Evidence map›Paper›PMID 34151580›Full record

ArticleJournal of the American Heart Association2021

Functional Assessment of Myocardial Bridging With Conventional and Diastolic Fractional Flow Reserve: Vasodilator Versus Inotropic Provocation.

Srdjan B Aleksandric, Ana D Djordjevic-Dikic, Milan R Dobric, Vojislav L Giga, Ivan A Soldatovic, Vladan Vukcevic, Miloje V Tomasevic, Sinisa M Stojkovic, Dejan N Orlic, Jovica D Saponjski and 8 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.5field-weighted citation impact, top 4% 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

27 citing papers in PubMed, 52 citations in OpenAlex.

  1. Article
  2. Evaluation and Treatment of Myocardial Bridging by Clinical Phenotype.Journal of the Society for Cardiovascular Angiography & Interventions · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Coronary Endothelial Dysfunction and Vasomotor Dysregulation in Myocardial Bridging.Journal of cardiovascular development and disease · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Dynamic perfusion SPECT for functional evaluation in symptomatic patients with myocardial bridging.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  17. Review
  18. Article
  19. Article
  20. 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

18 authors at 3 institutions in 2 countries.

Srdjan B AleksandricCardiology Clinic University Clinical Center of Serbia Belgrade Serbia.
Ana D Djordjevic-DikicCardiology Clinic University Clinical Center of Serbia Belgrade Serbia.
Milan R DobricCardiology Clinic University Clinical Center of Serbia Belgrade Serbia.
Vojislav L GigaCardiology Clinic University Clinical Center of Serbia Belgrade Serbia.
Ivan A SoldatovicFaculty of Medicine University of Belgrade Serbia.
Vladan VukcevicCardiology Clinic University Clinical Center of Serbia Belgrade Serbia.
Miloje V TomasevicCardiology Clinic University Clinical Center of Serbia Belgrade Serbia.
Sinisa M StojkovicCardiology Clinic University Clinical Center of Serbia Belgrade Serbia.
Dejan N OrlicCardiology Clinic University Clinical Center of Serbia Belgrade Serbia.
Jovica D SaponjskiCardiology Clinic University Clinical Center of Serbia Belgrade Serbia.
Milorad B TesicCardiology Clinic University Clinical Center of Serbia Belgrade Serbia.
Marko D BanovicCardiology Clinic University Clinical Center of Serbia Belgrade Serbia.
Marija T PetrovicMount Sinai HeartIcahn School of Medicine at Mount Sinai Hospital New York NY.
Stefan A JuricicCardiology Clinic University Clinical Center of Serbia Belgrade Serbia.
Milan A NedeljkovicCardiology Clinic University Clinical Center of Serbia Belgrade Serbia.
Goran StankovicCardiology Clinic University Clinical Center of Serbia Belgrade Serbia.
Miodrag C OstojicFaculty of Medicine University of Belgrade Serbia.
Branko D BeleslinCardiology Clinic University Clinical Center of Serbia Belgrade Serbia.
University of Belgrade · RSMount Sinai Hospital · USUniversity of Kragujevac · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Functional assessment of myocardial bridging (MB) remains clinically challenging because of the dynamic nature of the extravascular coronary compression with a certain degree of intraluminal coronary reduction. The aim of our study was to assess performance and diagnostic value of diastolic-fractional flow reserve (d-FFR) during dobutamine provocation versus conventional-FFR during adenosine provocation with exercise-induced myocardial ischemia as reference. Methods and Results This prospective study includes 60 symptomatic patients (45 men, mean age 57±9 years) with MB on the left anterior descending artery and systolic compression ≥50% diameter stenosis. Patients were evaluated by exercise stress-echocardiography test, and both conventional-FFR and d-FFR in the distal segment of left anterior descending artery during intravenous infusion of adenosine (140 μg/kg per minute) and dobutamine (10-50 μg/kg per minute), separately. Exercise-stress-echocardiography test was positive for myocardial ischemia in 19/60 patients (32%). Conventional-FFR during adenosine and peak dobutamine had similar values (0.84±0.04 versus 0.84±0.06,

Indexed as

Echocardiography, StressFractional Flow Reserve, MyocardialAdenosineAdultAgedCardiotonic AgentsDiastoleDobutamineExercise TestFeasibility StudiesFemaleHumansMaleMiddle AgedMyocardial BridgingMyocardial IschemiaAdenosineCardiotonic AgentsDobutamineVasodilator Agentsadenosinedobutaminefractional flow reservemyocardial bridgingmyocardial ischemiastress‐echocardiography

Identifiers

PMID34151580
PMCPMC8403296
OpenAlexW3173187005

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.