Evidence map›Paper›PMID 29228952›Full record

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

Association between left ventricular mechanics and diffuse myocardial fibrosis in patients with repaired Tetralogy of Fallot: a cross-sectional study.

Christopher M Haggerty, Jonathan D Suever, Arichanah Pulenthiran, Abba Mejia-Spiegeler, Gregory J Wehner, Linyuan Jing, Richard J Charnigo, Brandon K Fornwalt, Mark A Fogel

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 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.1field-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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Longitudinal changes in extent of late gadolinium enhancement in repaired Tetralogy of Fallot: a retrospective analysis of serial CMRs.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2021
    Article
  17. Article
  18. Article
  19. Article
  20. Journal of Cardiovascular Magnetic Resonance: 2017/2018 in review.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2019
    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

9 authors at 3 institutions in 1 country.

Christopher M HaggertyDepartment of Imaging Science and Innovation, Geisinger, 100 North Academy Avenue, Danville, PA, 17822-4400, USA. chaggerty3@gatech.edu.ORCID http://orcid.org/0000-0002-3227-4490
Jonathan D SueverDepartment of Imaging Science and Innovation, Geisinger, 100 North Academy Avenue, Danville, PA, 17822-4400, USA.
Arichanah PulenthiranDepartment of Imaging Science and Innovation, Geisinger, 100 North Academy Avenue, Danville, PA, 17822-4400, USA.
Abba Mejia-SpiegelerDepartment of Imaging Science and Innovation, Geisinger, 100 North Academy Avenue, Danville, PA, 17822-4400, USA.
Gregory J WehnerDepartment of Biomedical Engineering, University of Kentucky, Lexington, KY, USA.
Linyuan JingDepartment of Imaging Science and Innovation, Geisinger, 100 North Academy Avenue, Danville, PA, 17822-4400, USA.
Richard J CharnigoDepartment of Biostatistics, University of Kentucky, Lexington, KY, USA.
Brandon K FornwaltDepartment of Imaging Science and Innovation, Geisinger, 100 North Academy Avenue, Danville, PA, 17822-4400, USA.
Mark A FogelDivision of Cardiology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Geisinger Medical Center · USUniversity of Kentucky · USChildren's Hospital of Philadelphia · US

Funding

Exploring the Role of Dyssynchrony in Pediatric Heart Disease with MRIDP5OD012132 · OD · UNIVERSITY OF KENTUCKY · PI FORNWALT, BRANDON K · 2012 to 2016
$2.2M
National Institutes of Health DP5 OD-012132NIH HHS DP5 OD012132
6 · The paper itself

Abstract

backgroundPatients with repaired tetralogy of Fallot (TOF) have progressive, adverse biventricular remodeling, leading to abnormal contractile mechanics. Defining the mechanisms underlying this dysfunction, such as diffuse myocardial fibrosis, may provide insights into poor long-term outcomes. We hypothesized that left ventricular (LV) diffuse fibrosis is related to impaired LV mechanics.

methodsPatients with TOF were evaluated with cardiac magnetic resonance in which modified Look-Locker (MOLLI) T1-mapping and spiral cine Displacement encoding (DENSE) sequences were acquired at three LV short-axis positions. Linear mixed modeling was used to define the association between regional LV mechanics from DENSE based on regional T1-derived diffuse fibrosis measures, such as extracellular volume fraction (ECV).

resultsForty patients (26 ± 11 years) were included. LV ECV was generally within normal range (0.24 ± 0.05). For LV mechanics, peak circumferential strains (-15 ± 3%) and dyssynchrony indices (16 ± 8 ms) were moderately impaired, while peak radial strains (29 ± 8%) were generally normal. After adjusting for patient age, sex, and regional LV differences, ECV was associated with log-adjusted LV dyssynchrony index (β = 0.67) and peak LV radial strain (β = -0.36), but not LV circumferential strain. Moreover, post-contrast T1 was associated with log-adjusted LV diastolic circumferential strain rate (β = 0.37).

conclusionsWe observed several moderate associations between measures of fibrosis and impaired mechanics, particularly the LV dyssynchrony index and peak radial strain. Diffuse fibrosis may therefore be a causal factor in some ventricular dysfunction in TOF.

Indexed as

Cardiac Surgical ProceduresMyocardial ContractionVentricular Function, LeftVentricular RemodelingAdolescentAdultBiomechanical PhenomenaCross-Sectional StudiesFemaleFibrosisHumansMagnetic Resonance Imaging, CineMaleMyocardiumRisk FactorsTetralogy of FallotDENSEMOLLIStrainT1 mappingTetralogy of Fallot

Identifiers

PMID29228952
PMCPMC5724335
OpenAlexW2773923125

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.