Evidence map›Paper›PMID 24186100›Full record

ArticleAmerican journal of physiology. Heart and circulatory physiology2014

Ultrastructural and cellular basis for the development of abnormal myocardial mechanics during the transition from hypertension to heart failure.

Sanjiv J Shah, Gary L Aistrup, Deepak K Gupta, Matthew J O'Toole, Amanda F Nahhas, Daniel Schuster, Nimi Chirayil, Nikhil Bassi, Satvik Ramakrishna, Lauren Beussink and 13 more

Open access · greenAbstract read
In one paragraph

Article in American journal of physiology. Heart and circulatory physiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
5.5field-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

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Article
  4. Echocardiographic longitudinal function in hypertensive patients with mild cognitive impairment.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
  5. Review
  6. Review
  7. Review
  8. Blood pressure per the 2017 ACC/AHA and 2018 ESC/ESH guidelines and heart failure risk: the Suita Study.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Association Between Myocardial Strain and Frailty in CHS.Circulation. Cardiovascular imaging · 2021
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
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

23 authors at 1 institution in 1 country.

Sanjiv J ShahDepartment of Medicine (Cardiology) and the Feinberg Cardiovascular Research Institute, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Gary L Aistrup
Deepak K Gupta
Matthew J O'Toole
Amanda F Nahhas
Daniel Schuster
Nimi Chirayil
Nikhil Bassi
Satvik Ramakrishna
Lauren Beussink
Sol Misener
Bonnie Kane
David Wang
Blake Randolph
Aiko Ito
Megan Wu
Lisa Akintilo
Thitipong Mongkolrattanothai
Mahendra Reddy
Manvinder Kumar
Rishi Arora
Jason Ng
J Andrew Wasserstrom
Northwestern University · US

Funding

Study of Cardiac Mechanics in Systemic HypertensionR01HL107577 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SHAH, SANJIV J · 2011 to 2019
$4.1M
Disruption of Autonomic Pathways in the Left Atrium by Inhibition of G-proteinsR01HL093490 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ARORA, RISHI · 2009 to 2013
$2.5M
NHLBI NIH HHS R01-HL-093490NHLBI NIH HHS R01 HL107577NHLBI NIH HHS R01-HL-107577
6 · The paper itself

Abstract

Although the development of abnormal myocardial mechanics represents a key step during the transition from hypertension to overt heart failure (HF), the underlying ultrastructural and cellular basis of abnormal myocardial mechanics remains unclear. We therefore investigated how changes in transverse (T)-tubule organization and the resulting altered intracellular Ca(2+) cycling in large cell populations underlie the development of abnormal myocardial mechanics in a model of chronic hypertension. Hearts from spontaneously hypertensive rats (SHRs; n = 72) were studied at different ages and stages of hypertensive heart disease and early HF and were compared with age-matched control (Wistar-Kyoto) rats (n = 34). Echocardiography, including tissue Doppler and speckle-tracking analysis, was performed just before euthanization, after which T-tubule organization and Ca(2+) transients were studied using confocal microscopy. In SHRs, abnormalities in myocardial mechanics occurred early in response to hypertension, before the development of overt systolic dysfunction and HF. Reduced longitudinal, circumferential, and radial strain as well as reduced tissue Doppler early diastolic tissue velocities occurred in concert with T-tubule disorganization and impaired Ca(2+) cycling, all of which preceded the development of cardiac fibrosis. The time to peak of intracellular Ca(2+) transients was slowed due to T-tubule disruption, providing a link between declining cell ultrastructure and abnormal myocardial mechanics. In conclusion, subclinical abnormalities in myocardial mechanics occur early in response to hypertension and coincide with the development of T-tubule disorganization and impaired intracellular Ca(2+) cycling. These changes occur before the development of significant cardiac fibrosis and precede the development of overt cardiac dysfunction and HF.

Indexed as

AnimalsBlood PressureCalciumCalcium SignalingFibrosisHeart FailureHeart RateHypertensionMyocardiumMyocytes, CardiacRatsRats, Inbred SHRRats, WistarSarcolemmaUltrasonographyCalciumcalcium transientsheart failurehypertensionT-tubulesventricular mechanics

Identifiers

PMID24186100
PMCPMC3920157
OpenAlexW2103686416

What OpenQuestion holds

Textmetadata
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.