Evidence map›Paper›PMID 36008266›Full record

ArticleJACC. Cardiovascular interventions2022

Unveiling Cardiac Amyloidosis, its Characteristics, and Outcomes Among Patients With MR Undergoing Transcatheter Edge-to-Edge MV Repair.

Carolina Donà, Christian Nitsche, Matthias Koschutnik, Gregor Heitzinger, Katharina Mascherbauer, Andreas A Kammerlander, Varius Dannenberg, Kseniya Halavina, René Rettl, Franz Duca and 16 more

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in JACC. Cardiovascular interventions, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.3field-weighted citation impact, top 11% 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.

NCT06075823 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Effectiveness and Safety of Edge-to-edge MItral vaLve Repair in Patients With Severe mitraL rEgurgitatioN aNd cardIac ATTR amyLoidosis

TypeinterventionalSponsorMedical University of ViennaRan2024 to 2028Enrolled100ConditionsMitral Regurgitation, ATTR-Cardiomyopathy, Edge-to-Edge Mitral Valve RepairArmsTEER, Optimal Medical Therapy
NCT06836011 recruitingnot on this mapstarted 2025, after this paper: background citation

Definition and Prognosis of Atrioventricular Regurgitation in Transthyretin Amyloid Cardiomyopathy - a Prospective International Multicenter Study

TypeobservationalSponsorMedical University of ViennaRan2025 to 2026Enrolled600ConditionsATTR Amyloidosis With Cardiomyopathy, ATTR-CM, ATTR Amyloidosis Wild Type, Mitral Regurgitation
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
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  8. Future challenges of imaging in cardiac amyloidosis.The international journal of cardiovascular imaging · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Cardiac Amyloidosis and Valvular Heart Disease.Journal of clinical medicine · 2023
    Review
  14. Article
  15. Article
  16. Wild-type transthyretin cardiac amyloidosis: a case of multisystemic involvement and review of literature.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 4 institutions in 2 countries.

Carolina DonàDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Christian NitscheDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria. Electronic address: Christian.nitsche@meduniwien.ac.at.
Matthias KoschutnikDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Gregor HeitzingerDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Katharina MascherbauerDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Andreas A KammerlanderDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Varius DannenbergDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Kseniya HalavinaDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
René RettlDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Franz DucaDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Tatjana Traub-WeidingerDivision of Nuclear Medicine, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria.
Juergen PuchingerKarl Landsteiner University of Health Sciences, Department of Internal Medicine 3, University Hospital St Pölten, Krems, Austria.
Petra C GunackerKarl Landsteiner University of Health Sciences, Department of Internal Medicine 3, University Hospital St Pölten, Krems, Austria.
Gudrun LammKarl Landsteiner University of Health Sciences, Department of Internal Medicine 3, University Hospital St Pölten, Krems, Austria.
Paul VockKarl Landsteiner University of Health Sciences, Department of Internal Medicine 3, University Hospital St Pölten, Krems, Austria.
Brigitte LilegKarl Landsteiner University of Health Sciences, Department of Internal Medicine 3, University Hospital St Pölten, Krems, Austria.
Vyhnanek PhilippKarl Landsteiner University of Health Sciences, Department of Internal Medicine 3, University Hospital St Pölten, Krems, Austria.
Anton StaudenherzKarl Landsteiner University of Health Sciences, Department of Nuclear Medicine, University Hospital St Pölten, Krems, Austria.
Raffaella CalabrettaDivision of Nuclear Medicine, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria.
Marcus HackerDivision of Nuclear Medicine, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria.
Hermine AgisDepartment of Hematology, Medical University of Vienna, Vienna, Austria.
Philipp BartkoDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Christian HengstenbergDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Marianna FontanaNational Amyloidosis Centre, Division of Medicine, University College London, London, United Kingdom.
Georg GoliaschDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Julia MascherbauerDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria; Karl Landsteiner University of Health Sciences, Department of Internal Medicine 3, University Hospital St Pölten, Krems, Austria.
Medical University of Vienna · ATKarl Landsteiner University of Health Sciences · ATUniversitätsklinikum St. Pölten · ATUniversity College London · GB

Funding

British Heart Foundation FS/18/21/33447
6 · The paper itself

Abstract

backgroundMitral regurgitation (MR) and cardiac amyloidosis (CA) both primarily affect older patients. Data on coexistence and prognostic implications of MR and CA are currently lacking.

objectivesThis study sought to identify the prevalence, clinical characteristics, and outcomes of MR CA compared with lone MR.

methodsConsecutive patients undergoing transcatheter edge-to-edge repair (TEER) for MR at 2 sites were screened for concomitant CA using a multiparametric approach including core laboratory

resultsA total of 120 patients (age 76.9 ± 8.1 years, 55.8% male) were recruited. Clinical CA was diagnosed in 14 patients (11.7%; 12 ATTR, 1 AL, and 1 combined ATTR/AL) and early amyloid infiltration in 9 patients (7.5%). Independent predictors of MR CA were increased posterior wall thickness and the presence of a left anterior fascicular block on electrocardiography. Procedural success and periprocedural complications of TEER were similar in MR CA and lone MR (P for all = NS). After a median of 1.7 years, 25.8% had experienced death and/or HHF. MR CA had worse outcomes compared with lone MR (HR: 2.2; 95% CI: 1.0-4.7; P = 0.034), driven by a 2.5-fold higher risk for HHF (HR: 2.5; 95% CI: 1.1-5.9), but comparable mortality (HR: 1.6; 95% CI: 0.4-6.1).

conclusionsDual pathology of MR CA is common in elderly patients with MR undergoing TEER and has worse postinterventional outcomes compared with lone MR.

Indexed as

AmyloidosisMitral Valve InsufficiencyAgedAged, 80 and overEchocardiographyElectrocardiographyFemaleHumansMaleTreatment Outcomecardiac amyloidosismitral regurgitationtranscatheter edge-to-edge repair

Identifiers

PMID36008266
OpenAlexW4292572547

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.