Evidence map›Paper›PMID 21744090›Full record

ReviewJournal of inherited metabolic disease2011

Cardiac disease in patients with mucopolysaccharidosis: presentation, diagnosis and management.

Elizabeth A Braunlin, Paul R Harmatz, Maurizio Scarpa, Beatriz Furlanetto, Christoph Kampmann, James P Loehr, Katherine P Ponder, William C Roberts, Howard M Rosenfeld, Roberto Giugliani

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of inherited metabolic disease, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 144 papers.

0numbers the graph read from it
0cells of the map it votes in
144citing papers in PubMed
7.8field-weighted citation impact, top 2% 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

144 citing papers in PubMed, 296 citations in OpenAlex.

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84 more citing papers are in PubMed but not listed here.

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

10 authors at 8 institutions in 4 countries.

Elizabeth A BraunlinPediatric Cardiology, University of Minnesota, Minneapolis, MN 55455, USA. braun002@umn.edu
Paul R Harmatz
Maurizio Scarpa
Beatriz Furlanetto
Christoph Kampmann
James P Loehr
Katherine P Ponder
William C Roberts
Howard M Rosenfeld
Roberto Giugliani
Baylor University Medical Center · USBeneficência Portuguesa de São Paulo · BRHospital de Clínicas de Porto Alegre · BRUniversity Children's Hospital Tübingen · DEUniversity of Minnesota · USUniversity of North Carolina at Chapel Hill · USUniversity of Padua · ITWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The mucopolysaccharidoses (MPSs) are inherited lysosomal storage disorders caused by the absence of functional enzymes that contribute to the degradation of glycosaminoglycans (GAGs). The progressive systemic deposition of GAGs results in multi-organ system dysfunction that varies with the particular GAG deposited and the specific enzyme mutation(s) present. Cardiac involvement has been reported in all MPS syndromes and is a common and early feature, particularly for those with MPS I, II, and VI. Cardiac valve thickening, dysfunction (more severe for left-sided than for right-sided valves), and hypertrophy are commonly present; conduction abnormalities, coronary artery and other vascular involvement may also occur. Cardiac disease emerges silently and contributes significantly to early mortality.The clinical examination of individuals with MPS is often difficult due to physical and, sometimes, intellectual patient limitations. The absence of precordial murmurs does not exclude the presence of cardiac disease. Echocardiography and electrocardiography are key diagnostic techniques for evaluation of valves, ventricular dimensions and function, which are recommended on a regular basis. The optimal technique for evaluation of coronary artery involvement remains unsettled.Standard medical and surgical techniques can be modified for MPS patients, and systemic therapies such as hematopoietic stem cell transplantation and enzyme replacement therapy (ERT) may alter overall disease progression with regression of ventricular hypertrophy and maintenance of ventricular function. Cardiac valve disease is usually unresponsive or, at best, stabilized, although ERT within the first few months of life may prevent valve involvement, a fact that emphasizes the importance of early diagnosis and treatment in MPS.

Indexed as

AdolescentAdultAge of OnsetAortic Valve StenosisCausalityChildChild, PreschoolComorbidityCoronary Artery DiseaseEchocardiographyElectrocardiographyFemaleGlycosaminoglycansHeart Valve DiseasesHumansHypertrophy, Left VentricularGlycosaminoglycans

Identifiers

PMID21744090
PMCPMC3228957
OpenAlexW2050557934

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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 OpenQuestion graph.