Evidence map›Paper›PMID 32201584›Full record

ArticleOpen heart2020

Cardiovascular magnetic resonance T2* mapping for the assessment of cardiovascular events in hypertrophic cardiomyopathy.

Mareike Gastl, Christiane Gruner, Karin Labucay, Alexander Gotschy, Jochen Von Spiczak, Malgorzata Polacin, Florian Boenner, Malte Kelm, Frank Ruschitzka, Hatem Alkadhi and 2 more

Open access · goldAbstract read
In one paragraph

Article in Open heart, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Cardiac Phase-Resolved TBiomedicines · 2025
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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

12 authors at 3 institutions in 2 countries.

Mareike GastlDepartment of Cardiology, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-7854-8418
Christiane GrunerDepartment of Cardiology, University Hospital Zurich, Zurich, Switzerland.
Karin LabucayDepartment of Cardiology, University Hospital Zurich, Zurich, Switzerland.
Alexander GotschyDepartment of Cardiology, University Hospital Zurich, Zurich, Switzerland.
Jochen Von SpiczakInstitute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland.
Malgorzata PolacinInstitute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland.
Florian BoennerDepartment of Cardiology, Pneumology and Angiology, Heinrich Heine University, Dusseldorf, Germany.
Malte KelmDepartment of Cardiology, Pneumology and Angiology, Heinrich Heine University, Dusseldorf, Germany.
Frank RuschitzkaDepartment of Cardiology, University Hospital Zurich, Zurich, Switzerland.
Hatem AlkadhiInstitute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland.
Sebastian KozerkeInstitute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland.
Robert MankaDepartment of Cardiology, University Hospital Zurich, Zurich, Switzerland.
ETH Zurich · CHUniversity Hospital of Zurich · CHHeinrich Heine University Düsseldorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hypertrophic cardiomyopathy (HCM) is associated with an increased risk of adverse cardiac events. Beyond classic risk factors, relative myocardial ischaemia and succeeding myocardial alterations, which can be detected using either contrast agents or parametric mapping in cardiovascular magnetic resonance (CMR) imaging, have shown an impact on outcome in HCM. CMR may help to risk stratify using parametric T2* mapping. Therefore, the aim of the present study was to evaluate the association of T2* values or fibrosis with cardiovascular events in HCM. Methods: The relationship between T2* with supraventricular, ventricular arrhythmia or heart failure was retrospectively assessed in 91 patients with HCM referred for CMR on a 1.5T MR imaging system. Fibrosis as a reference was added to the model. Patients were subdivided into groups according to T2* value quartiles. Results: 47 patients experienced an event of ventricular arrhythmia, 25 of atrial fibrillation/flutter and 17 of heart failure. T2*≤28.7 ms yielded no association with ventricular events in the whole HCM cohort. T2* of non-obstructive HCM showed a significant association with ventricular events in univariate analysis, but not in multivariate analysis. For the combined endpoint of arrhythmic events, there was already an association for the whole HCM cohort, but again only in univariate analyses. Fibrosis stayed the strongest predictor in all analyses. There was no association for T2* and fibrosis with heart failure. Conclusions: Decreased T2* values by CMR only provide a small association with arrhythmic events in HCM, especially in non-obstructive HCM. No information is added for heart failure.

Indexed as

Magnetic Resonance Imaging, CineAdultAgedArrhythmias, CardiacBiomarkersCardiomyopathy, HypertrophicDisease ProgressionFemaleFibrosisHeart FailureHumansMaleMiddle AgedMyocardiumPredictive Value of TestsPrognosisBiomarkersTroponin TarrhythmiasMRImyocardial fibrosismyocardial ischaemia and infarction (IHD)ventricular hypertrophy

Identifiers

PMID32201584
PMCPMC7076262
OpenAlexW3011149588

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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.