Evidence map›Paper›PMID 36045189›Full record

SynthesisHeart failure reviews2022

The role of cardiac magnetic resonance in identifying appropriate candidates for cardiac resynchronization therapy - a systematic review of the literature.

George Bazoukis, Jeremy Man Ho Hui, Yan Hiu Athena Lee, Oscar Hou In Chou, Dimitrios Sfairopoulos, Konstantinos Vlachos, Athanasios Saplaouras, Konstantinos P Letsas, Michael Efremidis, Gary Tse and 2 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Heart failure reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-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, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Tissue characterization using cardiac magnetic resonance imaging and response to cardiac resynchronization therapy.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article
  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

12 authors at 7 institutions in 6 countries.

George Bazoukis *Department of Cardiology, Larnaca General Hospital, Inomenon Polition Amerikis, Larnaca, Cyprus. gbazoykis@med.uoa.gr.ORCID 0000-0003-1009-9772
Jeremy Man Ho Hui *International Health Informatics Study Network, Cardiovascular Analytics Group, China-UK Collaboration, Hong Kong, China.
Yan Hiu Athena LeeInternational Health Informatics Study Network, Cardiovascular Analytics Group, China-UK Collaboration, Hong Kong, China.
Oscar Hou In ChouInternational Health Informatics Study Network, Cardiovascular Analytics Group, China-UK Collaboration, Hong Kong, China.
Dimitrios SfairopoulosDepartment of Cardiology, University of Ioannina, Ioannina, Greece.
Konstantinos VlachosElectrophysiology Laboratory, Onassis Cardiac Surgery Center, Athens, Greece.
Athanasios SaplaourasElectrophysiology Laboratory, Onassis Cardiac Surgery Center, Athens, Greece.
Konstantinos P LetsasElectrophysiology Laboratory, Onassis Cardiac Surgery Center, Athens, Greece.
Michael EfremidisElectrophysiology Laboratory, Onassis Cardiac Surgery Center, Athens, Greece.
Gary TseTianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, Tianjin, China.
Vassilios S VassiliouNorwich Medical School, University of East Anglia and Norfolk and Norwich University Hospital, Norwich, NR4 7TJ, UK.
Panagiotis KorantzopoulosDepartment of Cardiology, University of Ioannina, Ioannina, Greece.
Onassis Cardiac Surgery Center · GRNetwork Group (Czechia) · CZUniversity of Ioannina · GRChinese University of Hong Kong · HKMedway School of Pharmacy · GBUniversity of East Anglia · GBUniversity of Nicosia · CY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the strict indications for cardiac resynchronization therapy (CRT) implantation, a significant proportion of patients will fail to adequately respond to the treatment. This systematic review aims to present the existing evidence about the role of cardiac magnetic resonance (CMR) in identifying patients who are likely to respond better to the CRT. A systematic search in the MedLine database and Cochrane Library from their inception to August 2021 was performed, without any limitations, by two independent investigators. We considered eligible observational studies or randomized clinical trials (RCTs) that enrolled patients > 18 years old with heart failure (HF) of ischaemic or non-ischaemic aetiology and provided data about the association of baseline CMR variables with clinical or echocardiographic response to CRT for at least 3 months. This systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA Statement). Following our search strategy, 47 studies were finally included in our review. CMR appears to have an additive role in identifying the subgroup of patients who will respond better to CRT. Specifically, the presence and the extent of myocardial scar were associated with increased non-response rates, while those with no scar respond better. Furthermore, existing data show that scar location can be associated with CRT response rates. CMR-derived markers of mechanical desynchrony can also be used as predictors of CRT response. CMR data can be used to optimize the position of the left ventricular lead during the CRT implantation procedure. Specifically, positioning the left ventricular lead in a branch of the coronary sinus that feeds an area with transmural scar was associated with poorer response to CRT. CMR can be used as a non-invasive optimization tool to identify patients who are more likely to achieve better clinical and echocardiographic response following CRT implantation.

Indexed as

Cardiac Resynchronization TherapyHeart FailureAdolescentCicatrixHumansMagnetic Resonance Imaging, CineMagnetic Resonance SpectroscopyTreatment OutcomeCardiac magnetic resonanceCardiac resynchronization therapyCRT responseLate gadolinium enhancementMyocardial fibrosis

Identifiers

PMID36045189
OpenAlexW4293917243

What OpenQuestion holds

Textmetadata
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.