Evidence map›Paper›PMID 36167923›Full record

ReviewEuropean heart journal2023

Valvular heart disease: shifting the focus to the myocardium.

Nina Ajmone Marsan, Victoria Delgado, Dipan J Shah, Patricia Pellikka, Jeroen J Bax, Thomas Treibel, João L Cavalcante

Open access · hybridAbstract readReview
In one paragraph

Review in European heart journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
15.1field-weighted citation impact, top 1% 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

40 citing papers in PubMed, 96 citations in OpenAlex.

  1. Article
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  5. Relative aortic valve stiffness: a new parameter quantifying aortic stenosis.American journal of physiology. Heart and circulatory physiology · 2026
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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

7 authors at 5 institutions in 4 countries.

Nina Ajmone MarsanDepartment of Cardiology, Leiden Univesity Medical Center, Albinusdreef 2, 2300 RC, Leiden, The Netherlands.ORCID 0000-0001-7208-5769
Victoria DelgadoDepartment of Cardiology, Leiden Univesity Medical Center, Albinusdreef 2, 2300 RC, Leiden, The Netherlands.ORCID 0000-0002-9841-2737
Dipan J ShahDivision of Cardiovascular Imaging, Weill Cornell Medical College, Houston Methodist DeBakey Heart & Vascular Center, 6565 Fannin St, Houston, TX 77030, USA.
Patricia PellikkaDepartment of Cardiovascular Medicine, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA.
Jeroen J BaxDepartment of Cardiology, Leiden Univesity Medical Center, Albinusdreef 2, 2300 RC, Leiden, The Netherlands.
Thomas TreibelDepartment of Cardiology, Barts Heart Centre and University College London, West Smithfield, London EC1A 7BE, UK.
João L CavalcanteDepartment of Cardiology, Minneapolis Heart Institute at Abbott Northwestern Hospital, 800 E 28th St, Minneapolis, MN 55407, USA.
Leiden University Medical Center · NLAbbott Northwestern Hospital · USHouston Methodist · USMayo Clinic · USUniversity College London · GB

Funding

British Heart Foundation FS/19/35/34374British Heart Foundation FS/CRTF/21/24128
6 · The paper itself

Abstract

Adverse cardiac remodelling is the main determinant of patient prognosis in degenerative valvular heart disease (VHD). However, to give an indication for valvular intervention, current guidelines include parameters of cardiac chamber dilatation or function which are subject to variability, do not directly reflect myocardial structural changes, and, more importantly, seem to be not sensitive enough in depicting early signs of myocardial dysfunction before irreversible myocardial damage has occurred. To avoid irreversible myocardial dysfunction, novel biomarkers are advocated to help refining indications for intervention and risk stratification. Advanced echocardiographic modalities, including strain analysis, and magnetic resonance imaging have shown to be promising in providing new tools to depict the important switch from adaptive to maladaptive myocardial changes in response to severe VHD. This review, therefore, summarizes the current available evidence on the role of these new imaging biomarkers in degenerative VHD, aiming at shifting the clinical perspective from a valve-centred to a myocardium-focused approach for patient management and therapeutic decision-making.

Indexed as

CardiomyopathiesHeart Valve DiseasesMitral Valve InsufficiencyBiomarkersHeartHumansMyocardiumBiomarkersAortic stenosisEchocardiographyMagnetic resonance imagingMitral regurgitationMyocardial fibrosisMyocardial functionValular heart disease

Identifiers

PMID36167923
PMCPMC9805407
OpenAlexW4297409720

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.