Evidence map›Paper›PMID 39061758›Full record

ArticleBioengineering (Basel, Switzerland)2024

Inversion of Left Ventricular Axial Shortening: In Silico Proof of Concept for Treatment of HFpEF.

Wolfgang A Goetz, Jiang Yao, Michael Brener, Rishi Puri, Martin Swaans, Simon Schopka, Sigrid Wiesner, Marcus Creutzenberg, Horst Sievert, Ghassan S Kassab

Abstract read
In one paragraph

Article in Bioengineering (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Frontiers in bioengineering and biotechnology · 2026
    Article
  2. 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

10 authors.

Wolfgang A GoetzCardiothoracic Surgery, University Hospital Regensburg, 93053 Regensburg, Germany.ORCID 0000-0001-8672-8702
Jiang YaoDassault Systémes, Johnston, RI 02919, USA.ORCID 0000-0002-8479-2564
Michael BrenerDivision of Cardiology, Columbia University Irving Medical Center, New York, NY 10027, USA.
Rishi PuriCleveland Clinic, Cleveland, OH 44195, USA.
Martin SwaansSt. Antonius Ziekenhuis, 3435 Nieuwegein, The Netherlands.ORCID 0000-0003-1608-2760
Simon SchopkaCardiothoracic Surgery, University Hospital Regensburg, 93053 Regensburg, Germany.
Sigrid WiesnerCardiothoracic Surgery, University Hospital Regensburg, 93053 Regensburg, Germany.
Marcus CreutzenbergCardiothoracic Surgery, University Hospital Regensburg, 93053 Regensburg, Germany.
Horst SievertCardioVascular Center, 60389 Frankfurt, Germany.
Ghassan S KassabCalifornia Medical Innovations Institute, San Diego, CA 92121, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Left ventricular (LV) longitudinal function is mechanically coupled to the elasticity of the ascending aorta (AA). The pathophysiologic link between a stiff AA and reduced longitudinal strain and the subsequent deterioration in longitudinal LV systolic function is likely relevant in heart failure with preserved ejection fraction (HFpEF). The proposed therapeutic effect of freeing the LV apex and allowing for LV inverse longitudinal shortening was studied in silico utilizing the Living Left Heart Human Model (Dassault Systémes Simulia Corporation). LV function was evaluated in a model with (A) an elastic AA, (B) a stiff AA, and (C) a stiff AA with a free LV apex. The cardiac model simulation demonstrated that freeing the apex caused inverse LV longitudinal shortening that could abolish the deleterious mechanical effect of a stiff AA on LV function. A stiff AA and impairment of the LV longitudinal strain are common in patients with HFpEF. The hypothesis-generating model strongly suggests that freeing the apex and inverse longitudinal shortening may improve LV function in HFpEF patients with a stiff AA.

Indexed as

aortic stiffnessatrio-ventricular plane displacementcomputational simulationfinite element methodHFpEFinverse left ventricular shorteningleft ventricular apexventricular functionventricular strain

Identifiers

PMID39061758
PMCPMC11274197

What OpenQuestion holds

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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.