Evidence map›Paper›PMID 32552654›Full record

ReviewCurrent cardiology reviews2021

Endothelial Dysfunction and Coronary Vasoreactivity - A Review of the History, Physiology, Diagnostic Techniques, and Clinical Relevance.

Tharusha Gunawardena, Ioannis Merinopoulos, Upul Wickramarachchi, Vassilios Vassiliou, Simon Eccleshall

Open access · greenAbstract readReview
In one paragraph

Review in Current cardiology reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

19 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Article
  3. Elevated Hemoglobin Levels and Risk of ST-Segment Elevation Myocardial Infarction in High-Altitude Acute Coronary Syndrome: A Retrospective Analysis.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Observational
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. 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

5 authors at 2 institutions in 1 country.

Tharusha GunawardenaDepartment of Cardiology, Norfolk and Norwich University Hospital, Colney Lane NR4 7UY, Norwich, United Kingdom.
Ioannis MerinopoulosDepartment of Cardiology, Norfolk and Norwich University Hospital, Colney Lane NR4 7UY, Norwich, United Kingdom.
Upul WickramarachchiDepartment of Cardiology, Norfolk and Norwich University Hospital, Colney Lane NR4 7UY, Norwich, United Kingdom.
Vassilios VassiliouNorwich Medical School, University of East Anglia and Royal Brompton Hospital and Imperial College London, London, United Kingdom.
Simon EccleshallDepartment of Cardiology, Norfolk and Norwich University Hospital, Colney Lane NR4 7UY, Norwich, United Kingdom.
Norfolk and Norwich University Hospital · GBUniversity of East Anglia · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The fervency for advancement and evolution in percutaneous coronary intervention has revolutionised the treatment of coronary artery disease. Historically, the focus of the interventional cardiologist was directed at the restoration of luminal patency of the major epicardial coronary arteries, yet whilst this approach is evolving with much greater utilisation of physiological assessment, it often neglects consideration of the role of the coronary microcirculation, which has been shown to clearly influence prognosis. In this review, we explore the narrative of the coronary circulation as more than just a simple conduit for blood but an organ with functional significance. We review organisation and physiology of the coronary circulation, as well as the current methods and techniques used to examine it. We discuss the studies exploring coronary artery endothelial function, appreciating that coronary artery disease occurs on a spectrum of disorder and that percutaneous coronary intervention has a latent effect on the coronary circulation with long-term consequences. It is concluded that greater recognition of the coronary artery endothelium and mechanisms of the coronary circulation should further guide revascularisation strategies.

Indexed as

Coronary Artery DiseaseCoronary CirculationEndothelium, VascularHeartHumansPercutaneous Coronary Interventionacute coronary syndromeanginabioresorbable scaffoldscoronary microcirculationDrug coated balloonsdrug eluting stentsendothelial functionmicrovascular anginaMINOCAvasomotionvasoreactivity testing

Identifiers

PMID32552654
PMCPMC8142375
OpenAlexW3036031222

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.