{"id":"https://openalex.org/W2020580452","doi":"https://doi.org/10.1097/00005650-198707000-00008","title":"The Impact of Echocardiographic Results on Treatment Decisions for Patients Suspected of Mitral Valve Prolapse","display_name":"The Impact of Echocardiographic Results on Treatment Decisions for Patients Suspected of Mitral Valve Prolapse","publication_year":1987,"publication_date":"1987-07-01","ids":{"openalex":"https://openalex.org/W2020580452","doi":"https://doi.org/10.1097/00005650-198707000-00008","mag":"2020580452","pmid":"https://pubmed.ncbi.nlm.nih.gov/2891882"},"language":"en","primary_location":{"id":"doi:10.1097/00005650-198707000-00008","doi":"https://doi.org/10.1097/00005650-198707000-00008","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00005650-198707000-00008","pdf_url":null,"source":{"id":"https://openalex.org/S79233773","display_name":"Medical Care","issn_l":"0025-7079","issn":["0025-7079","1537-1948"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Care","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5072819848","display_name":"Sheldon M. Retchin","orcid":"https://orcid.org/0000-0003-3816-3529","observed_orcids":["https://orcid.org/0000-0003-3816-3529"]},"institutions":[{"id":"https://openalex.org/I72019824","display_name":"Virginia Commonwealth University Medical Center","ror":"https://ror.org/057xmsr27","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I72019824"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sheldon M. Retchin","raw_affiliation_strings":["Department of Medicine, Medical College of Virginia, Richmond 23298-0001"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Medical College of Virginia, Richmond 23298-0001","institution_ids":["https://openalex.org/I72019824"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109178215","display_name":"ROBERT A. WAUGH","orcid":"https://orcid.org/0009-0002-9629-0585","observed_orcids":["https://orcid.org/0009-0002-9629-0585"]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]},{"id":"https://openalex.org/I4210126298","display_name":"Duke Medical Center","ror":"https://ror.org/03njmea73","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210126298","https://openalex.org/I4210144876"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert A. Waugh","raw_affiliation_strings":["From the Department of Medicine, Duke University School of Medicine, Durham, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Medicine, Duke University School of Medicine, Durham, North Carolina","institution_ids":["https://openalex.org/I170897317","https://openalex.org/I4210126298"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5056939569","display_name":"Robert Huntington Fletcher","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert H. Fletcher","raw_affiliation_strings":["From the Department of Medicine and Epidemiology, University of North Carolina Schools of Medicine and Public Health, Chapel Hill, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Medicine and Epidemiology, University of North Carolina Schools of Medicine and Public Health, Chapel Hill, North Carolina","institution_ids":["https://openalex.org/I114027177"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5072819848"],"corresponding_institution_ids":["https://openalex.org/I72019824"],"apc_list":null,"apc_paid":null,"fwci":0.7337,"has_fulltext":false,"cited_by_count":6,"citation_normalized_percentile":{"value":0.71189887,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"25","issue":"7","first_page":"652","last_page":"657"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.8838000297546387,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.8838000297546387,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11551","display_name":"Infective Endocarditis Diagnosis and Management","score":0.05220000073313713,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.006000000052154064,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/mitral-valve-prolapse","display_name":"mitral valve prolapse","score":1.0},{"id":"https://openalex.org/keywords/echocardiography","display_name":"echocardiography","score":0.9570000171661377},{"id":"https://openalex.org/keywords/antibiotic-prophylaxis","display_name":"antibiotic prophylaxis","score":0.8539999723434448},{"id":"https://openalex.org/keywords/beta-blocker-therapy","display_name":"beta-blocker therapy","score":0.828000009059906},{"id":"https://openalex.org/keywords/bacterial-endocarditis","display_name":"bacterial endocarditis","score":0.7379999756813049},{"id":"https://openalex.org/keywords/treatment-decision-making","display_name":"treatment decision-making","score":0.628000020980835},{"id":"https://openalex.org/keywords/outpatients","display_name":"outpatients","score":0.746999979019165},{"id":"https://openalex.org/keywords/medical-record-audit","display_name":"medical record