Evidence map›Paper›PMID 28589126›Full record

ReviewFrontiers in cardiovascular medicine2017

Myocardial Architecture, Mechanics, and Fibrosis in Congenital Heart Disease.

Sarah Ghonim, Inga Voges, Peter D Gatehouse, Jennifer Keegan, Michael A Gatzoulis, Philip J Kilner, Sonya V Babu-Narayan

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in cardiovascular medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

31 citing papers in PubMed, 55 citations in OpenAlex.

  1. Constitutive discovery in the living human heart.bioRxiv : the preprint server for biology · 2026
    Article
  2. Review
  3. Heart Failure in Adult Congenital Heart Disease.Methodist DeBakey cardiovascular journal · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. The Right Heart in Congenital Heart Disease.Current heart failure reports · 2023
    Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Right ventricular structure and function after novel repair of common arterial trunk.International journal of cardiology. Congenital heart disease · 2022
    Article
  19. Article
  20. Early post-operative benefits of a pulmonary valve-sparing strategy during Fallot repair.International journal of cardiology. Congenital heart disease · 2022
    Article
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

7 authors at 2 institutions in 1 country.

Sarah GhonimAdult Congenital Heart Unit, Royal Brompton Hospital, London, UK.
Inga VogesAdult Congenital Heart Unit, Royal Brompton Hospital, London, UK.
Peter D GatehouseCardiovascular Magnetic Resonance Unit, Royal Brompton Hospital, London, UK.
Jennifer KeeganCardiovascular Magnetic Resonance Unit, Royal Brompton Hospital, London, UK.
Michael A GatzoulisAdult Congenital Heart Unit, Royal Brompton Hospital, London, UK.
Philip J KilnerCardiovascular Magnetic Resonance Unit, Royal Brompton Hospital, London, UK.
Sonya V Babu-NarayanAdult Congenital Heart Unit, Royal Brompton Hospital, London, UK.
Royal Brompton Hospital · GBImperial College London · GB

Funding

British Heart Foundation FS/11/38/28864
6 · The paper itself

Abstract

Congenital heart disease (CHD) is the most common category of birth defect, affecting 1% of the population and requiring cardiovascular surgery in the first months of life in many patients. Due to advances in congenital cardiovascular surgery and patient management, most children with CHD now survive into adulthood. However, residual and postoperative defects are common resulting in abnormal hemodynamics, which may interact further with scar formation related to surgical procedures. Cardiovascular magnetic resonance (CMR) has become an important diagnostic imaging modality in the long-term management of CHD patients. It is the gold standard technique to assess ventricular volumes and systolic function. Besides this, advanced CMR techniques allow the acquisition of more detailed information about myocardial architecture, ventricular mechanics, and fibrosis. The left ventricle (LV) and right ventricle have unique myocardial architecture that underpins their mechanics; however, this becomes disorganized under conditions of volume and pressure overload. CMR diffusion tensor imaging is able to interrogate non-invasively the principal alignments of microstructures in the left ventricular wall. Myocardial tissue tagging (displacement encoding using stimulated echoes) and feature tracking are CMR techniques that can be used to examine the deformation and strain of the myocardium in CHD, whereas 3D feature tracking can assess the twisting motion of the LV chamber. Late gadolinium enhancement imaging and more recently T1 mapping can help in detecting fibrotic myocardial changes and evolve our understanding of the pathophysiology of CHD patients. This review not only gives an overview about available or emerging CMR techniques for assessing myocardial mechanics and fibrosis but it also describes their clinical value and how they can be used to detect abnormalities in myocardial architecture and mechanics in CHD patients.

Indexed as

cardiologycardiovascular magnetic resonance imagingcongenital heart diseasediffusion tensor imagingfibrosislate gadolinium enhancement cardiovascular magnetic resonancemyocardial strain

Identifiers

PMID28589126
PMCPMC5440586
OpenAlexW2618949920

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.