Evidence map›Paper›PMID 30088066›Full record

Observational studyEuropean radiology2019

Cardiac magnetic resonance in patients with mitral valve prolapse: Focus on late gadolinium enhancement and T1 mapping.

Silvia Pradella, Giulia Grazzini, Marta Brandani, Linda Calistri, Cosimo Nardi, Fabio Mori, Vittorio Miele, Stefano Colagrande

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in European radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 9% 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, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. The Role of T2 Mapping in Cardiac Amyloidosis.Diagnostics (Basel, Switzerland) · 2024
    Article
  6. Review
  7. Interstitial fibrosis and arrhythmic mitral valve prolapse: Unraveling sex-based differences.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2024
    Article
  8. Arrhythmic Mitral Valve Prolapse: A Comprehensive Review.Diagnostics (Basel, Switzerland) · 2023
    Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Mitral Valve Prolapse-The Role of Cardiac Imaging Modalities.Structural heart : the journal of the Heart Team · 2022
    Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Society for Cardiovascular Magnetic Resonance 2020 Case of the Week series.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2021
    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

8 authors at 2 institutions in 1 country.

Silvia PradellaDepartment of Radiology, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy. pradella3@yahoo.it.
Giulia GrazziniDepartment of Experimental and Clinical Biomedical Sciences, University of Florence - Careggi University Hospital, Radiodiagnostic Unit n. 2, Largo Brambilla 3, 50134, Florence, Italy.
Marta BrandaniDepartment of Experimental and Clinical Biomedical Sciences, University of Florence - Careggi University Hospital, Radiodiagnostic Unit n. 2, Largo Brambilla 3, 50134, Florence, Italy.
Linda CalistriDepartment of Experimental and Clinical Biomedical Sciences, University of Florence - Careggi University Hospital, Radiodiagnostic Unit n. 2, Largo Brambilla 3, 50134, Florence, Italy.
Cosimo NardiDepartment of Experimental and Clinical Biomedical Sciences, University of Florence - Careggi University Hospital, Radiodiagnostic Unit n. 2, Largo Brambilla 3, 50134, Florence, Italy.
Fabio MoriDepartment of Cardiology, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.
Vittorio MieleDepartment of Radiology, Careggi University Hospital, Largo Brambilla 3, 50134, Florence, Italy.
Stefano ColagrandeDepartment of Experimental and Clinical Biomedical Sciences, University of Florence - Careggi University Hospital, Radiodiagnostic Unit n. 2, Largo Brambilla 3, 50134, Florence, Italy.
University of Florence · ITAzienda Ospedaliero-Universitaria Careggi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the incidence of late-gadolinium-enhancement (LGE) in mitral valve prolapse (MVP) (in the absence of other heart/valvular diseases), and its association with the degree of mitral regurgitation (MR) and/or with complex ventricular arrhythmia (ComVA), and to analyse the role of T1 mapping in the evaluation of MVP patients.

methodsWe included all consecutive patients with MVP who underwent during 2015-2016 a comprehensive cardiac magnetic resonance (CMR) examination at 1.5 T. We evaluated the association of LGE with the MR fraction and the presence of ComVA. We compared myocardial T1-native and post-contrast times and extracellular volume (ECV)-values between MVP patients, both with and without LGE, and the control group.

resultsThirty-four patients with MVP were selected (56 ± 14 years old, 59% male). All patients had MR; LGE and ComVA were present in 15 (44%) and 11 (34%) patients, respectively. Significant associations of LGE with both MR severity and ComVA were not found (p=0.72 and 0.79, respectively). T1 mapping confirmed the presence of LGE in all cases. In one patient a thin signal alteration resulted in more evident T1 mapping than LGE. Patients with MVP had higher native T1-values, lower post-contrast T1-values and increased ECV-values compared with controls (p=0.01, 0.01 and 0.00, respectively).

conclusionFocal fibrosis with LGE was found in about half the MVP patients and it was independent of the degree of the valve dysfunction and the presence of ComVA. T1 mapping allows diffuse myocardial wall alterations to be identified, but no significant associations between the MR severity and ComVA and T1/ECV values were found. KEY POINTS: • MVP is a common valvulopathy affecting 2-3% of the general population. • MVP has been associated with an increased risk of arrhythmic complications and sudden cardiac death. • CMR is a non-invasive imaging method that provides a precise and more accurate assessment of patients with MVP.

Indexed as

AdultAgedArrhythmias, CardiacContrast MediaDeath, Sudden, CardiacFemaleFibrosisGadoliniumHeartHumansMagnetic Resonance ImagingMaleMiddle AgedMitral Valve InsufficiencyMitral Valve ProlapseRetrospective StudiesContrast MediaGadoliniumCine magnetic resonance imagingGadoliniumProlapsed mitral valveT1 mapping

Identifiers

PMID30088066
OpenAlexW2886891758

What OpenQuestion holds

Textmetadata
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.