Evidence map›Paper›PMID 29178894›Full record

ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2017

Changes in overall ventricular myocardial architecture in the setting of a porcine animal model of right ventricular dilation.

Peter Agger, Christine Ilkjær, Christoffer Laustsen, Morten Smerup, Jesper R Frandsen, Steffen Ringgaard, Michael Pedersen, John B Partridge, Robert H Anderson, Vibeke Hjortdal

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

17 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Right ventricular dysfunction in structural tricuspid interventions.European heart journal. Imaging methods and practice · 2025
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Assessing Myocardial Architecture: The Challenges and Controversies.Journal of cardiovascular development and disease · 2020
    Review
  10. An Appreciation of Anatomy in the Molecular World.Journal of cardiovascular development and disease · 2020
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Resolving the natural myocardial remodelling brought upon by cardiac contraction; a porcine ex-vivo cardiovascular magnetic resonance study of the left and right ventricle.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2019
    Article
  16. Journal of Cardiovascular Magnetic Resonance 2017.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2018
    Review
  17. Resolving the True Ventricular Mural Architecture.Journal of cardiovascular development and disease · 2018
    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

10 authors at 4 institutions in 2 countries.

Peter AggerDepartment of Cardiothoracic & Vascular Surgery, Aarhus University Hospital, Skejby, Aarhus, Denmark. peter.agger@clin.au.dk.ORCID http://orcid.org/0000-0002-7338-6624
Christine IlkjærDepartment of Cardiothoracic & Vascular Surgery, Aarhus University Hospital, Skejby, Aarhus, Denmark.
Christoffer LaustsenMR Research Center, Aarhus University Hospital, Aarhus, Denmark.
Morten SmerupDepartment of Cardiothoracic Surgery, Rigshospitalet, Copenhagen, Denmark.
Jesper R FrandsenCenter for Functionally Integrative Neuroscience, Aarhus University Hospital, Aarhus, Denmark.
Steffen RinggaardMR Research Center, Aarhus University Hospital, Aarhus, Denmark.
Michael PedersenComparative Medicine Lab, Aarhus University Hospital, Aarhus, Denmark.
John B PartridgeEurobodalla Unit, Rural Clinical School of the ANU College of Medicine, Biology & Environment, Batemans Bay, NSW, Australia.
Robert H AndersonInstitute of Genetic Medicine, Newcastle University, Newcastle-upon-Tyne, UK.
Vibeke HjortdalDepartment of Cardiothoracic & Vascular Surgery, Aarhus University Hospital, Skejby, Aarhus, Denmark.
Aarhus University · DKAarhus University Hospital · DKNewcastle University · GBRigshospitalet · DK

Funding

Danish Children Heart Foundation (DK) 13-04-R93-A4557-26010
6 · The paper itself

Abstract

backgroundChronic pulmonary regurgitation often leads to myocardial dysfunction and heart failure. It is not fully known why secondary hypertrophy cannot fully protect against the increase in wall stress brought about by the increased end-diastolic volume in ventricular dilation. It has been assumed that mural architecture is not deranged in this situation, but we hypothesised that there might be a change in the pattern of orientation of the aggregations of cardiomyocytes, which would contribute to contractile impairment.

methodsWe created pulmonary valvular regurgitation by open chest, surgical suturing of its leaflets in seven piglets, performing sham operations in seven control animals. Using cardiovascular magnetic resonance imaging after 12 weeks of recovery, we demonstrated significantly increased right ventricular volumes in the test group. After sacrifice, diffusion tensor imaging of their hearts permitted measurement of the orientation of the cardiomyocytes.

resultsThe helical angles in the right ventricle approached a more circumferential orientation in the setting of right ventricular RV dilation (p = 0.007), with an increased proportion of surface-parallel cardiomyocytes. In contrast, this proportion decreased in the left ventricle. Also in the left ventricle a higher proportion of E3 angles with a value around zero was found, and conversely a lower proportion of angles was found with a numerical higher value. In the dilated right ventricle the proportion of E3 angles around -90° is increased, while the proportion around 90° is decreased.

conclusionContrary to traditional views, there is a change in the orientation of both the left ventricular and right ventricular cardiomyocytes subsequent to right ventricular dilation. This will change their direction of contraction and hinder the achievement of normalisation of cardiomyocytic strain, affecting overall contractility. We suggest that the aetiology of the cardiac failure induced by right vetricular dilation may be partly explained by morphological changes in the myocardium itself.

Indexed as

Ventricular Function, LeftVentricular Function, RightVentricular RemodelingAnimalsDiffusion Tensor ImagingDisease Models, AnimalFemaleHypertrophy, Right VentricularMagnetic Resonance ImagingMyocardial ContractionMyocytes, CardiacPulmonary Valve InsufficiencySus scrofaTime FactorsCongenital heart diseaseDiffusion tensor imagingHeart failureMyocardial remodeling

Identifiers

PMID29178894
PMCPMC5702974
OpenAlexW2770158926

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.