Evidence map›Paper›PMID 25516438›Full record

ArticleJournal of the American Heart Association2014

Potential reduction of interstitial myocardial fibrosis with renal denervation.

Adelina Doltra, Daniel Messroghli, Philipp Stawowy, Jan-Hendrik Hassel, Rolf Gebker, Olli Leppänen, Michael Gräfe, Christopher Schneeweis, Bernhard Schnackenburg, Eckart Fleck and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
5.1field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Reductions of left ventricular mass and atrial size following renal denervation: a meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2016
    Pooled it
  2. Effects of sympathomodulation on pulse wave properties in heart failure with preserved ejection fraction.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Subclinical HMOD in Hypertension: Left Ventricular Diastolic Dysfunction.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2022
    Review
  9. Article
  10. Circulatory efficiency in patients with severe aortic valve stenosis before and after aortic valve replacement.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Renal denervation in male rats with heart failure improves ventricular sympathetic nerve innervation and function.American journal of physiology. Regulatory, integrative and comparative physiology · 2017
    Article
  18. Observational
  19. Renal Afferents.Current hypertension reports · 2016
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 3 countries.

Adelina DoltraDepartment of Internal Medicine/Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
Daniel Messroghli
Philipp Stawowy
Jan-Hendrik Hassel
Rolf Gebker
Olli Leppänen
Michael Gräfe
Christopher Schneeweis
Bernhard Schnackenburg
Eckart Fleck
Sebastian Kelle
Deutsches Herzzentrum der Charité · DEGerman Centre for Cardiovascular Research · DEPhilips (Finland) · FIUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertensive cardiomyopathy is characterized by myocyte hypertrophy and interstitial fibrosis. The effects of renal denervation (RD) on the heart are poorly understood. New magnetic resonance imaging techniques (extracellular volume fraction) permit the quantitative assessment of myocardial fibrosis. Our aim was to study the effects of RD on myocardial fibrosis. METHODS AND

resultsTwenty‐three patients with resistant hypertension undergoing RD and 5 resistant hypertensive controls were prospectively included. Cardiac magnetic resonance imaging at 1.5 T was performed before RD and at 6‐month follow‐up. Indexed left ventricular mass, septal extracellular volume fraction, and indexed absolute extracellular volume (a quantitative measure of extracellular matrix) were quantified. All data are reported as mean±SD deviation (median). Decreases in systolic (161.96±19.09 [160] versus 144.78±16.48 [143] mm Hg, P<0.0001) and diastolic (85.61±12.88 [83] versus 80.39±11.93 [81] mm Hg, P=0.018) blood pressures and in indexed left ventricular mass (41.83±10.20 [41.59] versus 37.72±7.44 [38.49] g/m1.7, P=0.001) were observed at follow‐up only in RD patients. No significant differences in extracellular volume were found (26.24±3.92% [26.06%] versus 25.74±4.53% [25.63%], P=0.605). A significant decrease in absolute extracellular volume was observed after 6 months in RD patients exclusively (10.36±2.25 [10.79] versus 9.25±2.38 [9.79] mL/m1.7, P=0.031). This effect was observed independently of blood pressure reduction.

conclusionsRD significantly decreases left ventricular mass, while extracellular volume remains stable. Our results suggest that the observed left ventricular mass decrease was due not exclusively to a reversion of myocyte hypertrophy but also to an additional reduction in collagen content, indicating interstitial myocardial fibrosis.

Indexed as

Magnetic Resonance Imaging, CineVentricular RemodelingAgedBlood PressureCardiomyopathiesCase-Control StudiesCollagenFemaleFibrosisHumansHypertensionHypertrophy, Left VentricularKidneyMaleMiddle AgedMyocardiumCollagen

Identifiers

PMID25516438
PMCPMC4338728
OpenAlexW2126633407

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.