Evidence map›Paper›PMID 26476505›Full record

ArticleJACC. Cardiovascular imaging2015

Precursors of Hypertensive Heart Phenotype Develop in Healthy Adults: A High-Resolution 3D MRI Study.

Antonio de Marvao, Timothy J W Dawes, Wenzhe Shi, Giuliana Durighel, Daniel Rueckert, Stuart A Cook, Declan P O'Regan

Open access · hybridAbstract readVideo-Audio Media
In one paragraph

Article in JACC. Cardiovascular imaging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Observational
  7. DeepMesh: Mesh-Based Cardiac Motion Tracking Using Deep Learning.IEEE transactions on medical imaging · 2024
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  9. Genotype-Phenotype Taxonomy of Hypertrophic Cardiomyopathy.Circulation. Genomic and precision medicine · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Cardiac structure and function in schizophrenia: cardiac magnetic resonance imaging study.The British journal of psychiatry : the journal of mental science · 2020
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Right ventricular shape and function: cardiovascular magnetic resonance reference morphology and biventricular risk factor morphometrics in UK Biobank.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2019
    Article
  19. Observational
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Antonio de MarvaoMedical Research Council Clinical Sciences Centre, Faculty of Medicine, Imperial College London, Hammersmith Hospital Campus, London, United Kingdom.
Timothy J W DawesMedical Research Council Clinical Sciences Centre, Faculty of Medicine, Imperial College London, Hammersmith Hospital Campus, London, United Kingdom.
Wenzhe ShiMedical Research Council Clinical Sciences Centre, Faculty of Medicine, Imperial College London, Hammersmith Hospital Campus, London, United Kingdom; Department of Computing, Imperial College London, South Kensington Campus, London, United Kingdom.
Giuliana DurighelMedical Research Council Clinical Sciences Centre, Faculty of Medicine, Imperial College London, Hammersmith Hospital Campus, London, United Kingdom.
Daniel RueckertDepartment of Computing, Imperial College London, South Kensington Campus, London, United Kingdom.
Stuart A CookMedical Research Council Clinical Sciences Centre, Faculty of Medicine, Imperial College London, Hammersmith Hospital Campus, London, United Kingdom; National Heart Centre Singapore, Singapore; Duke-National University of Singapore Graduate Medical School, Singapore.
Declan P O'ReganMedical Research Council Clinical Sciences Centre, Faculty of Medicine, Imperial College London, Hammersmith Hospital Campus, London, United Kingdom. Electronic address: declan.oregan@imperial.ac.uk.
Imperial College London · GBHammersmith Hospital · GB

Funding

British Heart Foundation PG/12/27/29489British Heart Foundation SP/10/10/28431Medical Research Council MC_U120085815Wellcome Trust
6 · The paper itself

Abstract

objectivesThis study used high-resolution 3-dimensional cardiac magnetic resonance to define the anatomical and functional left ventricular (LV) properties associated with increasing systolic blood pressure (SBP) in a drug-naïve cohort.

backgroundLV hypertrophy and remodeling occur in response to hemodynamic stress but little is known about how these phenotypic changes are initiated in the general population.

methodsIn this study, 1,258 volunteers (54% women, mean age 40.6 ± 12.8 years) without self-reported cardiovascular disease underwent 3-dimensional cardiac magnetic resonance combined with computational modeling. The relationship between SBP and wall thickness (WT), relative WT, end-systolic wall stress (WS), and fractional wall thickening were analyzed using 3-dimensional regression models adjusted for body surface area, sex, race, age, and multiple testing. Significantly associated points in the LV model (p < 0.05) were identified and the relationship with SBP reported as mean β coefficients.

resultsThere was a continuous relationship between SBP and asymmetric concentric hypertrophic adaptation of the septum and anterior wall that was associated with normalization of wall stress. In the lateral wall an increase in wall stress with rising SBP was not balanced by a commensurate hypertrophic relationship. In normotensives, SBP was positively associated with WT (β = 0.09) and relative WT (β = 0.07) in the septal and anterior walls, and this regional hypertrophic relationship was progressively stronger among pre-hypertensives (β = 0.10) and hypertensives (β = 0.30).

conclusionsThese findings show that the precursors of the hypertensive heart phenotype can be traced to healthy normotensive adults and that an independent and continuous relationship exists between adverse LV remodeling and SBP in a low-risk population. These adaptations show distinct regional variations with concentric hypertrophy of the septum and eccentric hypertrophy of the lateral wall, which challenge conventional classifications of LV remodeling.

Indexed as

Adaptation, PhysiologicalAdolescentAdultAgedAged, 80 and overBlood PressureComputer SimulationCross-Sectional StudiesDisease ProgressionFemaleHealthy VolunteersHumansHypertrophy, Left VentricularImage Interpretation, Computer-AssistedImaging, Three-DimensionalMagnetic Resonance Imaging, Cinecardiac atlascardiac magnetic resonancehypertensionleft ventricular hypertrophyremodeling

Identifiers

PMID26476505
PMCPMC4639392
OpenAlexW2175293826

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.