Evidence map›Paper›PMID 34488616›Full record

ReviewCurrent cardiology reviews2022

Coronary Microvascular Dysfunction and Heart Failure with Preserved Ejection Fraction - implications for Chronic Inflammatory Mechanisms.

Katie Anne Fopiano, Sawan Jalnapurkar, Alec C Davila, Vishal Arora, Zsolt Bagi

Open access · greenAbstract readReview
In one paragraph

Review in Current cardiology reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Metabolic Syndrome-Driven Changes in Cardiac Lymphatic Endothelium: mRNA Expression and Emerging Questions.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Article
  3. Review
  4. Review
  5. 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 1 institution in 1 country.

Katie Anne FopianoDepartment of Physiology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA.
Sawan JalnapurkarDivision of Cardiology, Department of Medicine, Medical College of Georgia, Augusta University Augusta, GA 30912, USA.
Alec C DavilaDepartment of Physiology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA.
Vishal AroraDivision of Cardiology, Department of Medicine, Medical College of Georgia, Augusta University Augusta, GA 30912, USA.
Zsolt BagiDepartment of Physiology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA.
Augusta University · US

Funding

TACE and Clock mechanisms in aging and vascular stiffeningR01AG054651 · NIA · AUGUSTA UNIVERSITY · PI BAGI, ZSOLT, RUDIC, RADU DANIEL · 2017 to 2021
$2.6M
Multi-Disciplinary Training Program in the Mechanisms of Cardiometabolic DiseaseT32HL155011 · NHLBI · AUGUSTA UNIVERSITY · PI STEPP, DAVID W, SULLIVAN, JENNIFER C · 2021 to 2025
$1.1M
Mechanism of impaired conducted vasodilation in HFpEFF31HL142183 · NHLBI · AUGUSTA UNIVERSITY · PI DAVILA, ALEC CHRISTOPHER · 2018 to 2020
$150k
National Institute of Aging R01AG054651, R01AG065406NHLBI NIH HHS F31 HL142183NHLBI NIH HHS F31HL142183NHLBI NIH HHS T32 HL155011
6 · The paper itself

Abstract

Coronary Microvascular Dysfunction (CMD) is now considered one of the key underlying pathologies responsible for the development of both acute and chronic cardiac complications. It has been long recognized that CMD contributes to coronary no-reflow, which occurs as an acute complication during percutaneous coronary interventions. More recently, CMD was proposed to play a mechanistic role in the development of left ventricle diastolic dysfunction in heart failure with preserved ejection fraction (HFpEF). Emerging evidence indicates that a chronic low-grade pro-inflammatory activation predisposes patients to both acute and chronic cardiovascular complications raising the possibility that pro-inflammatory mediators serve as a mechanistic link in HFpEF. Few recent studies have evaluated the role of the hyaluronan-CD44 axis in inflammation-related cardiovascular pathologies, thus warranting further investigations. This review article summarizes current evidence for the role of CMD in the development of HFpEF, focusing on molecular mediators of chronic proinflammatory as well as oxidative stress mechanisms and possible therapeutic approaches to consider for treatment and prevention.

Indexed as

Heart FailureMyocardial IschemiaHumansInflammationStroke VolumeVentricular Function, Leftcoronary arteriesHeart failureinflammationmicrovascular dysfunctionoxidative stresspreserved ejection fraction

Identifiers

PMID34488616
PMCPMC9413735
OpenAlexW3198148167

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.