Evidence map›Paper›PMID 30371289›Full record

ArticleJournal of the American Heart Association2018

Shock Wave Therapy Improves Cardiac Function in a Model of Chronic Ischemic Heart Failure: Evidence for a Mechanism Involving VEGF Signaling and the Extracellular Matrix.

Can Gollmann-Tepeköylü, Daniela Lobenwein, Markus Theurl, Uwe Primessnig, Daniela Lener, Elke Kirchmair, Wolfgang Mathes, Michael Graber, Leo Pölzl, Angela An and 8 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.0field-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

28 citing papers in PubMed, 39 citations in OpenAlex.

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  20. It Comes As a Shock: Kidney Repair Using Shockwave Therapy.Hypertension (Dallas, Tex. : 1979) · 2020
    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

18 authors at 5 institutions in 2 countries.

Can Gollmann-Tepeköylü2 Cardiac Surgery Medical University of Innsbruck Austria.
Daniela Lobenwein3 Internal Medicine III Medical University of Innsbruck Austria.
Markus Theurl3 Internal Medicine III Medical University of Innsbruck Austria.
Uwe Primessnig4 Department of Internal Medicine and Cardiology Charité - Universitätsmedizin Berlin Germany.
Daniela Lener2 Cardiac Surgery Medical University of Innsbruck Austria.
Elke Kirchmair2 Cardiac Surgery Medical University of Innsbruck Austria.
Wolfgang Mathes2 Cardiac Surgery Medical University of Innsbruck Austria.
Michael Graber2 Cardiac Surgery Medical University of Innsbruck Austria.
Leo Pölzl2 Cardiac Surgery Medical University of Innsbruck Austria.
Angela An2 Cardiac Surgery Medical University of Innsbruck Austria.
Katarzyna Koziel2 Cardiac Surgery Medical University of Innsbruck Austria.
Elisabeth Pechriggl1 Division of Clinical and Functional Anatomy Department of Anatomy, Histology and Embryology Medical University of Innsbruck Austria.
Jakob Voelkl4 Department of Internal Medicine and Cardiology Charité - Universitätsmedizin Berlin Germany.
Patrick Paulus5 Department of Anaesthesiology and Operative Intensive Care Medicine Kepler University Hospital Linz Austria.
Wolfgang Schaden6 Ludwig Boltzmann Institute for Experimental and Clinical Traumatology AUVA Research Centre Vienna Austria.
Michael Grimm2 Cardiac Surgery Medical University of Innsbruck Austria.
Rudolf Kirchmair3 Internal Medicine III Medical University of Innsbruck Austria.
Johannes Holfeld2 Cardiac Surgery Medical University of Innsbruck Austria.
Innsbruck Medical University · ATUniversität Innsbruck · ATCharité - Universitätsmedizin Berlin · DEKepler Universitätsklinikum · ATLudwig Boltzmann Institute for Experimental and Clinical Traumatology · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Mechanical stimulation of acute ischemic myocardium by shock wave therapy ( SWT ) is known to improve cardiac function by induction of angiogenesis. However, SWT in chronic heart failure is poorly understood. We aimed to study whether mechanical stimulation upon SWT improves heart function in chronic ischemic heart failure by induction of angiogenesis and postnatal vasculogenesis and to dissect underlying mechanisms. Methods and Results SWT was applied in a mouse model of chronic myocardial ischemia. To study effects of SWT on postnatal vasculogenesis, wild-type mice received bone marrow transplantation from green fluorescence protein donor mice. Underlying mechanisms were elucidated in vitro in endothelial cells and murine aortic rings. Echocardiography and pressure/volume measurements revealed improved left ventricular ejection fraction, myocardial contractility, and diastolic function and decreased myocardial fibrosis after treatment. Concomitantly, numbers of capillaries and arterioles were increased. SWT resulted in enhanced expression of the chemoattractant stromal cell-derived factor 1 in ischemic myocardium and serum. Treatment induced recruitment of bone marrow-derived endothelial cells to the site of injury. In vitro, SWT resulted in endothelial cell proliferation, enhanced survival, and capillary sprouting. The effects were vascular endothelial growth factor receptor 2 and heparan sulfate proteoglycan dependent. Conclusions SWT positively affects heart function in chronic ischemic heart failure by induction of angiogenesis and postnatal vasculogenesis. SWT upregulated pivotal angiogenic and vasculogenic factors in the myocardium in vivo and induced proliferative and anti-apoptotic effects on endothelial cells in vitro. Mechanistically, these effects depend on vascular endothelial growth factor signaling and heparan sulfate proteoglycans. SWT is a promising treatment option for regeneration of ischemic myocardium.

Indexed as

Extracorporeal Shockwave TherapyAnimalsBone Marrow CellsCells, CulturedChronic DiseaseCollateral CirculationDisease Models, AnimalEndothelial CellsExtracellular MatrixHeart FailureHeparan Sulfate ProteoglycansMaleMice, Inbred C57BLMyocardial IschemiaNeovascularization, PhysiologicSignal TransductionHeparan Sulfate ProteoglycansVascular Endothelial Growth Factor Aangiogenesisheparan sulfate proteoglycansmyocardial ischemiapostnatal vasculogenesisshock wave therapy

Identifiers

PMID30371289
PMCPMC6474945
OpenAlexW2897919969

What OpenQuestion holds

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LicenceCC BY-NC
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.