Evidence map›Paper›PMID 30266917›Full record

Trial reportScientific reports2018

Osteoprotegerin and Myocardial Fibrosis in Patients with Aortic Stenosis.

Brodie L Loudon, Eleana Ntatsaki, Simon Newsome, Brian Halliday, Amrit Lota, Aamir Ali, Tamir Malley, Subothini Selvendran, Nikhil Aggarwal, Willis Lam and 7 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
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  4. Article
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  6. Review
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  9. Observational
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

17 authors at 5 institutions in 1 country.

Brodie L LoudonCMR Unit, Royal Brompton Hospital and NIHR Biomedical Research Unit, Royal Brompton and Harefield Hospitals, London, United Kingdom.
Eleana NtatsakiDepartment of Rheumatology, Ipswich Hospital NHS Trust, and University College London, Ipswich, United Kingdom.
Simon NewsomeCMR Unit, Royal Brompton Hospital and NIHR Biomedical Research Unit, Royal Brompton and Harefield Hospitals, London, United Kingdom.ORCID http://orcid.org/0000-0002-1067-1217
Brian HallidayCMR Unit, Royal Brompton Hospital and NIHR Biomedical Research Unit, Royal Brompton and Harefield Hospitals, London, United Kingdom. b.halliday@rbht.nhs.uk.
Amrit LotaCMR Unit, Royal Brompton Hospital and NIHR Biomedical Research Unit, Royal Brompton and Harefield Hospitals, London, United Kingdom.
Aamir AliCMR Unit, Royal Brompton Hospital and NIHR Biomedical Research Unit, Royal Brompton and Harefield Hospitals, London, United Kingdom.
Tamir MalleyCMR Unit, Royal Brompton Hospital and NIHR Biomedical Research Unit, Royal Brompton and Harefield Hospitals, London, United Kingdom.
Subothini SelvendranCMR Unit, Royal Brompton Hospital and NIHR Biomedical Research Unit, Royal Brompton and Harefield Hospitals, London, United Kingdom.
Nikhil AggarwalCMR Unit, Royal Brompton Hospital and NIHR Biomedical Research Unit, Royal Brompton and Harefield Hospitals, London, United Kingdom.
Willis LamCMR Unit, Royal Brompton Hospital and NIHR Biomedical Research Unit, Royal Brompton and Harefield Hospitals, London, United Kingdom.
Jackie DonovanDepartment of Biochemistry, Royal Brompton Hospital, London, United Kingdom.
Dominque AugerCMR Unit, Royal Brompton Hospital and NIHR Biomedical Research Unit, Royal Brompton and Harefield Hospitals, London, United Kingdom.
Claire E RaphaelCMR Unit, Royal Brompton Hospital and NIHR Biomedical Research Unit, Royal Brompton and Harefield Hospitals, London, United Kingdom.
Paul D FlynnDepartment of Metabolic Medicine, Addenbrooke's Hospital, Cambridge and University of Cambridge, Cambridge, United Kingdom.
Dudley J PennellCMR Unit, Royal Brompton Hospital and NIHR Biomedical Research Unit, Royal Brompton and Harefield Hospitals, London, United Kingdom.
Vassilios S VassiliouCMR Unit, Royal Brompton Hospital and NIHR Biomedical Research Unit, Royal Brompton and Harefield Hospitals, London, United Kingdom. V.Vassiliou@uea.ac.uk.
Sanjay K PrasadCMR Unit, Royal Brompton Hospital and NIHR Biomedical Research Unit, Royal Brompton and Harefield Hospitals, London, United Kingdom.
Harefield Hospital · GBUniversity of East Anglia · GBIpswich Hospital · GBRoyal Brompton Hospital · GBUniversity of Cambridge · GB

Funding

British Heart Foundation FS/14/13/30619British Heart Foundation FS/15/29/31492British Heart Foundation FS/17/21/32712
6 · The paper itself

Abstract

Left ventricular myocardial fibrosis in patients with aortic stenosis (AS) confers worse prognosis. Plasma osteoprotegerin (OPG), a cytokine from the TNF receptor family, correlates with the degree of valve calcification in AS, reflecting the activity of the tissue RANKL/RANK/OPG (receptor activator of nuclear factor κΒ ligand/RANK/osteoprotegerin) axis, and is associated with poorer outcomes in AS. Its association with myocardial fibrosis is unknown. We hypothesised that OPG levels would reflect the extent of myocardial fibrosis in AS. We included 110 consecutive patients with AS who had undergone late-gadolinium contrast enhanced cardiovascular magnetic resonance (LGE-CMR). Patients were characterised according to pattern of fibrosis (no fibrosis, midwall fibrosis, or chronic myocardial infarction fibrosis). Serum OPG was measured with ELISA and compared between groups defined by valve stenosis severity. Some 36 patients had no fibrosis, 38 had midwall fibrosis, and 36 had chronic infarction. Patients with midwall fibrosis did not have higher levels of OPG compared to those without fibrosis (6.78 vs. 5.25 pmol/L, p = 0.12). There was no difference between those with midwall or chronic myocardial infarction fibrosis (6.78 vs. 6.97 pmol/L, p = 0.27). However, OPG levels in patients with chronic myocardial infarction fibrosis were significantly higher than those without fibrosis (p = 0.005).

Indexed as

AgedAged, 80 and overAortic Valve StenosisFemaleFibrosisHeart VentriclesHumansMaleMiddle AgedMyocardial InfarctionMyocardiumOsteoprotegerinOsteoprotegerin

Identifiers

PMID30266917
PMCPMC6162228
OpenAlexW2894471224

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.