Evidence map›Paper›PMID 34419391›Full record

ArticleJACC. Cardiovascular imaging2021

Cardiac Magnetic Resonance Assessment of Response to Cardiac Resynchronization Therapy and Programming Strategies.

Xu Gao, Mohamad Abdi, Daniel A Auger, Changyu Sun, Christopher A Hanson, Austin A Robinson, Christopher Schumann, Pim J Oomen, Sarah Ratcliffe, Rohit Malhotra and 10 more

Open access · greenAbstract read
In one paragraph

Article in JACC. Cardiovascular imaging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  7. Highly accelerated free-breathing real-time myocardial tagging for exercise cardiovascular magnetic resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 1 institution in 1 country.

Xu GaoDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
Mohamad AbdiDepartment of Biomedical Engineering, University of Virginia Health System, Charlottesville, Virginia, USA.
Daniel A AugerDepartment of Biomedical Engineering, University of Virginia Health System, Charlottesville, Virginia, USA.
Changyu SunDepartment of Biomedical Engineering, University of Virginia Health System, Charlottesville, Virginia, USA.
Christopher A HansonDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
Austin A RobinsonDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
Christopher SchumannDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
Pim J OomenDepartment of Biomedical Engineering, University of Virginia Health System, Charlottesville, Virginia, USA.
Sarah RatcliffeDepartment of Public Health Sciences, University of Virginia Health System, Charlottesville, Virginia, USA.
Rohit MalhotraDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
Andrew DarbyDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
Oliver J MonfrediDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
J Michael MangrumDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
Pamela MasonDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
Sula MazimbaDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
Jeffrey W HolmesDepartment of Biomedical Engineering, University of Virginia Health System, Charlottesville, Virginia, USA.
Christopher M KramerDepartment of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Virginia, USA.
Frederick H EpsteinDepartment of Biomedical Engineering, University of Virginia Health System, Charlottesville, Virginia, USA; Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Virginia, USA.
Michael SalernoDepartment of Biomedical Engineering, University of Virginia Health System, Charlottesville, Virginia, USA; Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Virginia, USA.
Kenneth C BilchickDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia, USA. Electronic address: bilchick@virginia.edu.
University of Virginia Health System · US

Funding

Free-breathing and simultaneous multislice cine DENSE myocardial strain imagingR01HL147104 · NHLBI · UNIVERSITY OF VIRGINIA · PI EPSTEIN, FREDERICK H · 2019 to 2022
$1.5M
MRI of Mechanical Activation and Scar for Optimal Cardiac Resynchronization Therapy ImplementationR56HL135556 · NHLBI · UNIVERSITY OF VIRGINIA · PI BILCHICK, KENNETH C · 2017 to 2017
$711k
Cardiac Magnetic Resonance Imaging After Cardiac Resynchronization TherapyR03HL135463 · NHLBI · UNIVERSITY OF VIRGINIA · PI BILCHICK, KENNETH C · 2016 to 2017
$127k
NHLBI NIH HHS R01 HL147104NHLBI NIH HHS R03 HL135463NHLBI NIH HHS R56 HL135556
6 · The paper itself

Abstract

objectivesThe objective was to determine the feasibility and effectiveness of cardiac magnetic resonance (CMR) cine and strain imaging before and after cardiac resynchronization therapy (CRT) for assessment of response and the optimal resynchronization pacing strategy.

backgroundCMR with cardiac implantable electronic devices can safely provide high-quality right ventricular/left ventricular (LV) ejection fraction (RVEF/LVEF) assessments and strain.

methodsCMR with cine imaging, displacement encoding with stimulated echoes for the circumferential uniformity ratio estimate with singular value decomposition (CURE-SVD) dyssynchrony parameter, and scar assessment was performed before and after CRT. Whereas the pre-CRT scan constituted a single "imaging set" with complete volumetric, strain, and scar imaging, multiple imaging sets with complete strain and volumetric data were obtained during the post-CRT scan for biventricular pacing (BIVP), LV pacing (LVP), and asynchronous atrial pacing modes by reprogramming the device outside the scanner between imaging sets.

results100 CMRs with a total of 162 imaging sets were performed in 50 patients (median age 70 years [IQR: 50-86 years]; 48% female). Reduction in LV end-diastolic volumes (P = 0.002) independent of CRT pacing were more prominent than corresponding reductions in right ventricular end-diastolic volumes (P = 0.16). A clear dependence of the optimal CRT pacing mode (BIVP vs LVP) on the PR interval (P = 0.0006) was demonstrated. The LVEF and RVEF improved more with BIVP than LVP with PR intervals ≥240 milliseconds (P = 0.025 and P = 0.002, respectively); the optimal mode (BIVP vs LVP) was variable with PR intervals <240 milliseconds. A lower pre-CRT displacement encoding with stimulated echoes (DENSE) CURE-SVD was associated with greater improvements in the post-CRT CURE-SVD (r = -0.69; P < 0.001), LV end-systolic volume (r = -0.58; P < 0.001), and LVEF (r = -0.52; P < 0.001).

conclusionsCMR evaluation with assessment of multiple pacing modes during a single scan after CRT is feasible and provides useful information for patient care with respect to response and the optimal pacing strategy.

Indexed as

Cardiac Resynchronization TherapyHeart FailureAgedFemaleHumansMagnetic Resonance SpectroscopyMalePredictive Value of TestsStroke VolumeTreatment OutcomeVentricular Function, Leftcardiac magnetic resonancecardiac resynchronization therapyheart failureimplantable cardioverter-defibrillator

Identifiers

PMID34419391
PMCPMC8671174
OpenAlexW3193543485

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.