audit","score":0.7170000076293945}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9313809275627136},{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.7256768941879272},{"id":"https://openalex.org/C2781030672","wikidata":"https://www.wikidata.org/wiki/Q735652","display_name":"Mitral valve prolapse","level":3,"score":0.7172446250915527},{"id":"https://openalex.org/C2775872228","wikidata":"https://www.wikidata.org/wiki/Q82504","display_name":"Endocarditis","level":2,"score":0.5495216250419617},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.5096781253814697},{"id":"https://openalex.org/C2778602436","wikidata":"https://www.wikidata.org/wiki/Q4774943","display_name":"Antibiotic prophylaxis","level":3,"score":0.4608895182609558},{"id":"https://openalex.org/C2777543888","wikidata":"https://www.wikidata.org/wiki/Q369939","display_name":"Mitral valve","level":2,"score":0.45937833189964294},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4470173120498657},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.40191566944122314},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.3498879671096802},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000319","descriptor_name":"Adrenergic beta-Antagonists","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D004452","descriptor_name":"Echocardiography","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D004452","descriptor_name":"Echocardiography","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D004697","descriptor_name":"Endocarditis, Bacterial","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008945","descriptor_name":"Mitral Valve Prolapse","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D008945","descriptor_name":"Mitral Valve Prolapse","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D013673","descriptor_name":"Technology Assessment, Biomedical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1097/00005650-198707000-00008","doi":"https://doi.org/10.1097/00005650-198707000-00008","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00005650-198707000-00008","pdf_url":null,"source":{"id":"https://openalex.org/S79233773","display_name":"Medical Care","issn_l":"0025-7079","issn":["0025-7079","1537-1948"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","fnege-3","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Care","raw_type":"journal-article"},{"id":"pmid:2891882","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2891882","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical care","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"score":0.7699999809265137,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":15,"referenced_works":["https://openalex.org/W158127205","https://openalex.org/W1556859765","https://openalex.org/W1976031464","https://openalex.org/W1976574292","https://openalex.org/W1984639750","https://openalex.org/W1998438125","https://openalex.org/W2013316389","https://openalex.org/W2021020419","https://openalex.org/W2031159179","https://openalex.org/W2037983488","https://openalex.org/W2041485534","https://openalex.org/W2083474098","https://openalex.org/W2132285981","https://openalex.org/W2616547043","https://openalex.org/W4244322439"],"related_works":["https://openalex.org/W2035738960","https://openalex.org/W2038070242","https://openalex.org/W2425413315","https://openalex.org/W2046455460","https://openalex.org/W2616418881","https://openalex.org/W2011702942","https://openalex.org/W2042283976","https://openalex.org/W2089838451","https://openalex.org/W1969563698","https://openalex.org/W2137805195"],"abstract_inverted_index":{"Although":[0,78],"echocardiography":[1,32,72],"is":[2,22],"frequently":[3],"ordered":[4],"in":[5,107],"ambulatory":[6],"settings":[7],"for":[8,33,81,104,120,131],"patients":[9,108],"suspected":[10,35,109,126],"of":[11,31,36,50,110,127],"mitral":[12],"valve":[13],"prolapse":[14],"(MVP),":[15],"its":[16],"impact":[17],"on":[18,63],"their":[19],"subsequent":[20],"management":[21],"unknown.":[23],"We":[24,113],"studied":[25],"the":[26,29,48,85,111],"relationship":[27],"between":[28],"results":[30,117],"outpatients":[34,65,125],"MVP,":[37,128],"and":[38,47],"two":[39],"frequent":[40],"medical":[41,58,70],"decisions:":[42],"treatment":[43],"with":[44],"beta":[45],"blockers":[46],"recommendation":[49],"antibiotic":[51,89,122],"prophylaxis":[52,90,123],"to":[53,67,74,87,99,124],"prevent":[54],"bacterial":[55],"endocarditis.":[56],"A":[57],"record":[59],"audit":[60],"was":[61],"performed":[62],"274":[64],"referred":[66],"a":[68],"university":[69],"center":[71],"laboratory":[73],"rule":[75],"out":[76],"MVP.":[77],"echocardiographic":[79,116],"evidence":[80],"MVP":[82],"significantly":[83],"influenced":[84],"decision":[86],"recommend":[88],"(P":[91],"less":[92],"than":[93],"0.001),":[94],"symptoms":[95],"were":[96],"more":[97],"likely":[98],"be":[100],"used":[101,119],"as":[102],"indications":[103],"beta-blocker":[105,132],"therapy":[106],"condition.":[112],"conclude":[114],"that":[115],"are":[118],"recommending":[121],"but":[129],"not":[130],"therapy.":[133]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
