Evidence map›Paper›PMID 38613553›Full record

ReviewJACC. Cardiovascular imaging2024

Microvascular Obstruction and Intramyocardial Hemorrhage in Reperfused Myocardial Infarctions: Pathophysiology and Clinical Insights From Imaging.

Keyur P Vora, Andreas Kumar, Mayil S Krishnam, Frank S Prato, Subha V Raman, Rohan Dharmakumar

2 registry-linked trialsAbstract readReview
In one paragraph

Review in JACC. Cardiovascular imaging, 2024. 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 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
16.6field-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.

NCT06851325 completednot on this map

Antiplatelets and Hemorrhagic MI

TypeobservationalSponsorRohan DharmakumarRan2023 to 2025Enrolled6,180ConditionsSTEMI, Acute Myocardial Infarction
NCT07163988 completednot on this map

High-Sensitivity Cardiac Troponin I as a Diagnostic Marker for AMI Clinical Stage Classification in Acute Myocardial Infarction: A Retrospective Multicenter Study

Typeobservational_patient_registrySponsorRohan DharmakumarRan2023 to 2025Enrolled312ConditionsAcute Myocardial Infarction (AMI)
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. DOACs vs Warfarin for Post-myocardial Infarction Left Ventricular Thrombus: A GRADE-assessed Meta-Analysis With Trial Sequential Analysis of Randomized Trials.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
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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

6 authors at 5 institutions in 2 countries.

Keyur P VoraKrannert Cardiovascular Research Center, Indiana University School of Medicine/IUHealth, Indianapolis, Indiana, USA. Electronic address: https://twitter.com/KeyurVoraMD.
Andreas KumarNorthern Ontario School of Medicine, Sudbury, Ontario, Canada. Electronic address: https://twitter.com/AndreasKumarMD.
Mayil S KrishnamStanford University, Palo Alto, California, USA.
Frank S PratoLawson Research Institute, London, Ontario, Canada.
Subha V RamanOhioHealth, Columbus, Ohio, USA.
Rohan DharmakumarKrannert Cardiovascular Research Center, Indiana University School of Medicine/IUHealth, Indianapolis, Indiana, USA. Electronic address: rdkumar@iu.edu.
Twitter (United States) · USIndiana University Health · USLawson Health Research Institute · CAOhioHealth · USPalo Alto University · US

Funding

Developing a MRI-guided Disease-Modifying Therapy for Post Infarction Chronic Heart FailureR01HL133407 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI Rohan Dharmakumar · 2017 to 2026
$4.9M
Mechanistic Insights to A Translatable Therapy for Acute Reperfused Hemorrhagic Myocardial InfarctionsR01HL147133 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI DHARMAKUMAR, ROHAN, FRANCIS, JOSEPH · 2020 to 2023
$3.2M
Accurate, Needle-Free, MRI-based Detection of Ischemic Heart Disease without Contrast AgentsR01HL148788 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI DHARMAKUMAR, ROHAN · 2020 to 2023
$3.0M
NHLBI NIH HHS R01 HL133407NHLBI NIH HHS R01 HL147133NHLBI NIH HHS R01 HL148788
6 · The paper itself

Abstract

Microvascular injury immediately following reperfusion therapy in acute myocardial infarction (MI) has emerged as a driving force behind major adverse cardiovascular events in the postinfarction period. Although postmortem investigations and animal models have aided in developing early understanding of microvascular injury following reperfusion, imaging, particularly serial noninvasive imaging, has played a central role in cultivating critical knowledge of progressive damage to the myocardium from the onset of microvascular injury to months and years after in acute MI patients. This review summarizes the pathophysiological features of microvascular injury and downstream consequences, and the contributions noninvasive imaging has imparted in the development of this understanding. It also highlights the interventional trials that aim to mitigate the adverse consequences of microvascular injury based on imaging, identifies potential future directions of investigations to enable improved detection of disease, and demonstrates how imaging stands to play a major role in the development of novel therapies for improved management of acute MI patients.

Indexed as

Coronary CirculationHemorrhageMicrocirculationMyocardial InfarctionMyocardiumPredictive Value of TestsAnimalsCoronary VesselsHumansMicrovesselsMyocardial ReperfusionMyocardial Reperfusion InjuryPrognosisRisk FactorsTreatment Outcomecardiac imagingintramyocardial hemorrhagemicrovascular obstructionreperfused MI

Identifiers

PMID38613553
PMCPMC13159459
OpenAlexW4394694980

What OpenQuestion holds

Textmetadata
LicenceTDM
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.