Evidence map›Paper›PMID 31256759›Full record

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

Resolving the natural myocardial remodelling brought upon by cardiac contraction; a porcine ex-vivo cardiovascular magnetic resonance study of the left and right ventricle.

Camilla Omann, Peter Agger, Nikolaj Bøgh, Christoffer Laustsen, Steffen Ringgaard, Robert S Stephenson, Robert H Anderson, Vibeke E Hjortdal, Morten Smerup

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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Myocardial mesostructure and mesofunction.American journal of physiology. Heart and circulatory physiology · 2022
    Review
  4. Article
  5. Article
  6. Review
  7. Assessing Myocardial Architecture: The Challenges and Controversies.Journal of cardiovascular development and disease · 2020
    Review
  8. Article
  9. Cardiac multi-scale investigation of the right and left ventricleCardiovascular diagnosis and therapy · 2020
    Review
  10. Article
  11. 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 3 institutions in 2 countries.

Camilla OmannDepartment of Cardiothoracic & Vascular Surgery, Aarhus University Hospital, Skejby, Denmark. camillaomann@clin.au.dk.ORCID 0000-0002-9718-201X
Peter AggerDepartment of Cardiothoracic & Vascular Surgery, Aarhus University Hospital, Skejby, Denmark.
Nikolaj BøghDepartment of Cardiothoracic & Vascular Surgery, Aarhus University Hospital, Skejby, Denmark.
Christoffer LaustsenDepartment of Clinical Medicine, Aarhus University, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N, Denmark.
Steffen RinggaardMR Research Centre, Aarhus University, Aarhus, Denmark.
Robert S StephensonDepartment of Clinical Medicine, Aarhus University, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N, Denmark.
Robert H AndersonInstitute of Genetic Medicine, Newcastle University, Newcastle-upon-Tyne, UK.
Vibeke E HjortdalDepartment of Cardiothoracic & Vascular Surgery, Aarhus University Hospital, Skejby, Denmark.
Morten SmerupDepartment of Cardiothoracic & Vascular Surgery, Aarhus University Hospital, Skejby, Denmark.
Aarhus University · DKAarhus University Hospital · DKNewcastle University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe three-dimensional rearrangement of the right ventricular (RV) myocardium during cardiac deformation is unknown. Previous in-vivo studies have shown that myocardial left ventricular (LV) deformation is driven by rearrangement of aggregations of cardiomyocytes that can be characterised by changes in the so-called E3-angle. Ex-vivo imaging offers superior spatial resolution compared with in-vivo measurements, and can thus provide novel insight into the deformation of the myocardial microstructure in both ventricles. This study sought to describe the dynamic changes of the orientations of the cardiomyocytes in both ventricles brought upon by cardiac contraction, with particular interest in the thin-walled RV, which has not previously been described in terms of its micro-architecture.

methodsThe hearts of 14 healthy 20 kg swine were excised and preserved in either a relaxed state or a contracted state. Myocardial architecture was assessed and compared between the two contractional states by quantification of the helical, transmural and E3-angles of the cardiomyocytes using high-resolution diffusion tensor imaging.

resultsThe differences between the two states of contraction were most pronounced in the endocardium where the E3-angle decreased from 78.6° to 24.8° in the LV and from 82.6° to 68.6° in the RV. No significant change in neither the helical nor the transmural angle was found in the cardiomyocytes of the RV. In the endocardium of the LV, however, the helical angle increased from 35.4° to 47.8° and the transmural angle increased from 3.1° to 10.4°.

conclusionThe entire myocardium rearranges through the cardiac cycle with the change in the orientation of the aggregations of cardiomyocytes being the predominant mediator of myocardial wall thickening. Interestingly, differences also exist between the RV and LV, which helps in the explanation of the different physiological capabilities of the ventricles.

Indexed as

Diffusion Tensor ImagingMyocardial ContractionVentricular Function, LeftVentricular Function, RightVentricular RemodelingAnimalsFemaleHeart VentriclesMyocytes, CardiacPredictive Value of TestsSus scrofaTime FactorsDiffusion tensor imagingDynamic rearrangementMicro-structureMyocardial architectureMyocardiumMyocyte orientation

Identifiers

PMID31256759
PMCPMC6600899
OpenAlexW2953699833

What OpenQuestion holds

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Registered trials

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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.