Evidence map›Paper›PMID 23690394›Full record

ArticleCirculation. Cardiovascular genetics2013

Comparison of echocardiographic and cardiac magnetic resonance imaging in hypertrophic cardiomyopathy sarcomere mutation carriers without left ventricular hypertrophy.

Anne Marie Valente, Neal K Lakdawala, Andrew J Powell, Sarah P Evans, Allison L Cirino, E John Orav, Calum A MacRae, Steven D Colan, Carolyn Y Ho

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Circulation. Cardiovascular genetics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00319982 (Treatment of Preclinical Hypertrophic Cardiomyopathy With Diltiazem), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
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.

NCT00319982 phase2 / phase3completednot on this map

Treatment of Preclinical Hypertrophic Cardiomyopathy With Diltiazem

TypeinterventionalSponsorBrigham and Women's HospitalRan2006 to 2013Enrolled39ConditionsHypertrophic CardiomyopathyArmsDiltiazem, Placebo
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Head-to-head comparison of cardiac magnetic resonance imaging and transthoracic echocardiography in the general population (MATCH).Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Article
  5. Article
  6. Deep learning assists early-detection of hypertension-mediated heart change on ECG signals.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
  7. Review
  8. Article
  9. Cardiac Magnetic Resonance Imaging in Heart Failure.Cardiovascular innovations and applications · 2024
    Article
  10. Familial Hypertrophic Cardiomyopathy: Diagnosis and Management.Vascular health and risk management · 2023
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Coronary arterial vasculature in the pathophysiology of hypertrophic cardiomyopathy.Pflugers Archiv : European journal of physiology · 2019
    Review
  17. Article
  18. Article
  19. Article
  20. 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

9 authors at 2 institutions in 1 country.

Anne Marie ValenteCardiovascular Division, Brigham and Women's Hospital, Boston, MA 02115, USA.
Neal K Lakdawala
Andrew J Powell
Sarah P Evans
Allison L Cirino
E John Orav
Calum A MacRae
Steven D Colan
Carolyn Y Ho
Brigham and Women's Hospital · USBoston Children's Hospital · US

Funding

Using Genetics For Early Phenotyping & Prevention of Hypertrophic CardiomyopathyP50HL112349 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI HO, CAROLYN Y, SEIDMAN, CHRISTINE E · 2012 to 2017
$11.2M
Using Genetics for Early Phenotyping & Prevention of Hypertrophic CardiomyopathyP20HL101408 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI HO, CAROLYN Y, SEIDMAN, CHRISTINE E · 2010 to 2011
$1.5M
Diagnostic and Treatment Strategies for Preclinical HCMK23HL078901 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI HO, CAROLYN Y · 2005 to 2009
$795k
NHLBI NIH HHS 1P20HL101408NHLBI NIH HHS 5K23HL078901NHLBI NIH HHS K23 HL078901NHLBI NIH HHS P20 HL101408NHLBI NIH HHS P50 HL112349
6 · The paper itself

Abstract

backgroundLeft ventricular hypertrophy (LVH) typically manifests during or after adolescence in sarcomere mutation carriers at risk for developing hypertrophic cardiomyopathy. Guidelines recommend serial imaging of mutation carriers without LVH (G+/LVH-) to monitor for phenotypic evolution, but the optimal strategy is undefined. Compared with echocardiography (echo), cardiac MRI (CMR) offers improved endocardial visualization and potential to assess scar. However, the incremental advantage offered by CMR for early diagnosis of hypertrophic cardiomyopathy is unclear. Therefore, we systematically compared echo and CMR in G+/LVH- subjects. METHODS AND

resultsA total of 40 sarcomere mutation carriers with normal echo wall thickness (<12 mm or z score <2.5 in children) underwent concurrent CMR. Mean age was 21.7±11.1 years, 55% were female. If left ventricular wall thickness seemed nonuniform, the size and location of relatively thickened segments were noted. Late gadolinium enhancement was assessed with CMR. Diagnostic agreement between echo and CMR was good (90%), although CMR measurements of left ventricular wall thickness were ≈19% lower than echo. Four subjects had mild hypertrophy (12.6-14 mm; ≤2 segments) appreciated by CMR but not echo. No subjects had late gadolinium enhancement. During median 35-month follow-up, 2 subjects developed overt hypertrophic cardiomyopathy, including 1 with mild LVH by CMR at baseline.

conclusionsEcho is unlikely to miss substantial LVH; however, CMR identified mild hypertrophy in ≈10% of mutation carriers with normal echo wall thickness. CMR may be a useful adjunct in hypertrophic cardiomyopathy family screening, particularly in higher risk situations, or if echocardiographic images are suboptimal or suggest borderline LVH.

Indexed as

AdolescentAdultCardiomyopathy, HypertrophicChildChild, PreschoolCohort StudiesEchocardiographyFemaleFollow-Up StudiesHeartHeterozygoteHumansHypertrophy, Left VentricularMagnetic Resonance Imaging, CineMaleMutationcardiac MRIcardiomyopathy, hypertrophicechocardiographygeneticshumans

Identifiers

PMID23690394
PMCPMC3974911
OpenAlexW2162790741

What OpenQuestion 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 OpenQuestion graph.