Evidence map›Paper›PMID 35132864›Full record

ArticleJournal of the American Heart Association2022

Differences in Prognosis and Cardiac Function According to Required Percutaneous Mechanical Circulatory Support and Histological Findings in Patients With Fulminant Myocarditis: Insights From the CHANGE PUMP 2 Study.

Toru Kondo, Takahiro Okumura, Naoki Shibata, Takahiro Imaizumi, Kaoru Dohi, Hideo Izawa, Nobuyuki Ohte, Tetsuya Amano, Toyoaki Murohara

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2022. 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
5.9field-weighted citation impact, top 3% 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, 40 citations in OpenAlex.

  1. Review
  2. Review
  3. Post-viral myocarditis.Heart failure reviews · 2026
    Review
  4. Acute and Chronic Myocarditis in Men and Women.Current heart failure reports · 2026
    Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Diagnosis and management of patients with fulminant myocarditis.European heart journal supplements : journal of the European Society of Cardiology · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Myocarditis: a primer for intensivists.Intensive care medicine · 2023
    Article
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

9 authors at 6 institutions in 1 country.

Toru KondoDepartment of Cardiology Nagoya University Graduate School of Medicine Nagoya Japan.ORCID 0000-0001-6853-7574
Takahiro OkumuraDepartment of Cardiology Nagoya University Graduate School of Medicine Nagoya Japan.ORCID 0000-0001-5076-2052
Naoki ShibataDepartment of Cardiology Nagoya University Graduate School of Medicine Nagoya Japan.
Takahiro ImaizumiDepartment of Nephrology Nagoya University Graduate School of Medicine Nagoya Japan.ORCID 0000-0003-3831-7241
Kaoru DohiDepartment of Cardiology and Nephrology Mie University Graduate School of Medicine Tsu Japan.ORCID 0000-0002-5078-6326
Hideo IzawaDepartment of Cardiology Fujita Health University Toyoake Japan.ORCID 0000-0003-2136-2855
Nobuyuki OhteDepartment of Cardiology Nagoya City University Graduate School of Medical Sciences Nagoya Japan.ORCID 0000-0003-1934-6864
Tetsuya AmanoDepartment of Cardiology Aichi Medical University Hospital Nagakute Japan.ORCID 0000-0002-6833-3675
Toyoaki MuroharaDepartment of Cardiology Nagoya University Graduate School of Medicine Nagoya Japan.ORCID 0000-0003-2723-6243
Nagoya University · JPAichi Medical University Hospital · JPFujita Health University · JPMie University · JPNagoya City University · JPNagoya University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Prognoses and long-term cardiac function of patients with fulminant myocarditis have not been fully elucidated. Therefore, we clarified the prognoses and long-term cardiac function according to required percutaneous mechanical circulatory support and histological findings among patients with fulminant myocarditis. Methods and Results We conducted a multicenter retrospective medical record review of 216 patients with fulminant myocarditis requiring percutaneous mechanical circulatory support. Sixty-one patients were treated with intra-aortic balloon pump or Impella alone, and 155 patients received veno-arterial extracorporeal membrane oxygenation and were treated with or without intra-aortic balloon pump or Impella. Histologically, 107 patients had lymphocytic myocarditis; 34, eosinophilic myocarditis; and 4, giant cell myocarditis. Freedom from composite end point (death, durable left ventricular assist device implantation, and heart transplantation) was 66% at 90 days, 62% at 1 year, and 57% at 6 years. Veno-arterial extracorporeal membrane oxygenation use was associated with poor prognosis in the multivariable analysis (hazard ratio [HR], 5.27; 95% CI, 1.60-17.36). The eosinophilic myocarditis subgroup showed better prognosis (HR, 0.28; 95% CI, 0.10-0.80) compared with the lymphocytic myocarditis subgroup but not in the multivariable analysis. Ventricular tachycardia/ventricular fibrillation rhythm at admission, high C-reactive protein level, and no endomyocardial biopsy were also associated with poor prognosis. The left ventricular ejection fraction at 1 year was ≤50% in 16% of patients and was lower in patients with eosinophilic myocarditis (median: 57.9% [48.8-65.0%]) than in those with lymphocytic myocarditis (65.0% [58.6-68.7%]) (

Indexed as

Heart-Assist DevicesMyocarditisArrhythmias, CardiacHumansPrognosisRetrospective StudiesShock, CardiogenicStroke VolumeVentricular Function, Leftintra‐aortic balloon pumpleft ventricular ejection fractionmechanical circulatory supportmyocarditisveno‐arterial extracorporeal membrane oxygenation

Identifiers

PMID35132864
PMCPMC9245829
OpenAlexW4210861698

What OpenQuestion holds

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LicenceCC BY-NC
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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.