Evidence map›Paper›PMID 24889521›Full record

ReviewNature reviews. Cardiology2014

The vortex--an early predictor of cardiovascular outcome?

Gianni Pedrizzetti, Giovanni La Canna, Ottavio Alfieri, Giovanni Tonti

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Cardiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03854071 (Development of Novel Physiological CMR Methods in Health and Disease), which is not on this map. Cited by 117 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT03854071 narecruitingnot on this mapstarted 2018, after this paper: background citation

Development of Novel Physiological CMR Methods in Health and Disease

TypeinterventionalSponsorSheffield Teaching Hospitals NHS Foundation TrustRan2018 to 2031Enrolled135ConditionsHeart Failure, Pulmonary Hypertension, Myocardial Infarction, Coronary Artery DiseaseArmsintravenous fluid challenge
3 · Its place in the literature

Who cites it

117 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Four-dimensional flow cardiovascular magnetic resonance in tetralogy of Fallot: a systematic review.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2021
    Pooled it
  2. Effect of the Mitral Valve on the Intra Ventricular Hemodynamics.International journal for numerical methods in biomedical engineering · 2026
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57 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

4 authors.

Gianni PedrizzettiDepartment of Engineering and Architecture, University of Trieste, Piazzale Europa, 1, 34127 Trieste, Italy.
Giovanni La CannaEchocardiography Unit, San Raffaele Scientific Institute, Via Olgettina, 58, 20132 Milan, Italy.
Ottavio AlfieriCardiac Surgery Department, San Raffaele Scientific Institute, Via Olgettina, 58, 20132 Milan, Italy.
Giovanni TontiCardiology Division, G. d'Annunzio University, Via dei Vestini, 31, 66100 Chieti, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blood motion in the heart features vortices that accompany the redirection of jet flows towards the outlet tracks. Vortices have a crucial role in fluid dynamics. The stability of cardiac vorticity is vital to the dynamic balance between rotating blood and myocardial tissue and to the development of cardiac dysfunction. Moreover, vortex dynamics immediately reflect physiological changes to the surrounding system, and can provide early indications of long-term outcome. However, the pathophysiological relevance of cardiac fluid dynamics is still unknown. We postulate that maladaptive intracardiac vortex dynamics might modulate the progressive remodelling of the left ventricle towards heart failure. The evaluation of blood flow presents a new paradigm in cardiac function analysis, with the potential for sensitive risk identification of cardiac abnormalities. Description of cardiac flow patterns after surgery or device therapy provides an intrinsic qualitative evaluation of therapeutic procedures, and could enable early risk stratification of patients vulnerable to adverse cardiac remodelling.

Indexed as

HemorheologyHydrodynamicsHumansVentricular Dysfunction, LeftVentricular Remodeling

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.