Evidence map›Paper›PMID 26919997›Full record

ArticleCirculation. Cardiovascular imaging2016

Simultaneous Noninvasive Assessment of Systemic and Coronary Endothelial Function.

Micaela Iantorno, Allison G Hays, Michael Schär, Rupa Krishnaswamy, Sahar Soleimanifard, Angela Steinberg, Matthias Stuber, Gary Gerstenblith, Robert G Weiss

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Cardiovascular imaging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Cardiovascular Changes in Menopause.Current cardiology reviews · 2021
    Pooled it
  2. A Systematic Review of Phytochemistry, Pharmacology and Pharmacokinetics onInternational journal of molecular sciences · 2019
    Pooled it
  3. Metabolic and redox pathway dysregulation in HIV-associated coronary endothelial dysfunction.American journal of physiology. Heart and circulatory physiology · 2026
    Observational
  4. Article
  5. Observational
  6. Coronary artery endothelial function and aging in people with HIV and HIV-negative individuals.American journal of physiology. Heart and circulatory physiology · 2023
    Article
  7. Review
  8. Article
  9. Review
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  11. Article
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  14. Coronary vasomotion and exercise-induced adaptations in coronary artery disease patients: A systematic review and meta-analysis.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2020
    Review
  15. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Micaela Iantorno *Department of Medicine, Division of Cardiology, Johns Hopkins University, Baltimore, MD.
Allison G Hays *Department of Medicine, Division of Cardiology, Johns Hopkins University, Baltimore, MD.
Michael SchärDepartment of Radiology, Division of Magnetic Resonance Research, Johns Hopkins University, Baltimore, MD.
Rupa KrishnaswamyDepartment of Medicine, Division of Cardiology, Johns Hopkins University, Baltimore, MD.
Sahar SoleimanifardDepartment of Radiology, Division of Magnetic Resonance Research, Johns Hopkins University, Baltimore, MD.
Angela SteinbergDepartment of Medicine, Division of Cardiology, Johns Hopkins University, Baltimore, MD.
Matthias StuberDepartment of Radiology, Division of Magnetic Resonance Research, Johns Hopkins University, Baltimore, MD.
Gary GerstenblithDepartment of Medicine, Division of Cardiology, Johns Hopkins University, Baltimore, MD.
Robert G WeissDepartment of Medicine, Division of Cardiology, Johns Hopkins University, Baltimore, MD.
National Institutes of Health · US

Funding

CONTRIBUTION OF ENERGY DEPLETION TO HUMAN HEART FAILURER01HL061912 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WEISS, ROBERT G · 1999 to 2020
$8.0M
Inflammation and Coronary Endothelial FunctionR01HL120905 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WEISS, ROBERT G · 2015 to 2018
$2.4M
Inflammatory Pathogenesis of Coronary Atherosclerosis in HIVR01HL125059 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WEISS, ROBERT G · 2015 to 2017
$2.4M
Inflammatory Pathogenesis of Coronary Atherosclerosis in HIVR56HL125059 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WEISS, ROBERT G · 2014 to 2014
$626k
NHLBI NIH HHS HL120905NHLBI NIH HHS HL125059NHLBI NIH HHS HL61912NHLBI NIH HHS R01 HL061912NHLBI NIH HHS R01 HL120905NHLBI NIH HHS R01 HL125059NHLBI NIH HHS R56 HL125059
6 · The paper itself

Abstract

backgroundNormal endothelial function is a measure of vascular health and dysfunction is a predictor of coronary events. Nitric oxide-mediated coronary artery endothelial function, as assessed by vasomotor reactivity during isometric handgrip exercise (IHE), was recently quantified noninvasively with magnetic resonance imaging (MRI). Because the internal mammary artery (IMA) is often visualized during coronary MRI, we propose the strategy of simultaneously assessing systemic and coronary endothelial function noninvasively by MRI during IHE. METHODS AND

resultsChanges in cross-sectional area and blood flow in the right coronary artery and the IMA in 25 patients with coronary artery disease and 26 healthy subjects during IHE were assessed using 3T MRI. In 8 healthy subjects, a nitric oxide synthase inhibitor was infused to evaluate the role of nitric oxide in the IMA-IHE response. Interobserver IMA-IHE reproducibility was good for cross-sectional area (R=0.91) and blood flow (R=0.91). In healthy subjects, cross-sectional area and blood flow of the IMA increased during IHE, and these responses were significantly attenuated by monomethyl-l-arginine (P<0.01 versus placebo). In patients with coronary artery disease, the right coronary artery did not dilate with IHE, and dilation of the IMA was less than that of the healthy subjects (P=0.01). The blood flow responses of both the right coronary artery and IMA to IHE were also significantly reduced in patients with coronary artery disease.

conclusionsMRI-detected IMA responses to IHE primarily reflect nitric oxide-dependent endothelial function and are reproducible and reduced in patients with coronary artery disease. Endothelial function in both coronary and systemic (IMA) arteries can now be measured noninvasively with the same imaging technique and promises novel insights into systemic and local factors affecting vascular health.

Indexed as

Magnetic Resonance Imaging, CineVasodilationAdultAtherosclerosisBlood Flow VelocityCase-Control StudiesCoronary Artery DiseaseCoronary CirculationCoronary VesselsEnzyme InhibitorsFemaleHand StrengthHumansInfusions, IntravenousMaleMammary ArteriesEnzyme InhibitorsNitric OxideNitric Oxide Synthaseatherosclerosiscoronary artery diseaseendotheliummagnetic resonance imagingvasodilation

Identifiers

PMID26919997
PMCPMC4839535
OpenAlexW2277614622

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.