Evidence map›Paper›PMID 30777200›Full record

Trial reportEuropean journal of radiology2019

Predictors of segmental myocardial functional recovery in patients after an acute ST-Elevation myocardial infarction.

Kenneth Mangion, David Carrick, Guillaume Clerfond, Christopher Rush, Christie McComb, Keith G Oldroyd, Mark C Petrie, Hany Eteiba, Mitchell Lindsay, Margaret McEntegart and 8 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in European journal of radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02072850 (Cardiac Magnetic Resonance Imaging), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02072850 active not recruitingnot on this map

Cardiac Magnetic Resonance Imaging: New Pathological Insights and Their Functional and Clinical Significance in ST Elevation Acute Myocardial Infarction.

TypeobservationalSponsorNHS National Waiting Times Centre BoardRan2011 to 2031Enrolled324ConditionsAcute ST-elevation Myocardial InfarctionArmsCoronary pressure wire, Magnetic resonance imaging of the heart
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Left ventricular functional recovery of infarcted and remote myocardium after ST-segment elevation myocardial infarction (METOCARD-CNIC randomized clinical trial substudy).Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2020
    Trial
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  12. A poroelastic immersed finite element framework for modelling cardiac perfusion and fluid-structure interaction.International journal for numerical methods in biomedical engineering · 2021
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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

18 authors.

Kenneth MangionBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, UK; West of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Clydebank, UK.
David CarrickBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, UK; West of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Clydebank, UK.
Guillaume ClerfondBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, UK.
Christopher RushBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, UK; West of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Clydebank, UK.
Christie McCombBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, UK; Clinical Physics, NHS Greater Glasgow and Clyde, Glasgow, UK.
Keith G OldroydWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Clydebank, UK.
Mark C PetrieBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, UK; West of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Clydebank, UK.
Hany EteibaWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Clydebank, UK.
Mitchell LindsayWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Clydebank, UK.
Margaret McEntegartWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Clydebank, UK.
Stuart HoodWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Clydebank, UK.
Stuart WatkinsWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Clydebank, UK.
Andrew DavieWest of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Clydebank, UK.
Daniel A AugerDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA.
Xiaodong ZhongMR R&D Collaborations, Siemens Healthcare, Los Angeles, CA, USA.
Frederick H EpsteinDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA.
Caroline E HaigRobertson Centre for Biostatistics, University of Glasgow, UK.
Colin BerryBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, UK; West of Scotland Heart and Lung Centre, Golden Jubilee National Hospital, Clydebank, UK. Electronic address: colin.berry@glasgow.ac.uk.

Funding

British Heart Foundation FS/15/54/31639British Heart Foundation PG/11/2/28474British Heart Foundation PG/14/64/31043Chief Scientist Office SCD/01
6 · The paper itself

Abstract

objectiveWe hypothesized that Displacement Encoding with Stimulated Echoes (DENSE) and feature-tracking derived circumferential strain would provide incremental prognostic value over the extent of infarction for recovery of segmental myocardial function.

methodsTwo hundred and sixty-one patients (mean age 59 years, 73% male) underwent MRI 2 days post-ST elevation myocardial infarction (STEMI) and 241 (92%) underwent repeat imaging 6 months later. The MRI protocol included cine, 2D-cine DENSE, T2 mapping and late enhancement. Wall motion scoring was assessed by 2-blinded observers and adjudicated by a third. (WMS: 1=normal, 2=hypokinetic, 3=akinetic, 4=dyskinetic). WMS improvement was defined as a decrease in WMS ≥ 1, and normalization where WMS = 1 on follow-up. Segmental circumferential strain was derived utilizing DENSE and feature-tracking. A generalized linear mixed model with random effect of subject was constructed and used to account for repeated sampling when investigating predictors of segmental myocardial improvement or normalization

resultsAt baseline and follow-up, 1416 segments had evaluable data for all parameters. Circumferential strain by DENSE (p < 0.001) and feature-tracking (p < 0.001), extent of oedema (p < 0.001), infarct size (p < 0.001), and microvascular obstruction (p < 0.001) were associates of both improvement and normalization of WMS. Circumferential strain provided incremental predictive value even after accounting for infarct size, extent of oedema and microvascular obstruction, for segmental improvement (DENSE: odds ratio, 95% confidence intervals: 1.08 per -1% peak strain, 1.05-1.12, p < 0.001, feature-tracking: odds ratio, 95% confidence intervals: 1.05 per -1% peak strain, 1.03-1.07, p < 0.001) and segmental normalization (DENSE: 1.08 per -1% peak strain, 1.04-1.12, p < 0.001, feature-tracking: 1.06 per -1% peak strain, 1.04-1.08, p < 0.001).

conclusionsCircumferential strain provides incremental prognostic value over segmental infarct size in patients post STEMI for predicting segmental improvement or normalization by wall-motion scoring.

Indexed as

FemaleHumansMagnetic Resonance AngiographyMagnetic Resonance Imaging, CineMaleMiddle AgedMovementMyocardiumRecovery of FunctionST Elevation Myocardial InfarctionStress, PhysiologicalDENSEDisplacement encoding with stimulated echoesMyocardial strainSTEMI

Identifiers

PMID30777200
PMCPMC6390173

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Registered trials

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.