Evidence map›Paper›PMID 20466849›Full record

ArticleCirculation. Heart failure2010

Ventricular dilation and electrical dyssynchrony synergistically increase regional mechanical nonuniformity but not mechanical dyssynchrony: a computational model.

Roy C P Kerckhoffs, Jeffrey H Omens, Andrew D McCulloch, Lawrence J Mulligan

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Circulation. Heart failure, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

34 citing papers in PubMed, 57 citations in OpenAlex.

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  19. Mechanical discoordination increases continuously after the onset of left bundle branch block despite constant electrical dyssynchrony in a computational model of cardiac electromechanics and growth.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2012
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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

4 authors at 1 institution in 1 country.

Roy C P KerckhoffsDepartment of Bioengineering, Institute of Engineering in Medicine, University of California, San Diego, La Jolla, Calif, USA.
Jeffrey H Omens
Andrew D McCulloch
Lawrence J Mulligan
Medtronic (Ireland) · IE

Funding

VISUALIZATION TOOLS FOR AUTOMATED MOLECULAR MICROSCOPYP41RR008605 · NCRR · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI PAPADOPOULOS, PHILIP · 1994 to 2011
$28.1M
TRANSMURAL DEFORMATIONR01HL032583 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI OMENS, JEFFREY H. · 1985 to 2008
$2.8M
Multi-Scale Modeling of the Failing Heart for Cardiac Rysynchronization TherapyR01HL096544 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MCCULLOCH, ANDREW D. · 2009 to 2013
$1.8M
INFRASTRUCTURE OF BIOENGINEERING DEVELOPMENTC06RR017588 · NCRR · UNIVERSITY OF CALIFORNIA SAN DIEGO · PI GOUGH, DAVID A · 2002 to 2002
$696k
NCRR NIH HHS C06 RR017588NCRR NIH HHS C06 RR-017588-01NCRR NIH HHS P41 RR008605NCRR NIH HHS P41 RR08605NHLBI NIH HHS HL32583NHLBI NIH HHS R01 HL032583NHLBI NIH HHS R01 HL096544NHLBI NIH HHS R01HL96544
6 · The paper itself

Abstract

backgroundHeart failure (HF) in combination with mechanical dyssynchrony is associated with a high mortality rate. To quantify contractile dysfunction in patients with HF, investigators have proposed several indices of mechanical dyssynchrony, including percentile range of time to peak shortening (WTpeak), circumferential uniformity ratio estimate (CURE), and internal stretch fraction (ISF). The goal of this study was to compare the sensitivity of these indices to 4 major abnormalities responsible for cardiac dysfunction in dyssynchronous HF: dilation, negative inotropy, negative lusitropy, and dyssynchronous activation. METHODS AND

resultsAll combinations of these 4 major abnormalities were included in 3D computational models of ventricular electromechanics. Compared with a nonfailing heart model, ventricles were dilated, inotropy was reduced, twitch duration was prolonged, and activation sequence was changed from normal to left bundle branch block. In the nonfailing heart, CURE, ISF, and WTpeak were 0.97+/-0.004, 0.010+/-0.002, and 78+/-1 milliseconds, respectively. With dilation alone, CURE decreased 2.0+/-0.07%, ISF increased 58+/-47%, and WTpeak increased 31+/-3%. With dyssynchronous activation alone, CURE decreased 15+/-0.6%, ISF increased 14-fold (+/-3), and WTpeak increased 121+/-4%. With the combination of dilation and dyssynchronous activation, CURE decreased 23+/-0.8%, ISF increased 20-fold (+/-5), and WTpeak increased 147+/-5%.

conclusionsDilation and left bundle branch block combined synergistically decreased regional cardiac function. CURE and ISF were sensitive to this combination, but WTpeak was not. CURE and ISF also reflected the relative nonuniform distribution of regional work better than WTpeak. These findings might explain why CURE and ISF are better predictors of reverse remodeling in cardiac resynchronization therapy.

Indexed as

Computer SimulationImaging, Three-DimensionalModels, CardiovascularBundle-Branch BlockDilatation, PathologicElectrophysiologyHeart Failure, DiastolicHeart Failure, SystolicHeart Function TestsHumansImage Interpretation, Computer-AssistedMyocardial ContractionReference ValuesSensitivity and SpecificitySignal Processing, Computer-AssistedStroke Volume

Identifiers

PMID20466849
PMCPMC3050711
OpenAlexW2155726978

What OpenQuestion holds

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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 OpenQuestion graph.