Evidence map›Paper›PMID 25515841›Full record

Observational studyBMJ open2014

High reproducibility of adenosine stress cardiac MR myocardial perfusion imaging in patients with non-ischaemic dilated cardiomyopathy.

Mark A Lawson, Susan P Bell, Douglas W Adkisson, Li Wang, Henry Ooi, Douglas B Sawyer, Marvin W Kronenberg

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00574119 (Effect of Aldosterone on Energy Starvation in Heart Failure), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 21% 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.

NCT00574119 phase4completednot on this map

Effect of Aldosterone on Energy Starvation in Heart Failure

TypeinterventionalSponsorVanderbilt UniversityRan2007 to 2012Enrolled16ConditionsHeart Failure, Nonischemic Dilated CardiomyopathyArmsspironolactone
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Regional myocardial microvascular dysfunction in cardiac amyloid light-chain amyloidosis: assessment with 3T cardiovascular magnetic resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2016
    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

7 authors at 3 institutions in 1 country.

Mark A LawsonDivision of Cardiovascular Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Susan P BellDivision of Cardiovascular Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Douglas W AdkissonDivision of Cardiovascular Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Li WangDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Henry OoiDivision of Cardiovascular Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA Cardiology Section, Department of Veterans Affairs Tennessee Valley Healthcare System, Nashville, Tennessee, USA.
Douglas B SawyerDivision of Cardiovascular Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Marvin W KronenbergDivision of Cardiovascular Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA Cardiology Section, Department of Veterans Affairs Tennessee Valley Healthcare System, Nashville, Tennessee, USA.
Vanderbilt University · USVA Tennessee Valley Healthcare System · USVanderbilt University Medical Center · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
Building Interdisciplinary Research Careers in Women's HealthK12HD043483 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HARTMANN, KATHERINE E, MAJOR, AMY S · 2002 to 2023
$10.3M
Training In Cardiovascular ResearchT32HL007411 · NHLBI · VANDERBILT UNIVERSITY · PI BECKMAN, JOSHUA A · 1985 to 2020
$7.2M
NCRR NIH HHS UL1 RR024975NCRR NIH HHS UL1RR024975NHLBI NIH HHS T32 HL007411NHLBI NIH HHS T32 HL 07411-31NICHD NIH HHS K12 HD043483
6 · The paper itself

Abstract

objectiveTo evaluate the reproducibility of first-pass contrast-enhanced cardiac MR (CMR) myocardial perfusion imaging in patients with non-ischaemic dilated cardiomyopathy (NIDCM).

designProspective observational study.

settingSingle centre, tertiary care hospital.

participants6 outpatient participants with NIDCM. OUTCOME: Reproducibility of semiquantitative myocardial perfusion analysis by CMR.

method6 patients with NIDCM were studied twice using first-pass of contrast transit through the left ventricular (LV) myocardium with a saturation-recovery gradient echo sequence at rest and during adenosine-induced hyperaemia. The anterior wall was divided into endocardial (Endo) and epicardial (Epi) segments. The Myocardial Perfusion Index (MPI) was calculated as the myocardial signal augmentation rate normalised to the LV cavity rate. The Myocardial Perfusion Reserve Index (MPRI) was calculated as hyperaemic/resting MPI.

resultsBetween study 1 and 2, median MPI was similar for resting Endo (0.076 vs 0.077), hyperaemic Endo (0.143 vs 0.143), resting Epi (0.073 vs 0.074), and hyperaemic Epi (0.135 vs 0.134). Median MPRI was similar for Endo (1.84 vs 1.87) and Epi (1.90 vs 2.00). Combining Endo and Epi MPI (N=12), there was excellent agreement between Study 1 and 2 for resting MPI (r=0.998, intraclass correlation coefficient (ICC) 0.998, coefficients of variation (CoV) 1.4%), hyperaemic MPI (r=0.979, ICC 0.963, CoV 3.3%) and MPRI (r=0.989, ICC 0.94, CoV 3.8%).

conclusionsResting and hyperaemic myocardial perfusion using a normalised upslope analysis during adenosine CMR is a highly reproducible technique in patients with NIDCM. TRIAL REGISTRATION NUMBER: Clinical Trials.Gov ID NCT00574119.

Indexed as

AdenosineAdultCardiomyopathy, DilatedFemaleHumansMagnetic Resonance AngiographyMaleMiddle AgedMyocardial Perfusion ImagingProspective StudiesRegression AnalysisReproducibility of ResultsAdenosine

Identifiers

PMID25515841
PMCPMC4275661
OpenAlexW2112576180

What OpenQuestion holds

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LicenceCC BY-NC
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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.