Evidence map›Paper›PMID 38982515›Full record

ArticleDiabetology & metabolic syndrome2024

Unveiling myocardial microstructure shifts: exploring the impact of diabetes in stable CAD patients through CMR T1 mapping.

Gustavo André Boeing Boros, Whady Hueb, Paulo Cury Rezende, Carlos Eduardo Rochitte, Cesar Higa Nomura, Eduardo Gomes Lima, Matheus de Oliveira Laterza Ribeiro, Anderson Roberto Dallazen, Rosa Maria Rahmi Garcia, Jose Antonio Franchini Ramires and 1 more

Abstract read
In one paragraph

Article in Diabetology & metabolic syndrome, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Recent advances in biomarkers for cardiac fibrosis.Frontiers in cardiovascular medicine · 2026
    Review
  3. 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

11 authors.

Gustavo André Boeing BorosDepartment of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil.
Whady HuebDepartment of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil. whady.hueb@incor.usp.br.
Paulo Cury RezendeDepartment of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil.
Carlos Eduardo RochitteHeart Institute (InCor), University of São Paulo, São Paulo, Brazil.
Cesar Higa NomuraHeart Institute (InCor), University of São Paulo, São Paulo, Brazil.
Eduardo Gomes LimaDepartment of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil.
Matheus de Oliveira Laterza RibeiroDepartment of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil.
Anderson Roberto DallazenDepartment of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil.
Rosa Maria Rahmi GarciaDepartment of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil.
Jose Antonio Franchini RamiresDepartment of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil.
Roberto Kalil-FilhoDepartment of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study investigates myocardial structural changes in stable coronary artery disease (CAD) patients with type 2 diabetes (T2D) using cardiac magnetic resonance (CMR) strain and T1 mapping.

methodsA total of 155 stable CAD patients underwent CMR examination, including left ventricular (LV) morphology and function assessment, late gadolinium enhancement (LGE), and feature tracking (CMR-FT) for LV global longitudinal, circumferential, and radial strain. T1 mapping with extracellular volume (ECV) evaluation was also performed.

resultsAmong the enrolled patients, 67 had T2D. Diabetic patients exhibited impaired LV strain and higher ECV compared to non-diabetics. Multivariate analysis identified T2D as an independent predictor of increased ECV and decreased strain.

conclusionsCMR-based strain and T1 mapping highlighted impaired myocardial contractility, elevated ECV, and potential interstitial fibrosis in diabetic patients with stable CAD. This suggests a significant impact of diabetes on myocardial health beyond CAD, emphasizing the importance of a comprehensive assessment in these individuals.

trial registrationhttp://www.controlled-trials.com/ISRCTN09454308.

Indexed as

Cardiac magnetic resonance - feature trackingCoronary artery diseaseExtracellular volumeT1 mappingType 2 diabetes mellitus

Identifiers

PMID38982515
PMCPMC11232262

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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.