Evidence map›Paper›PMID 31903694›Full record

ArticleESC heart failure2020

Diffuse right ventricular fibrosis in heart failure with preserved ejection fraction and pulmonary hypertension.

Ravi B Patel, Emily Li, Brandon C Benefield, Stanley A Swat, Vincenzo B Polsinelli, James C Carr, Sanjiv J Shah, Michael Markl, Jeremy D Collins, Benjamin H Freed

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
6.2field-weighted citation impact, top 3% 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

44 citing papers in PubMed, 60 citations in OpenAlex.

  1. Trial
  2. Right Heart Diastology, Where Are We Now?Circulation research · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Wave intensity analysis with exercise identifies impairments in pulmonary hypertension.American journal of physiology. Heart and circulatory physiology · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Clinical-imaging-pathological correlation in pulmonary hypertension associated with left heart disease.European respiratory review : an official journal of the European Respiratory Society · 2024
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Detection and evaluation of myocardial fibrosis in Eisenmenger syndrome using cardiovascular magnetic resonance late gadolinium enhancement and T1 mapping.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2022
    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

10 authors at 2 institutions in 2 countries.

Ravi B PatelDivision of Cardiology, Northwestern University, Chicago, IL, USA.
Emily LiDivision of Cardiology, Northwestern University, Chicago, IL, USA.
Brandon C BenefieldFeinberg Cardiovascular and Renal Research Institute, Northwestern University, Chicago, IL, USA.
Stanley A SwatDivision of Cardiology, Northwestern University, Chicago, IL, USA.
Vincenzo B PolsinelliDivision of Cardiology, Northwestern University, Chicago, IL, USA.
James C CarrDepartment of Radiology, Northwestern University, Chicago, IL, USA.
Sanjiv J ShahDivision of Cardiology, Northwestern University, Chicago, IL, USA.
Michael MarklDepartment of Radiology, Northwestern University, Chicago, IL, USA.
Jeremy D CollinsDepartment of Radiology, Mayo Clinic, Rochester, MN, USA.
Benjamin H FreedDivision of Cardiology, Northwestern University, Chicago, IL, USA.
Northwestern University · USMayo Clinic in Arizona · US

Funding

Transition from Risk Factors to Early HF: Prevalence, Pathogenesis, and PhenomicsR01HL127028 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BERTONI, ALAIN GERALD, SHAH, SANJIV J · 2015 to 2018
$6.5M
POSTGRADUATE TRAINING IN CARDIOVASCULAR RESEARCHT32HL007822 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BUTTRICK, PETER N., LEINWAND, LESLIE ANNE · 1996 to 2023
$6.2M
RESEARCH TRAINING IN CVD EPIDEMIOLOGY AND PREVENTIONT32HL069771 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Mercedes Renee Carnethon · 2003 to 2026
$5.9M
Machine learning for the automated identification and tracking of rare myocardial diseasesR01HL140731 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MACRAE, CALUM A., SHAH, SANJIV J · 2018 to 2021
$2.8M
American Heart Association Grants 15CVGPSD27260148American Heart Association Grants 16SFRN28780016National Institutes of Health Grants R01 HL105755NHLBI NIH HHS R01 HL127028NHLBI NIH HHS R01 HL140731NHLBI NIH HHS T32 HL007822NHLBI NIH HHS T32 HL069771
6 · The paper itself

Abstract

aimsWhile right ventricular (RV) dysfunction is associated with worse prognosis in co-morbid pulmonary hypertension and heart failure with preserved ejection fraction (PH-HFpEF), the mechanisms driving RV dysfunction are unclear. We evaluated the extent and clinical correlates of diffuse RV myocardial fibrosis in PH-HFpEF, as measured by cardiovascular magnetic resonance-derived extracellular volume (ECV). METHODS AND

resultsWe prospectively enrolled participants with PH-HFpEF (n = 14), pulmonary arterial hypertension (PAH; n = 13), and controls (n = 8). All participants underwent high-resolution cardiovascular magnetic resonance, and case subjects (PH-HFpEF and PAH) additionally underwent right heart catheterization. T1 mapping was performed using high-resolution modified look-locker inversion recovery with a 1 × 1 mm

conclusionsDiffuse RV fibrosis, as measured by ECV, is present in PH-HFpEF and is associated with adverse RV structural and functional remodelling but not degree of pulmonary vasculopathy. In PH-HFpEF, diffuse RV fibrosis may occur out of proportion to the degree of RV afterload.

Indexed as

Ventricular RemodelingAgedCardiac CatheterizationEchocardiographyFemaleFibrosisFollow-Up StudiesHeart FailureHeart VentriclesHumansHypertension, PulmonaryMagnetic Resonance Imaging, CineMaleMiddle AgedMyocardiumPredictive Value of TestsCardiac magnetic resonanceFibrosisHeart failure with preserved ejection fractionPulmonary hypertensionRight ventricle

Identifiers

PMID31903694
PMCPMC7083501
OpenAlexW2997440113

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.