Evidence map›Paper›PMID 26390882›Full record

ReviewJournal of cardiovascular translational research2015

Why Is Infarct Expansion Such an Elusive Therapeutic Target?

William J Richardson, Jeffrey W Holmes

Open access · greenAbstract readReview
In one paragraph

Review in Journal of cardiovascular translational research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

23 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Surgical reinforcement alters collagen alignment and turnover in healing myocardial infarcts.American journal of physiology. Heart and circulatory physiology · 2018
    Article
  16. The Biological Role of NestinFrontiers in cell and developmental biology · 2018
    Review
  17. Article
  18. Article
  19. Review
  20. Review
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

2 authors at 1 institution in 1 country.

William J RichardsonDepartment of Biomedical Engineering, University of Virginia, Box 800759, Charlottesville, VA, 22908, USA. w.j.rchrdsn@gmail.com.
Jeffrey W HolmesDepartment of Biomedical Engineering, University of Virginia, Box 800759, Charlottesville, VA, 22908, USA.
University of Virginia · US

Funding

BASIC CARDIOVASCULAR RESEARCH TRAINING GRANTT32HL007284 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Brant E Isakson, Gary K Owens · 1985 to 2026
$19.6M
Computational Modeling of Scar Formation After Myocardial InfarctionR01HL116449 · NHLBI · UNIVERSITY OF VIRGINIA · PI HOLMES, JEFFREY W · 2014 to 2018
$1.5M
NHLBI NIH HHS R01 HL116449NHLBI NIH HHS R01HL116449NHLBI NIH HHS T32 HL007284NHLBI NIH HHS T32HL007284
6 · The paper itself

Abstract

Myocardial infarct expansion has been associated with an increased risk of infarct rupture and progression to heart failure, motivating therapies such as infarct restraint and polymer injection that aim to limit infarct expansion. However, an exhaustive review of quantitative studies of infarct remodeling reveals that only half found chronic in-plane expansion, and many reported in-plane compaction. Using a finite element model, we demonstrate that the balance between scar stiffening due to collagen accumulation and increased wall stresses due to infarct thinning can produce either expansion or compaction in the pressurized heart-potentially explaining variability in the literature-and that loaded dimensions are much more sensitive to changes in thickness than in stiffness. Our analysis challenges the concept that in-plane expansion is a central feature of post-infarction remodeling; rather, available data suggest that radial thinning is the dominant process during infarct healing and may be an attractive therapeutic target.

Indexed as

AnimalsCollagenDisease ProgressionHeart Rupture, Post-InfarctionHumansModels, CardiovascularModels, TheoreticalMyocardial InfarctionTissue ScaffoldsWound HealingCollagenExpansionFibroblastInfarctionMechanicsRemodelingWound healing

Identifiers

PMID26390882
PMCPMC4846979
OpenAlexW1696880047

What OpenQuestion holds

Textmetadata
LicenceTDM
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.