Evidence map›Paper›PMID 30602395›Full record

ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2019

Prognostic and functional implications of left atrial late gadolinium enhancement cardiovascular magnetic resonance.

Michael Quail, Karl Grunseich, Lauren A Baldassarre, Hamid Mojibian, Mark A Marieb, Daniel Cornfeld, Aaron Soufer, Albert J Sinusas, Dana C Peters

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

32 citing papers in PubMed, 50 citations in OpenAlex.

  1. Prospective serial cardiovascular magnetic resonance imaging of immune checkpoint inhibitor myocarditis correlates with cardiovascular outcomes.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2026
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  15. Reverse remodeling of left atrium assessed by cardiovascular magnetic resonance feature tracking in hypertrophic obstructive cardiomyopathy after septal myectomy.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2023
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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 2 countries.

Michael QuailDepartment of Internal Medicine (Cardiology), Yale School of Medicine, 300 Cedar St, New Haven, CT, 06520, USA.
Karl GrunseichDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Lauren A BaldassarreDepartment of Internal Medicine (Cardiology), Yale School of Medicine, 300 Cedar St, New Haven, CT, 06520, USA.
Hamid MojibianDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Mark A MariebDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Daniel CornfeldDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Aaron SouferDepartment of Internal Medicine (Cardiology), Yale School of Medicine, 300 Cedar St, New Haven, CT, 06520, USA.
Albert J SinusasDepartment of Internal Medicine (Cardiology), Yale School of Medicine, 300 Cedar St, New Haven, CT, 06520, USA.
Dana C PetersDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA. Dana.peters@yale.edu.
Yale University · US

Funding

Detection of Atrial Remodeling by MRI: Validation and Emerging SignificanceR01HL122560 · NHLBI · YALE UNIVERSITY · PI PETERS, DANA C · 2015 to 2018
$1.7M
British Heart Foundation FS/16/28/32327NHLBI NIH HHS R01 HL122560
6 · The paper itself

Abstract

backgroundLeft atrial (LA) late gadolinium enhancement (LGE) on cardiovascular magnetic resonance (CMR) imaging is indicative of fibrosis, and has been correlated with reduced LA function, increased LA volume, and poor procedural outcomes in cohorts with atrial fibrillation (AF). However, the role of LGE as a prognostic biomarker for arrhythmia in cardiac disease has not been examined.

methodsIn this study, we assessed LA LGE using a 3D LGE CMR sequence to examine its relationships with new onset atrial arrhythmia, and LA and left ventricular (LV) mechanical function.

resultsLA LGE images were acquired in 111 patients undergoing CMR imaging, including 66 patients with no prior history of an atrial arrhythmia. During the median follow-up of 2.7 years (interquartile range (IQR) 1.8-3.7 years), 15/66 (23%) of patients developed a new atrial arrhythmia. LA LGE ≥10% of LA myocardial volume was significantly associated with an increased rate of new-onset atrial arrhythmia, with a hazard ratio of 3.16 (95% CI 1.14-8.72), p = 0.026. There were significant relationships between LA LGE and both LA ejection fraction (r = - 0.39, p < 0.0005) and echocardiographic LV septal e' (r = - 0.24, p = 0.04) and septal E/e' (r = 0.31, p = 0.007).

conclusionsElevated LA LGE is associated with reduced LA function and reduced LV diastolic function. LA LGE is associated with new onset atrial arrhythmia during follow-up.

Indexed as

Atrial Function, LeftAtrial RemodelingMagnetic Resonance Imaging, CineAtrial FibrillationContrast MediaFibrosisHeart AtriaHumansMaleMiddle AgedOrganometallic CompoundsPredictive Value of TestsPrognosisReproducibility of ResultsRetrospective StudiesRisk FactorsContrast MediagadobutrolOrganometallic CompoundsAtrial fibrillationCardiovascular magnetic resonanceEjection fractionLate gadolinium enhancementLeft atrium

Identifiers

PMID30602395
PMCPMC6317232
OpenAlexW2907993579

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.