Evidence map›Paper›PMID 29471856›Full record

ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2018

Quantitative cardiovascular magnetic resonance perfusion imaging identifies reduced flow reserve in microvascular coronary artery disease.

Benjamin Zorach, Peter W Shaw, Jamieson Bourque, Sujith Kuruvilla, Pelbreton C Balfour, Yang Yang, Roshin Mathew, Jonathan Pan, Jorge A Gonzalez, Angela M Taylor and 4 more

Registry-linked trialOpen access · goldAbstract readComparative Study
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04730882 (Effect of Postprandial Hyperglycemia on Vasculature in Type 1 Diabetes and Healthy Adults), which is not on this map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 pooled it
10.1field-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.

NCT04730882 completednot on this mapstarted 2021, after this paper: background citation

Effect of Postprandial Hyperglycemia on Vasculature in Type 1 Diabetes and Healthy Adults

TypeobservationalSponsorUniversity of VirginiaRan2021 to 2024Enrolled36ConditionsType 1 Diabetes, Hyperglycemia, PostprandialArmsMixed Meal
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 2 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Society for cardiovascular magnetic resonance expert consensus statement on quantitative myocardial perfusion cardiovascular magnetic resonance imaging.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
    Guideline
  3. Article
  4. Observational
  5. MRI of cardiac involvement in COVID-19.The British journal of radiology · 2024
    Review
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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

14 authors at 4 institutions in 1 country.

Benjamin ZorachDepartment of Medicine, Cardiology Division, University of Virginia Health System, Charlottesville, VA, USA.
Peter W ShawBerkshire Medical Center, Pittsfield, MA, USA.
Jamieson BourqueDepartment of Medicine, Cardiology Division, University of Virginia Health System, Charlottesville, VA, USA.
Sujith KuruvillaDepartment of Medicine, Philadelphia VA Medical Center, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Pelbreton C BalfourDepartment of Medicine, Cardiology Division, University of Virginia Health System, Charlottesville, VA, USA.
Yang YangDepartment of Medicine, Cardiology Division, University of Virginia Health System, Charlottesville, VA, USA.
Roshin MathewDepartment of Medicine, Cardiology Division, University of Virginia Health System, Charlottesville, VA, USA.
Jonathan PanDepartment of Medicine, Cardiology Division, University of Virginia Health System, Charlottesville, VA, USA.
Jorge A GonzalezDivision of Cardiovascular Disease, Scripps Clinic, Division of Cardiology, Cardiovascular Imaging, Division of Radiology, La Jolla, San Diego, CA, USA.
Angela M TaylorDepartment of Medicine, Cardiology Division, University of Virginia Health System, Charlottesville, VA, USA.
Craig H MeyerDepartment of Radiology, Cardiovascular Imaging Center, University of Virginia Health System, Charlottesville, VA, USA.
Frederick H EpsteinDepartment of Radiology, Cardiovascular Imaging Center, University of Virginia Health System, Charlottesville, VA, USA.
Christopher M KramerDepartment of Medicine, Cardiology Division, University of Virginia Health System, Charlottesville, VA, USA. ckramer@virginia.edu.
Michael SalernoDepartment of Medicine, Cardiology Division, University of Virginia Health System, Charlottesville, VA, USA. ms5pc@virginia.edu.ORCID 0000-0001-7051-1031
University of Virginia Health System · USBerkshire Medical Center · USPhiladelphia VA Medical Center · USScripps Clinic · US

Funding

MRI of Myocardial Function in Post-Infarct Knockout MiceR01EB001763 · NIBIB · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI EPSTEIN, FREDERICK H · 2003 to 2020
$5.4M
Training in Cardiovascular Imaging ResearchT32EB003841 · NIBIB · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Jonathan R Lindner · 2004 to 2026
$4.4M
High-Resolution Whole Heart Quantitative CMR Perfusion Imaging in Ischemic Heart DiseaseR01HL131919 · NHLBI · UNIVERSITY OF VIRGINIA · PI ENNIS, DANIEL B · 2017 to 2021
$3.5M
Quantitative Adenosine Stress CMR with Spiral Pulse SequencesK23HL112910 · NHLBI · UNIVERSITY OF VIRGINIA · PI SALERNO, MICHAEL · 2012 to 2016
$789k
Assessment of Perfusion Reserve and Effects of Exercise in Microvascular AnginaK23HL119620 · NHLBI · UNIVERSITY OF VIRGINIA · PI BOURQUE, JAMIESON MACDONALD · 2013 to 2017
$745k
NHLBI NIH HHS K23 HL112910NHLBI NIH HHS K23 HL119620NHLBI NIH HHS R01 HL131919NIBIB NIH HHS R01 EB001763NIBIB NIH HHS T32 EB003841
6 · The paper itself

Abstract

backgroundPreliminary semi-quantitative cardiovascular magnetic resonance (CMR) perfusion studies have demonstrated reduced myocardial perfusion reserve (MPR) in patients with angina and risk factors for microvascular disease (MVD), however fully quantitative CMR has not been studied. The purpose of this study is to evaluate whether fully quantitative CMR identifies reduced MPR in this population, and to investigate the relationship between epicardial atherosclerosis, left ventricular hypertrophy (LVH), extracellular volume (ECV), and perfusion.

methodsForty-six patients with typical angina and risk factors for MVD (females, or males with diabetes or metabolic syndrome) who had no obstructive coronary artery disease by coronary angiography and 20 healthy control subjects underwent regadenoson stress CMR perfusion imaging using a dual-sequence quantitative spiral pulse sequence to quantify MPR. Subjects also underwent T1 mapping to quantify ECV, and computed tomographic (CT) coronary calcium scoring to assess atherosclerosis burden.

resultsIn patients with risk factors for MVD, both MPR (2.21 [1.95,2.69] vs. 2.93 [2.763.19], p < 0.001) and stress myocardial perfusion (2.65 ± 0.62 ml/min/g, vs. 3.17 ± 0.49 ml/min/g p < 0.002) were reduced as compared to controls. These differences remained after adjusting for age, left ventricular (LV) mass, body mass index (BMI), and gender. There were no differences in native T1 or ECV between subjects and controls.

conclusionsStress myocardial perfusion and MPR as measured by fully quantitative CMR perfusion imaging are reduced in subjects with risk factors for MVD with no obstructive CAD as compared to healthy controls. Neither myocardial hypertrophy nor fibrosis accounts for these differences.

Indexed as

Coronary CirculationFractional Flow Reserve, MyocardialMagnetic Resonance Imaging, CineMicrocirculationAdultAgedBlood Flow VelocityCase-Control StudiesComputed Tomography AngiographyCoronary AngiographyCoronary Artery DiseaseCoronary VesselsFemaleHumansMaleMiddle AgedPurinesPyrazolesregadenosonVasodilator AgentsAnginaCardiovascular magnetic resonanceDiabetesMetabolic syndromeMicrovascular diseaseMyocardial perfusion reserveNon-obstructive coronary artery diseaseWomen

Identifiers

PMID29471856
PMCPMC5822618
OpenAlexW2799312636

What OpenQuestion holds

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Registered trials

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.