Evidence map›Paper›PMID 31433819›Full record

Trial reportPloS one2019

CMR feature tracking in cardiac asymptomatic systemic sclerosis: Clinical implications.

Konstantinos Bratis, Anthony Lindholm, Roger Hesselstrand, Håkan Arheden, Georgia Karabela, Efthymios Stavropoulos, Gikas Katsifis, Genovefa Kolovou, George D Kitas, Petros P Sfikakis and 3 more

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Observational
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Underfilling decreases left ventricular function in pulmonary arterial hypertension.The international journal of cardiovascular imaging · 2021
    Article
  13. Review
  14. 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

13 authors.

Konstantinos BratisCMR Unit, Onassis Cardiac Surgery Centre, Athens, Greece.
Anthony LindholmDepartment of Clinical Sciences, Clinical Physiology, Skåne University Hospital, Lund University, Lund, Sweden.
Roger HesselstrandDepartment of Clinical Sciences, Rheumatology, Skåne University Hospital, Lund University, Lund, Sweden.
Håkan ArhedenDepartment of Clinical Sciences, Clinical Physiology, Skåne University Hospital, Lund University, Lund, Sweden.
Georgia KarabelaNaval Hospital, Athens, Greece.
Efthymios StavropoulosNaval Hospital, Athens, Greece.
Gikas KatsifisNaval Hospital, Athens, Greece.
Genovefa KolovouCMR Unit, Onassis Cardiac Surgery Centre, Athens, Greece.
George D KitasArthritis Research UK Epidemiology Unit, University of Manchester, Manchester, United Kingdom.
Petros P SfikakisFirst Department of Propeudeutic and Internal Medicine, Laikon Hospital, Athens University Medical School, Athens, Greece.
Loukia KoutsogeorgopoulouPathophysiology Department, Laikon Hospital, Athens, Greece.
Sophie MavrogeniCMR Unit, Onassis Cardiac Surgery Centre, Athens, Greece.
Ellen OstenfeldDepartment of Clinical Sciences, Clinical Physiology, Skåne University Hospital, Lund University, Lund, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImpaired myocardial deformation has been sporadically described in cardiac asymptomatic systemic sclerosis (SSc). We aimed to study myocardial deformation indices in cardiac asymptomatic SSc patients using cardiac magnetic resonance feature tracking (CMR-FT) and correlate these findings to the phenotypic and autoimmune background.

methodsFifty-four cardiac asymptomatic SSc patients (44 females, 56±13 years), with normal routine cardiac assessment and CMR evaluation, including cine and late gadolinium enhancement (LGE) images, were included. SSc patients were compared to 21 sex- and age- matched healthy controls (17 females; 54±19 years). For CMR-FT analysis, a mid-ventricular slice for LV peak systolic radial and circumferential strain and a 4-chamber view for LV/RV peak systolic longitudinal strain were used.

resultsTwenty-four patients had diffuse cutaneous SSc and 30 limited cutaneous SSc. Thirteen patients had digital ulcers. Median disease duration was 3.6 years. LV ejection fraction was higher in SSc patients compared to controls (62±6% vs. 59±5%, p = 0.01). Four patients had no LGE examination; in the remaining patients LGE was absent in 74%, while 18% had RV insertion fibrosis and 8% evidence of subendocardial infarction. LV longitudinal strain differed in those with insertion fibrosis (-18.0%) and infarction (-16.7%) compared to no fibrosis (-20.3%, p = 0.04). Patients with SSc had lower RV longitudinal strain and strain rate compared to controls (p<0.001 and p = 0.01, respectively). All other strain and strain rate measurements were non-significant between patients and controls.

conclusionsIn cardiac asymptomatic SSc patients with normal routine functional indices, CMR-FT identifies subclinical presence of insertion fibrosis and/or myocardial infarction by impaired LV longitudinal strain. RV derived longitudinal indices were impaired in the patient group. CMR FT indices did not correlate to the patients' phenotypic and autoimmune features.

Indexed as

Magnetic Resonance Imaging, CineMyocardial InfarctionScleroderma, DiffuseVentricular Function, LeftAdultAgedContrast MediaFemaleFibrosisGadoliniumHumansMaleMiddle AgedContrast MediaGadolinium

Identifiers

PMID31433819
PMCPMC6703686

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.