Evidence map›Paper›PMID 35139531›Full record

ArticleEuropean heart journal2022

Improving cardiovascular magnetic resonance access in low- and middle-income countries for cardiomyopathy assessment: rapid cardiovascular magnetic resonance.

Katia Devorha Menacho, Sara Ramirez, Aylen Perez, Laura Dragonetti, Diego Perez de Arenaza, Diana Katekaru, Violeta Illatopa, Sara Munive, Bertha Rodriguez, Ana Shimabukuro and 26 more

Abstract read
In one paragraph

Article in European heart journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Society for Cardiovascular Magnetic Resonance recommendations toward environmentally sustainable cardiovascular magnetic resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2025
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  14. The Challenge of Making Cardiac Resonance a Global Reality.Arquivos brasileiros de cardiologia · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

36 authors.

Katia Devorha MenachoInstitute of Cardiovascular Science, University College London, London, UK.ORCID 0000-0001-5183-5655
Sara RamirezPeruvian Air Force Hospital, Lima, Peru.ORCID 0000-0002-5900-0262
Aylen PerezCardiology and Cardiovascular Surgery National Institute, La Havana, Cuba.
Laura DragonettiHigh Technology Medical Institute IMAT, Buenos Aires, Argentina.ORCID 0000-0001-8711-3961
Diego Perez de ArenazaItalian Hospital of Buenos Aires, Buenos Aires, Argentina.
Diana KatekaruMilitary National Hospital, Cardiac Imaging Department, Lima, Peru.ORCID 0000-0001-8334-0091
Violeta IllatopaNational Cardiovascular Institute-INCOR, Lima, Peru.
Sara MuniveNational Cardiovascular Institute-INCOR, Lima, Peru.
Bertha RodriguezEdgardo Rebagliati Hospital, MRI and CT Department, Lima, Peru.
Ana ShimabukuroGuillermo Almenara Irigoyen Hospital, National Hospital, Lima, Peru.
Kelly CupeGuillermo Almenara Irigoyen Hospital, National Hospital, Lima, Peru.
Rajiv BansalSantokba Durlabhji Memorial Hospital Cum Medical Research Institute, Jaipur, India.
Vivek BhargavaOkay Diagnostic Centre, Jaipur, India.
Ivonne RodriguezSermedial Hospital, Arequipa, Peru.
Andreas SeraphimInstitute of Cardiovascular Science, University College London, London, UK.ORCID 0000-0003-3593-7875
Kris KnottInstitute of Cardiovascular Science, University College London, London, UK.ORCID 0000-0003-1611-817X
Amna Abdel-GadirInstitute of Cardiovascular Science, University College London, London, UK.
Salomon GuerreroAlmanzor Aguinaga National Hospital, Chiclayo, Peru.
Marco LazoRamiro Priale National Hospital, Huancayo, Peru.ORCID 0000-0002-1654-5123
David UscamaitaEdgardo Rebagliati Hospital, MRI and CT Department, Lima, Peru.
Marco RiveroPeruvian Air Force Hospital, Lima, Peru.ORCID 0000-0003-1117-042X
Neil AmayaEdgardo Rebagliati Hospital, MRI and CT Department, Lima, Peru.
Sanjiv SharmaAlI India Institute of Medical Sciences, New Delhi, India.
Amelia PeixCardiology and Cardiovascular Surgery National Institute, La Havana, Cuba.ORCID 0000-0001-5805-1810
Thomas TreibelInstitute of Cardiovascular Science, University College London, London, UK.
Charlotte ManistyInstitute of Cardiovascular Science, University College London, London, UK.ORCID 0000-0003-0245-7090
Sam MohiddinInstitute of Cardiovascular Science, University College London, London, UK.
Harold LittDepartment of Medicine (Cardiovascular Division), Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-2394-6053
Yuchi HanDepartment of Medicine (Cardiovascular Division), Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Juliano FernandesJose Michel Kalaf Research Institute, Campinas, Brazil.ORCID 0000-0002-6726-5324
Ron JacobLancaster General Health Hospital, Lancaster, USA.
Mark WestwoodSt Bartholomew's Hospital, Barts Heart Centre, London EC1A 7BE, UK.ORCID 0000-0001-6846-8134
Ntobeko NtusiDepartment of Medicine, University of Cape Town, Cape Town, South Africa.ORCID 0000-0003-2347-7883
Anna HerreyInstitute of Cardiovascular Science, University College London, London, UK.ORCID 0000-0002-4681-6502
John Malcolm WalkerInstitute of Cardiovascular Science, University College London, London, UK.ORCID 0000-0002-8559-7218
James MoonInstitute of Cardiovascular Science, University College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo evaluate the impact of a simplified, rapid cardiovascular magnetic resonance (CMR) protocol embedded in care and supported by a partner education programme on the management of cardiomyopathy (CMP) in low- and middle-income countries (LMICs). METHODS AND

resultsRapid CMR focused particularly on CMP was implemented in 11 centres, 7 cities, 5 countries, and 3 continents linked to training courses for local professionals. Patients were followed up for 24 months to assess impact. The rate of subsequent adoption was tracked. Five CMR conferences were delivered (920 attendees-potential referrers, radiographers, reporting cardiologists, or radiologists) and five new centres starting CMR. Six hundred and one patients were scanned. Cardiovascular magnetic resonance indications were 24% non-contrast T2* scans [myocardial iron overload (MIO)] and 72% suspected/known cardiomyopathies (including ischaemic and viability). Ninety-eighty per cent of studies were of diagnostic quality. The average scan time was 22 ± 6 min (contrast) and 12 ± 4 min (non-contrast), a potential cost/throughput reduction of between 30 and 60%. Cardiovascular magnetic resonance findings impacted management in 62%, including a new diagnosis in 22% and MIO detected in 30% of non-contrast scans. Nine centres continued using rapid CMR 2 years later (typically 1-2 days per week, 30 min slots).

conclusionsRapid CMR of diagnostic quality can be delivered using available technology in LMICs. When embedded in care and a training programme, costs are lower, care is improved, and services can be sustained over time.

Indexed as

CardiomyopathiesIron OverloadCytidine MonophosphateDeveloping CountriesHumansMagnetic Resonance ImagingMagnetic Resonance Imaging, CineMagnetic Resonance SpectroscopyCytidine MonophosphateAbbreviated protocolsCardiomyopathyEducationImpact on managementLow–middle-income countriesRapid cardiac MRI

Identifiers

PMID35139531
PMCPMC9259377

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.