Evidence map›Paper›PMID 30032158›Full record

ArticleMedical science monitor : international medical journal of experimental and clinical research2018

Overlapping Phenotypes and Degree of Ventricular Dilatation Are Associated with Severity of Systolic Impairment and Late Gadolinium Enhancement in Non-Ischemic Cardiomyopathies.

Marko Boban, Vladimir Pesa, Viktor Persic, Marinko Zulj, Ivan Malcic, Natko Beck, Aleksandar Vcev

Open access · hybridAbstract read
In one paragraph

Article in Medical science monitor : international medical journal of experimental and clinical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 36% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Circulation. Genomic and precision medicine · 2023
    Pooled it
  2. 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

7 authors at 3 institutions in 1 country.

Marko BobanDepartment of Cardiology, "Thalassotherapy Opatija" University Hospital, Medical Faculty, University of Rijeka, Rijeka, Croatia.
Vladimir PesaDepartment of Cardiology, "Thalassotherapy Opatija" University Hospital, Medical Faculty, University of Rijeka, Rijeka, Croatia.
Viktor PersicDepartment of Cardiology, "Thalassotherapy Opatija" University Hospital, Medical Faculty, University of Rijeka, Rijeka, Croatia.
Marinko ZuljDepartment of Internal Medicine, "J.J. Strossmayer" Medical Faculty, University of Osijek, Osijek, Croatia.
Ivan MalcicDepartment of Child's Cardiology, Zagreb University Hospital, Zagreb, Croatia.
Natko BeckDepartment of Cardiology, "Thalassotherapy Opatija" University Hospital, Medical Faculty, University of Rijeka, Rijeka, Croatia.
Aleksandar VcevDepartment of Internal Medicine, "J.J. Strossmayer" Medical Faculty, University of Osijek, Osijek, Croatia.
University of Rijeka · HRUniversity of Osijek · HRChildren's Hospital Zagreb · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND Dilatation and other infrastructural rearrangements of the left ventricle are connected with poor prognosis. The aim of our study was to analyze the overlapping phenotypes and dilatation of the ventricle on impairment of systolic function and existence of late gadolinium enhancement (LGE). MATERIAL AND METHODS Consecutive sample of cases with dilated left ventricle due to non-ischemic cardiomyopathy and healthy controls were included from our cardiac magnetic resonance imaging (CMR) database for a period of 3 years (n=1551 exams). RESULTS The study included 127 patients; 30 (23.6%) with dilated cardiomyopathy (DCM); 30 (23.6%) with left ventricular non-compaction (LVNC); 13 (10.2%) with hypertrophic cardiomyopathy (HCM), and 50 (39.4%) controls. Overlapping phenotypes were found in 48 (37.8%) of the studied cases. Odds for impairment of systolic function in connection with overlapping phenotypes were estimated at 7.8 (95%-CI: 3.4-17.6), (p<0.001). There were significant differences in geometric parameters for patients with overlapping phenotypes vs. controls, as follows: left ventricle end-diastolic dimension(LVEDD)=6.6±0.8 vs. 5.6±1.0 cm (p<0.001); left ventricular ejection fraction (LVEF)=39.3±14.0 vs. 52.1±16.1 (p<0.001); and existence of LGE 36 (75.0%) vs. 21 (26.6%), (p<0.001), respectively. Overlapping phenotypes correlated with LVEDD (Spearman's-Rho-CC)=0.521, p<0.001; LVEF (Rho-CC)=-0.447, p<0.001 and LGE (Rho-CC)=0.472, p<0.001. CONCLUSIONS This study found there are many patients with overlapping phenotypes among NICMPs with dilated left ventricles. Overlapping phenotype was associated with greater LVEDD, lesser systolic function, and commonly existing LGE, which all impose increased cardiovascular risk. Linear midventricular LGE stripe was the most powerfully connected with loss of systolic function.

Indexed as

AdultAgedBlood PressureCardiomyopathiesContrast MediaDilatationFemaleGadolinium DTPAHeart VentriclesHumansMagnetic Resonance ImagingMaleMiddle AgedMyocardiumPhenotypeRetrospective StudiesContrast MediaGadolinium DTPA

Identifiers

PMID30032158
PMCPMC6067028
OpenAlexW2883782752

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.