PavasiniCardiology Unit, Azienda Ospedaliero Universitaria Di Ferrara, Ferrara, Italy.ORCID 0000-0002-1763-9711
Elisabetta TonetCardiology Unit, Azienda Ospedaliero Universitaria Di Ferrara, Ferrara, Italy.
Matteo SerenelliCardiology Unit, Azienda Ospedaliero Universitaria Di Ferrara, Ferrara, Italy.ORCID 0000-0002-8947-7176
Alberto CossuDivision of Radiology, Azienda Ospedaliero Universitaria Di Ferrara, Ferrara, Italy.
Filomena LongoThalassemia and Hemoglobinopathies Unit, Azienda Ospedaliero Universitaria Di Ferrara, Ferrara, Italy.
Maria Lo MonacoCardiovascular Institute, Ospedale Humanitas Gavazzeni, Bergamo, Italy.
Erika BertellaCardiovascular Institute, Ospedale Humanitas Gavazzeni, Bergamo, Italy.ORCID 0000-0002-3768-232X
Gianluca CampoCardiology Unit, Azienda Ospedaliero Universitaria Di Ferrara, Ferrara, Italy.ORCID 0000-0002-5150-188X
Matteo BertiniCardiology Unit, Azienda Ospedaliero Universitaria Di Ferrara, Ferrara, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAtrial fibrillation (AF) is highly prevalent in patients with transfusion-dependent beta-thalassemia (TDT). Speckle tracking echocardiography (STE) provides detailed information about left ventricular (LV) and atrial function, however its role in TDT patients with AF has not been completely investigated. This study aimed to assess differences in cardiac mechanical parameters between thalassemia patients with and without history of AF. METHODS AND

results223 TDT patients in sinus rhythm were enrolled and, among them, 26 (11%) had history of AF. A complete STE analysis with the evaluation of global longitudinal strain (GLS), peak atrial longitudinal strain (PALS) and myocardial work (MW) indices were performed. The primary endpoint was the difference in STE parameters. The secondary endpoint was the prevalence of cardiac mechanical dysfunction. Patients with history of AF showed significantly lower values of GLS (19% vs 21%, p = 0.01) and PALS (24% vs 35%, p < 0.001) compared to those without AF. AF patients showed higher prevalence of both ventricular and atrial mechanical dysfunction (respectively 27% vs 12%, p = 0.03 and 42% vs 11%, p < 0.001). PALS showed high discriminative ability (AUC 0.76, 95% CI 0.66-0.85) with an optimal cut-off value of 25.9% to detect those with history of AF.

conclusionsAmong TDT patients, those with history of AF showed lower values of GLS and PALS. Both LV and atrial mechanical dysfunction were significantly prevalent in patients with history of AF and PALS showed high diagnostic accuracy for the detection of AF. CLINICAL

trial registrationClinicalTrials.gov id NCT05508932.

Indexed as

Atrial Fibrillationbeta-ThalassemiaBlood TransfusionEchocardiographyVentricular Dysfunction, LeftAdultFemaleGlobal Longitudinal StrainHeart AtriaHeart VentriclesHumansMaleReproducibility of Resultsatrial fibrillationglobal longitudinal strainmyocardial workpeak atrial longitudinal strainspeckle tracking echocardiographytransfusion dependent beta thalassemia

Identifiers

PMID41674122
PMCPMC12895093

What Socratic holds

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Registered trials

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.