Evidence map›Paper›PMID 38348793›Full record

ReviewJournal of the American Heart Association2024

Cardiac Involvement in Patients With Multisystem Inflammatory Syndrome in Adults.

Giulia La Vecchia, Marco Giuseppe Del Buono, Aldo Bonaventura, Alessandra Vecchiè, Francesco Moroni, Iside Cartella, Gianluigi Saponara, Michael J Campbell, Lorenzo Dagna, Enrico Ammirati and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Innate and adaptive immunity in acute myocarditis.International journal of cardiology · 2024
    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 2 countries.

Giulia La VecchiaDepartment of Cardiovascular and Pulmonary Sciences Catholic University of the Sacred Heart Rome Italy.ORCID 0000-0002-4324-6348
Marco Giuseppe Del BuonoDepartment of Cardiovascular and Pulmonary Sciences Catholic University of the Sacred Heart Rome Italy.ORCID 0000-0002-7483-6164
Aldo BonaventuraS.C. Medicina Generale 1 Medical Center, Ospedale di Circolo e Fondazione Macchi, Department of Internal Medicine, ASST Sette Laghi Varese Italy.ORCID 0000-0002-4747-5535
Alessandra VecchièS.C. Medicina Generale 1 Medical Center, Ospedale di Circolo e Fondazione Macchi, Department of Internal Medicine, ASST Sette Laghi Varese Italy.ORCID 0000-0003-0410-5996
Francesco MoroniRobert M. Berne Cardiovascular Research Center and Division of Cardiovascular Medicine, Department of Medicine, Heart and Vascular Center University of Virginia Charlottesville Virginia USA.ORCID 0000-0002-6101-1403
Iside CartellaDepartment of Cardiology, De Gasperis Cardio Center, ASST Grande Ospedale Metropolitano Niguarda Milan Italy.
Gianluigi SaponaraDepartment of Cardiovascular Medicine Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.
Michael J CampbellDivision of Pediatric Cardiology, Department of Pediatrics Duke University Medical Center 2301 Erwin Road, DUMC Box 3127 Durham NC USA.ORCID 0000-0002-5210-9038
Lorenzo DagnaUnit of Immunology, Rheumatology, Allergy and Rare Diseases IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University Milan Italy.ORCID 0000-0002-7428-315X
Enrico AmmiratiDepartment of Cardiology, De Gasperis Cardio Center, ASST Grande Ospedale Metropolitano Niguarda Milan Italy.ORCID 0000-0002-1676-5257
Tommaso SannaDepartment of Cardiovascular and Pulmonary Sciences Catholic University of the Sacred Heart Rome Italy.ORCID 0000-0002-5760-6885
Antonio AbbateRobert M. Berne Cardiovascular Research Center and Division of Cardiovascular Medicine, Department of Medicine, Heart and Vascular Center University of Virginia Charlottesville Virginia USA.ORCID 0000-0002-1930-785X
Università Cattolica del Sacro Cuore · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITOspedale di Circolo e Fondazione Macchi · ITUniversity of Virginia · USAgostino Gemelli University Polyclinic · ITDuke Medical Center · USVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multisystemic inflammatory syndrome in adults is a hyperinflammatory condition following (within 4-12 weeks) SARS-CoV-2 infection. Here, the dysregulation of the immune system leads to a multiorgan involvement often affecting the heart. Cardiac involvement in multisystemic inflammatory syndrome in adults has been described mainly in young men without other comorbidities and may present with different clinical scenarios, including acute heart failure, life-threatening arrhythmias, pericarditis, and myocarditis, with a nonnegligible risk of mortality (up to 7% of all cases). The heterogeneity of its clinical features and the absence of a clear case definition make the differential diagnosis with other postinfectious (eg, infective myocarditis) and hyperinflammatory diseases (eg, adult Still disease and macrophage activation syndrome) challenging. Moreover, the evidence on the efficacy of specific treatments targeting the hyperinflammatory response underlying this clinical condition (eg, glucocorticoids, immunoglobulins, and other immunomodulatory agents) is sparse and not supported by randomized clinical trials. In this review article, we aim to provide an overview of the clinical features and the diagnostic workup of multisystemic inflammatory syndrome in adults with cardiac involvement, highlighting the possible pathogenetic mechanisms and the therapeutic management, along with remaining knowledge gaps in this field.

Indexed as

COVID-19MyocarditisAdultDiagnosis, DifferentialHeartHumansMalePatientsSyndromecardiogenic shockCOVID‐19cytokine stormheart failureinflammationmultisystemic inflammatory syndrome in adultsmyocarditis

Identifiers

PMID38348793
PMCPMC11010102
OpenAlexW4391785927

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.