Evidence map›Paper›PMID 30417312›Full record

ArticlePediatric cardiology2019

Differences in Cardiovascular Manifestation of Marfan Syndrome Between Children and Adults.

L Wozniak-Mielczarek, R Sabiniewicz, M Drezek-Nojowicz, R Nowak, N Gilis-Malinowska, M Mielczarek, A Łabuc, A Waldoch, J Wierzba

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Pediatric cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.7field-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

19 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Pathology and pathophysiology of the aortic root.Annals of cardiothoracic surgery · 2023
    Review
  11. Health-Related Quality of Life of Patients with Marfan Syndrome-Polish Study.International journal of environmental research and public health · 2022
    Article
  12. Article
  13. Article
  14. Marfan syndrome.Nature reviews. Disease primers · 2021
    Review
  15. Article
  16. The Molecular Genetics of Marfan Syndrome.International journal of medical sciences · 2021
    Review
  17. Biology and Biomechanics of the Heart Valve Extracellular Matrix.Journal of cardiovascular development and disease · 2020
    Review
  18. Article
  19. Article
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

9 authors at 1 institution in 1 country.

L Wozniak-MielczarekDepartment of Pediatric Cardiology and Congenital Heart Diseases, Medical University of Gdansk, Gdansk, Poland. lidiawozniak@yahoo.com.ORCID http://orcid.org/0000-0002-1238-4369
R SabiniewiczDepartment of Pediatric Cardiology and Congenital Heart Diseases, Medical University of Gdansk, Gdansk, Poland.
M Drezek-NojowiczDepartment of Ophthalmology, Medical University of Gdansk, Gdansk, Poland.
R Nowak2nd Department of Cardiology, Medical University of Gdansk, Gdansk, Poland.
N Gilis-Malinowska1st Department of Cardiology, Medical University of Gdansk, Gdansk, Poland.
M Mielczarek1st Department of Cardiology, Medical University of Gdansk, Gdansk, Poland.
A ŁabucDepartment of Orthopaedics and Motor Organ Traumatology, Medical University of Gdansk, Gdansk, Poland.
A WaldochDepartment of Pediatric Cardiology and Congenital Heart Diseases, Medical University of Gdansk, Gdansk, Poland.
J WierzbaDepartment of Nursery, Medical University of Gdansk, Gdansk, Poland.
Gdańsk Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Marfan syndrome (MFS) is a connective tissue disorder characterized by a broad range of clinical manifestations. Cardiovascular involvement is the most life-threatening aspect of the syndrome. Although abnormalities within the cardiovascular system in adults are well documented, there is still a paucity of data regarding manifestation of MFS in childhood. The aim of the study was to compare cardiovascular manifestation of MFS between children and adults. The study population consisted of 236 patients (144 children and 92 adults), who were referred to our department with suspicion of MFS. All patients underwent complete clinical evaluation in order to confirm the diagnosis of MFS according to the modified Ghent criteria. MFS was diagnosed in 101 (44 children and 57 adults) out of the 236 patients. The other patients were diagnosed with Ehlers-Danlos syndrome, Loeys-Dietz syndrome, MASS phenotype, ectopia lentis syndrome, marfanoid habitus and other rare syndromes. The most common cardiovascular abnormality was aortic root dilatation (81.19% of patients). It was found that both adults and children had similar high rates of aortic root dilatation. Similarly, there was no significant difference with regard to the prevalence of aortic valve regurgitation and mitral valve prolapse among children and adults. These findings equivocally indicate that the aforementioned abnormalities develop in early childhood, therefore, they may be used in the early identification of patients with MFS. Other assessed abnormalities, which included mitral valve regurgitation, pulmonary artery dilation, aneurysms of aortic arch, descending thoracic aorta and abdominal aorta were found mostly in adults, and thus, are of less use in the early detection of MFS.

Indexed as

AdolescentAdultAgedAge FactorsCardiovascular AbnormalitiesChildChild, PreschoolEchocardiographyElectrocardiographyFemaleHumansInfantMaleMarfan SyndromeMiddle AgedPrevalenceAortic dissectionAortic root dilatationMarfan syndromeMitral valve prolapseMitral valve regurgitation

Identifiers

PMID30417312
PMCPMC6399167
OpenAlexW2899800848

What OpenQuestion holds

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LicenceCC BY
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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.