Evidence map›Paper›PMID 40002822›Full record

ReviewBiomedicines2025

Microvascular Dysfunction Following Cardioplegic Arrest and Cardiopulmonary Bypass: Impacts of Diabetes and Hypertension.

Meghamsh Kanuparthy, Rishik Manthana, Himanshu Kaushik, Kathy Xiang, Jad Hamze, David Marimekala, Jun Feng, Frank W Sellke

Abstract readReview
In one paragraph

Review in Biomedicines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
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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

8 authors.

Meghamsh KanuparthyDivision of Cardiothoracic Surgery, Department of Surgery, Warren Alpert Medical School, Brown University, Providence, RI 02903, USA.
Rishik ManthanaDivision of Cardiothoracic Surgery, Department of Surgery, Warren Alpert Medical School, Brown University, Providence, RI 02903, USA.
Himanshu KaushikDivision of Cardiothoracic Surgery, Department of Surgery, Warren Alpert Medical School, Brown University, Providence, RI 02903, USA.
Kathy XiangDivision of Cardiothoracic Surgery, Department of Surgery, Warren Alpert Medical School, Brown University, Providence, RI 02903, USA.
Jad HamzeDivision of Cardiothoracic Surgery, Department of Surgery, Warren Alpert Medical School, Brown University, Providence, RI 02903, USA.
David MarimekalaDivision of Cardiothoracic Surgery, Department of Surgery, Warren Alpert Medical School, Brown University, Providence, RI 02903, USA.ORCID 0009-0000-8615-2053
Jun FengDivision of Cardiothoracic Surgery, Department of Surgery, Warren Alpert Medical School, Brown University, Providence, RI 02903, USA.
Frank W SellkeDivision of Cardiothoracic Surgery, Department of Surgery, Warren Alpert Medical School, Brown University, Providence, RI 02903, USA.

Funding

Effect of Cardioplegia and Cardiopulmonary Bypass on Coronary Microvascular ReactivityR01HL046716 · NHLBI · RHODE ISLAND HOSPITAL · PI SELLKE, FRANK W · 1997 to 2023
$8.5M
Vascular Dysfunction in Myocardial Ischemia and Metabolic SyndromeR01HL128831 · NHLBI · RHODE ISLAND HOSPITAL · PI SELLKE, FRANK W, USHEVA-SIMIDJIYSKA, ANNY · 2016 to 2025
$5.7M
Brown University, Department of Surgery Armand D. Versaci Research Scholar In Surgical Sciences AwardNHLBI NIH HHS R01 HL046716NHLBI NIH HHS R01 HL128831NHLBI NIH HHS R01HL128831NHLBI NIH HHS R01HL46716
6 · The paper itself

Abstract

Cardioplegic arrest and cardiopulmonary bypass (CP/CPB) are known to engender microvascular dysfunction in patients undergoing cardiac surgery. These effects are significantly varied by patient comorbidities including diabetes and hypertension. Both diabetes and hypertension are associated with worse outcomes after cardiac surgery, partly related to increased microvascular complications. In this review, we examine several key facets of microvascular dysfunction after CP/CPB: microvascular endothelial and vasomotor dysfunction, altered gene and protein expression, endothelial adherens junction dysfunction, and programmed cell death as they relate to diabetes and hypertension. This review examines both classical techniques, including microvessel reactivity assays, and modern multiomic approaches to characterizing these microvascular changes.

Indexed as

cardioplegiacardiopulmonary bypassdiabeteshypertensionmicrovascular dysfunction

Identifiers

PMID40002822
PMCPMC11853148

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.