Evidence map›Paper›PMID 31131035›Full record

ReviewEuropean cardiology2019

Cardiac Resynchronisation Therapy and Cellular Bioenergetics: Effects Beyond Chamber Mechanics.

Christos-Konstantinos Antoniou, Panagiota Manolakou, Nikolaos Magkas, Konstantinos Konstantinou, Christina Chrysohoou, Polychronis Dilaveris, Konstantinos A Gatzoulis, Dimitrios Tousoulis

Abstract readReview
In one paragraph

Review in European cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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.

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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Concepts of Cardiac Dyssynchrony and Dynamic Approach.Diagnostics (Basel, Switzerland) · 2024
    Review
  5. Article
  6. Review
  7. 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

8 authors.

Christos-Konstantinos AntoniouFirst Department of Cardiology, School of Medicine, National and Kapodistrian University of Athens Athens, Greece.
Panagiota ManolakouFirst Department of Cardiology, School of Medicine, National and Kapodistrian University of Athens Athens, Greece.
Nikolaos MagkasFirst Department of Cardiology, School of Medicine, National and Kapodistrian University of Athens Athens, Greece.
Konstantinos KonstantinouFirst Department of Cardiology, School of Medicine, National and Kapodistrian University of Athens Athens, Greece.
Christina ChrysohoouFirst Department of Cardiology, School of Medicine, National and Kapodistrian University of Athens Athens, Greece.
Polychronis DilaverisFirst Department of Cardiology, School of Medicine, National and Kapodistrian University of Athens Athens, Greece.
Konstantinos A GatzoulisFirst Department of Cardiology, School of Medicine, National and Kapodistrian University of Athens Athens, Greece.
Dimitrios TousoulisFirst Department of Cardiology, School of Medicine, National and Kapodistrian University of Athens Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac resynchronisation therapy is a cornerstone in the treatment of advanced dyssynchronous heart failure. However, despite its widespread clinical application, precise mechanisms through which it exerts its beneficial effects remain elusive. Several studies have pointed to a metabolic component suggesting that, both in concert with alterations in chamber mechanics and independently of them, resynchronisation reverses detrimental changes to cellular metabolism, increasing energy efficiency and metabolic reserve. These actions could partially account for the existence of responders that improve functionally but not echocardiographically. This article will attempt to summarise key components of cardiomyocyte metabolism in health and heart failure, with a focus on the dyssynchronous variant. Both chamber mechanics-related and -unrelated pathways of resynchronisation effects on bioenergetics - stemming from the ultramicroscopic level - and a possible common underlying mechanism relating mechanosensing to metabolism through the cytoskeleton will be presented. Improved insights regarding the cellular and molecular effects of resynchronisation on bioenergetics will promote our understanding of non-response, optimal device programming and lead to better patient care.

Indexed as

bioenergeticscardiac resynchronisation therapychamber mechanicsDyssynchronous heart failuremetabolismmitochondria

Identifiers

PMID31131035
PMCPMC6523053

What OpenQuestion holds

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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.