Evidence map›Paper›PMID 33257973›Full record

ArticleEuropean heart journal2021

Assessment and pathophysiology of microvascular disease: recent progress and clinical implications.

Stefano Masi, Damiano Rizzoni, Stefano Taddei, Robert Jay Widmer, Augusto C Montezano, Thomas F Lüscher, Ernesto L Schiffrin, Rhian M Touyz, Francesco Paneni, Amir Lerman and 2 more

Abstract read
In one paragraph

Article in European heart journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 3 pooled it
–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

88 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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28 more citing papers are in PubMed but not listed here.

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.

Stefano MasiDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Damiano RizzoniClinica Medica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.ORCID 0000-0002-1253-0186
Stefano TaddeiDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.ORCID 0000-0002-5002-3070
Robert Jay WidmerDivision of Cardiovascular Diseases, Mayo Clinic College of Medicine, Rochester, MN, USA.ORCID 0000-0002-3063-5651
Augusto C MontezanoInstitute of Cardiovascular & Medical Sciences, BHF Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.ORCID 0000-0002-8658-7994
Thomas F LüscherHeart Division, Royal Brompton and Harefield Hospital and Imperial College, London, UK.
Ernesto L SchiffrinDepartment of Medicine and Lady Davis Institute, Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montreal, QC, Canada.ORCID 0000-0002-4502-2823
Rhian M TouyzInstitute of Cardiovascular & Medical Sciences, BHF Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.ORCID 0000-0003-0670-0887
Francesco PaneniCenter for Molecular Cardiology, University of Zürich, Zürich, Switzerland.ORCID 0000-0001-6483-7844
Amir LermanDivision of Cardiovascular Diseases, Mayo Clinic College of Medicine, Rochester, MN, USA.ORCID 0000-0002-9446-5313
Gaetano A LanzaDepartment of Cardiovascular and Thoracic Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID 0000-0003-2187-6653
Agostino VirdisDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.ORCID 0000-0002-6994-0223

Funding

British Heart Foundation CH/12/4/29762
6 · The paper itself

Abstract

The development of novel, non-invasive techniques and standardization of protocols to assess microvascular dysfunction have elucidated the key role of microvascular changes in the evolution of cardiovascular (CV) damage, and their capacity to predict an increased risk of adverse events. These technical advances parallel with the development of novel biological assays that enabled the ex vivo identification of pathways promoting microvascular dysfunction, providing novel potential treatment targets for preventing cerebral-CV disease. In this article, we provide an update of diagnostic testing strategies to detect and characterize microvascular dysfunction and suggestions on how to standardize and maximize the information obtained from each microvascular assay. We examine emerging data highlighting the significance of microvascular dysfunction in the development CV disease manifestations. Finally, we summarize the pathophysiology of microvascular dysfunction emphasizing the role of oxidative stress and its regulation by epigenetic mechanisms, which might represent potential targets for novel interventions beyond conventional approaches, representing a new frontier in CV disease reduction.

Indexed as

Cardiovascular DiseasesHumansOxidative StressClinical manifestationsEpigeneticsMicrovascular diseaseOxidative stress

Identifiers

PMID33257973
PMCPMC8266605

What OpenQuestion holds

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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.