Evidence map›Paper›PMID 21786089›Full record

ArticleEuropean radiology2011

Cardiac involvement in Wegener's granulomatosis resistant to induction therapy.

Tomasz Miszalski-Jamka, Wojciech Szczeklik, Barbara Sokołowska, Karol Miszalski-Jamka, Krzysztof Karwat, Gabriel Grządziel, Wojciech Mazur, Dean J Kereiakes, Jacek Musiał

Open access · hybridAbstract read
In one paragraph

Article in European radiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 35 citations in OpenAlex.

  1. Review
  2. Article
  3. An uncommon case of complete AV block.BMC cardiovascular disorders · 2022
    Article
  4. Article
  5. Article
  6. Cardiac imaging of a patient with unusual presentation of granulomatosis with polyangiitis: A case report and review of the literature.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Review
  7. Myocarditis: A Clinical Overview.Current cardiology reports · 2017
    Review
  8. T1 and T2 mapping for evaluation of myocardial involvement in patients with ANCA-associated vasculitides.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2017
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Granulomatosis with polyangiitis in childhood.Current rheumatology reports · 2012
    Review
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

9 authors at 4 institutions in 2 countries.

Tomasz Miszalski-JamkaCenter for Diagnosis, Prevention and Telemedicine, John Paul II Hospital, ul. Prądnicka 80, 31-202 Kraków, Poland. miszalt@mp.pl
Wojciech Szczeklik
Barbara Sokołowska
Karol Miszalski-Jamka
Krzysztof Karwat
Gabriel Grządziel
Wojciech Mazur
Dean J Kereiakes
Jacek Musiał
Jagiellonian University · PLJohn Paul II Hospital · PLChrist Hospital · USSilesian Center for Heart Disease · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of the study was to assess cardiac involvement in patients with Wegener's granulomatosis (WG), who failed to achieve remission following >6 months induction therapy for life or organ threatening disease.

methodsEleven WG patients (eight males, mean age 47 ± 13 years), who failed to achieve remission despite >6 months induction therapy, underwent transthoracic echocardiography (TTE) and cardiac magnetic resonance (CMR).

resultsCardiac involvement was present in 9 (82%) patients. Regional wall motion abnormalities were found in two individuals, but none had left ventricular (LV) ejection fraction <50%. Nine patients had late gadolinium enhancement (LGE) lesions involving LV myocardium and right ventricle free wall was involved in four patients. LGE lesions were found in subepicardial, midwall and subendocardial LV myocardial layers. CMR revealed myocarditis in six patients. Patients with myocarditis had a higher number of LV segments with LGE (5.2 ± 3.4 vs 1.0 ± 1.2, p = 0.03) and more frequent diastolic dysfunction by TTE (5 vs 0, p = 0.02) than those without. Pericardial effusion was observed in five patients, while localized pericardial thickening in six patients.

conclusionsIn WG resistant to >6 months induction therapy cardiac involvement is frequent and is characterized by foci of LGE lesions and signs of myocardial inflammatory process.

Indexed as

AdultDiagnostic ImagingEchocardiographyFemaleGranulomatosis with PolyangiitisHeartHumansMagnetic Resonance ImagingMaleMiddle AgedMyocarditisRemission Induction

Identifiers

PMID21786089
PMCPMC3184393
OpenAlexW2030572017

What OpenQuestion holds

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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.