Evidence map›Paper›PMID 27855805›Full record

ArticleJournal of the American College of Cardiology2016

Left Ventricular Noncompaction: Anatomical Phenotype or Distinct Cardiomyopathy?

Jonathan R Weir-McCall, Phey Ming Yeap, Carla Papagiorcopulo, Kerrie Fitzgerald, Stephen J Gandy, Matthew Lambert, Jill J F Belch, Ian Cavin, Roberta Littleford, Jennifer A Macfarlane and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of the American College of Cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
11.0field-weighted citation impact, top 1% 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

54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 134 citations in OpenAlex.

  1. SCMR Position Paper (2020) on clinical indications for cardiovascular magnetic resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2020
    Guideline
  2. Clinical and genetic insights into non-compaction: a meta-analysis and systematic review on 7598 individuals.Clinical research in cardiology : official journal of the German Cardiac Society · 2019
    Pooled it
  3. Mitral Annular Disjunction and Coalescing Myths in Cardiology.Arrhythmia & electrophysiology review · 2026
    Article
  4. Article
  5. Article
  6. Dilated Cardiomyopathy: A Genetic Journey from Past to Future.International journal of molecular sciences · 2024
    Review
  7. Observational
  8. Article
  9. Review
  10. Review
  11. Making Less of a Mess of the Trabecular Mesh.Radiology. Cardiothoracic imaging · 2022
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Saw-Tooth Cardiomyopathy: the Evidence in the First Decade.Reviews in cardiovascular medicine · 2022
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 5 institutions in 2 countries.

Jonathan R Weir-McCallDepartment of Cardiovascular and Diabetes Medicine, College of Medicine, University of Dundee, Dundee, United Kingdom.
Phey Ming YeapDepartment of Cardiovascular and Diabetes Medicine, College of Medicine, University of Dundee, Dundee, United Kingdom.
Carla PapagiorcopuloDepartment of Cardiovascular and Diabetes Medicine, College of Medicine, University of Dundee, Dundee, United Kingdom.
Kerrie FitzgeraldDepartment of Cardiovascular and Diabetes Medicine, College of Medicine, University of Dundee, Dundee, United Kingdom.
Stephen J GandyNHS Tayside Medical Physics, Ninewells Hospital, Dundee, United Kingdom.
Matthew LambertDepartment of Cardiovascular and Diabetes Medicine, College of Medicine, University of Dundee, Dundee, United Kingdom.
Jill J F BelchDepartment of Cardiovascular and Diabetes Medicine, College of Medicine, University of Dundee, Dundee, United Kingdom.
Ian CavinNHS Tayside Medical Physics, Ninewells Hospital, Dundee, United Kingdom.
Roberta LittlefordDepartment of Cardiovascular and Diabetes Medicine, College of Medicine, University of Dundee, Dundee, United Kingdom.
Jennifer A MacfarlaneNHS Tayside Medical Physics, Ninewells Hospital, Dundee, United Kingdom.
Shona Z MatthewDepartment of Cardiovascular and Diabetes Medicine, College of Medicine, University of Dundee, Dundee, United Kingdom.
R Stephen NicholasNHS Tayside Medical Physics, Ninewells Hospital, Dundee, United Kingdom.
Allan D StruthersDepartment of Cardiovascular and Diabetes Medicine, College of Medicine, University of Dundee, Dundee, United Kingdom.
Frank SullivanDepartment of Research and Innovation, North York General Hospital, University of Toronto, Toronto, Ontario, Canada.
Shelley A WaughNHS Tayside Medical Physics, Ninewells Hospital, Dundee, United Kingdom.
Richard D WhiteDepartment of Clinical Radiology, University Hospital of Wales, United Kingdom.
J Graeme HoustonDepartment of Cardiovascular and Diabetes Medicine, College of Medicine, University of Dundee, Dundee, United Kingdom. Electronic address: ghouston@nhs.net.
University of Dundee · GBNHS Tayside · GBNinewells Hospital · GBUniversity Hospital of Wales · GBUniversity of Toronto · CA

Funding

Medical Research Council MC_PC_13040Medical Research Council MR/K007017/1Medical Research Council MR/M501633/1Wellcome Trust WT 085664
6 · The paper itself

Abstract

backgroundThere is considerable overlap between left ventricular noncompaction (LVNC) and other cardiomyopathies. LVNC has been reported in up to 40% of the general population, raising questions about whether it is a distinct pathological entity, a remodeling epiphenomenon, or merely an anatomical phenotype.

objectivesThe authors determined the prevalence and predictors of LVNC in a healthy population using 4 cardiac magnetic resonance imaging diagnostic criteria.

methodsVolunteers >40 years of age (N = 1,651) with no history of cardiovascular disease (CVD), a 10-year risk of CVD < 20%, and a B-type natriuretic peptide level greater than their gender-specific median underwent magnetic resonance imaging scan as part of the TASCFORCE (Tayside Screening for Cardiac Events) study. LVNC ratios were measured on the horizontal and vertical long axis cine sequences. All individuals with a noncompaction ratio of ≥2 underwent short axis systolic and diastolic LVNC ratio measurements, and quantification of noncompacted and compacted myocardial mass ratios. Those who met all 4 criteria were considered to have LVNC.

resultsOf 1,480 participants analyzed, 219 (14.8%) met ≥1 diagnostic criterion for LVNC, 117 (7.9%) met 2 criteria, 63 (4.3%) met 3 criteria, and 19 (1.3%) met all 4 diagnostic criteria. There was no difference in demographic or allometric measures between those with and without LVNC. Long axis noncompaction ratios were the least specific, with current diagnostic criteria positive in 219 (14.8%), whereas the noncompacted to compacted myocardial mass ratio was the most specific, only being met in 61 (4.4%).

conclusionsA significant proportion of an asymptomatic population free from CVD satisfy all currently used cardiac magnetic resonance imaging diagnostic criteria for LVNC, suggesting that those criteria have poor specificity for LVNC, or that LVNC is an anatomical phenotype rather than a distinct cardiomyopathy.

Indexed as

AdultCardiomyopathiesDiagnosis, DifferentialEchocardiographyFemaleHeart VentriclesHumansIsolated Noncompaction of the Ventricular MyocardiumMagnetic Resonance Imaging, CineMaleMiddle AgedPhenotypeRetrospective Studiesanatomycardiomyopathydiagnosticleft ventricular noncompactionmagnetic resonance imaging

Identifiers

PMID27855805
PMCPMC5116443
OpenAlexW2558128609

What OpenQuestion holds

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LicenceCC BY
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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.