Evidence map›Paper›PMID 40181776›Full record

Observational studyCirculation. Cardiovascular imaging2025

CMR Findings in the Long-Term Outcomes After Multisystem Inflammatory Syndrome in Children (MUSIC) Study.

Sean M Lang, Dongngan T Truong, Andrew J Powell, Valiantsina Kazlova, Jane W Newburger, Jordan D Awerbach, Edem Binka, Tamara T Bradford, Mark Cartoski, Andrew Cheng and 21 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Circulation. Cardiovascular imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05287412 (Long-Term Outcomes After the Multisystem Inflammatory Syndrome in Children), which is not on this 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.

NCT05287412 active not recruitingnot on this map

Long-Term Outcomes After the Multisystem Inflammatory Syndrome in Children

TypeobservationalSponsorCarelon ResearchRan2020 to 2026Enrolled1,200ConditionsMultisystem Inflammatory Syndrome in Children (MIS-C)
3 · Its place in the literature

Who cites it

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

  1. Post-MIS-C cardiovascular outcomes: a systematic review.European journal of pediatrics · 2026
    Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors.

Sean M LangHeart Institute, Cincinnati Children's Hospital Medical Center, OH (S.M.L., M.D.T.).ORCID 0000-0002-4804-8789
Dongngan T TruongDepartment of Pediatrics, Division of Cardiology, University of Utah and Primary Children's Hospital, Salt Lake City (D.T.T., E.B.).ORCID 0000-0002-1783-6061
Andrew J PowellDepartment of Cardiology, Boston Children's Hospital, and Department of Pediatrics, Harvard Medical School, MA (A.J.P., J.W.N., A.D.).
Valiantsina KazlovaCarelon, Inc, Morristown, NJ (V.K., F.T.).
Jane W NewburgerDepartment of Cardiology, Boston Children's Hospital, and Department of Pediatrics, Harvard Medical School, MA (A.J.P., J.W.N., A.D.).ORCID 0000-0002-7794-9017
Jordan D AwerbachDivision of Cardiology, Phoenix Children's Hospital, Divisions of Children Health and Internal Medicine, University of Arizona College of Medicine-Phoenix (J.D.A.).ORCID 0000-0002-0677-1071
Edem BinkaDepartment of Pediatrics, Division of Cardiology, University of Utah and Primary Children's Hospital, Salt Lake City (D.T.T., E.B.).ORCID 0000-0002-9940-2506
Tamara T BradfordDivision of Cardiology, Department of Pediatrics, Louisiana State University Health Sciences Center and Children's Hospital of New Orleans (T.T.B.).ORCID 0000-0001-5220-7423
Mark CartoskiNemours Cardiac Center, Nemours Children's Health, Wilmington, DE (M.C.).
Andrew ChengDivision of Cardiology, Department of Pediatrics Children's Hospital Los Angeles, Keck School of Medicine, CA (A.C.).ORCID 0000-0002-4860-6218
Michael P DiLorenzoDivision of Cardiology, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons and New York-Presbyterian Morgan Stanley Children's Hospital (M.P.D.L.).ORCID 0000-0002-2230-684X
Audrey DionneDepartment of Cardiology, Boston Children's Hospital, and Department of Pediatrics, Harvard Medical School, MA (A.J.P., J.W.N., A.D.).ORCID 0000-0003-2864-1830
Adam L DorfmanDivision of Pediatric Cardiology, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor (A.L.D.).ORCID 0000-0002-1229-3774
Matthew D EliasDivision of Cardiology, The Children's Hospital of Philadelphia, PA (M.D.E.).ORCID 0000-0002-9534-2809
Olukayode GarubaDivision of Pediatric Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston (O.G., K.S.T.).
Jennifer F GerardinDivision of Pediatric Cardiology, Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee (J.F.G.).
Keren HasbaniDivision of Pediatric Cardiology, Department of Pediatrics, Dell Children's Medical Center, Dell Medical School, Austin, TX (K.H., M.D.T.).
Pei-Ni JoneDepartment of Pediatrics, Pediatric Cardiology, Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, IL (P.-N.J., J.D.R.).ORCID 0000-0001-5145-0341
Christopher Z LamDepartment of Diagnostic and Interventional Radiology, The Hospital for Sick Children and Department of Medical Imaging, University of Toronto, Canada (C.Z.L.).ORCID 0000-0002-4605-5600
Nilanjana MisraCohen Children's Medical Center, Northwell Health, New Hyde Park, NY (N.M.).ORCID 0000-0002-7575-9180
Lerraughn M MorganDepartment of Pediatrics, Valley Children's Healthcare, Madera, CA (L.M.M.).
Arni NuttingDivision of Pediatric Cardiology, Medical University of South Carolina, Charleston (A.N.).
Jyoti K PatelDivision of Cardiology, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis (J.K.P.).ORCID 0000-0002-6919-5032
Joshua D RobinsonDepartment of Pediatrics, Pediatric Cardiology, Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, IL (P.-N.J., J.D.R.).ORCID 0000-0002-2129-5501
Eleanor L SchuchardtDivision of Cardiology, Rady Children's Hospital, Department of Pediatrics University of California San Diego School of Medicine (E.L.S.).ORCID 0000-0002-9106-8486
Kristen Sexson TejtelDivision of Pediatric Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston (O.G., K.S.T.).ORCID 0000-0001-7584-8450
Gautam K SinghDivision of Pediatric Cardiology, Department of Pediatrics, Children's Hospital of Michigan, Detroit (G.K.S.).
Timothy C SlesnickChildren's Heart Center, Department of Pediatrics, Children's Healthcare of Atlanta, Emory University School of Medicine, GA (T.C.S.).
Felicia TrachtenbergCarelon, Inc, Morristown, NJ (V.K., F.T.).
Michael D TaylorHeart Institute, Cincinnati Children's Hospital Medical Center, OH (S.M.L., M.D.T.).ORCID 0000-0003-0251-8017
MUSIC Study Investigators

Funding

Ventricular Volumes and Varability (VVV)U01HL068270 · NHLBI · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI SLEEPER, LYNN A · 2001 to 2010
$40.3M
MIS-C Program: Data Coordinating Center for the Pediatric Heart Network MIS-C ProgramU24HL135691 · NHLBI · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI MILLER, JULIE ELAINE, TRACHTENBERG, FELICIA LYNN · 2017 to 2024
$37.9M
Pediatric Heart Network Clinical Research Centers - Boston Children's HospitalUG1HL135685 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI NEWBURGER, JANE W., TRIEDMAN, JOHN K · 2017 to 2023
$2.7M
Pediatric Heart Network Children's Hospital of PhiladelphiaUG1HL135683 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI GAYNOR, JAMES WILLIAM, GOLDBERG, DAVID J · 2017 to 2023
$2.6M
Baylor/Texas Children's Hospital Pediatric Heart NetworkUG1HL135666 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI HEINLE, JEFFREY STEPHEN, PENNY, DANIEL J · 2017 to 2023
$2.4M
Pediatric Heart Network Prairieland ConsortiumUG1HL135678 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI CNOTA, JAMES, PAYNE, RONALD MARK · 2017 to 2023
$2.4M
Pediatric Heart Network Regents of the University of MichiganUG1HL135665 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GOLDBERG, CAREN S, OHYE, RICHARD G · 2017 to 2023
$2.4M
Pediatric Heart Network - Utah CenterUG1HL135646 · NHLBI · UNIVERSITY OF UTAH · PI MINICH, L. LUANN, WILLIAMS, RICHARD VINCENT · 2017 to 2023
$2.3M
Pediatric Heart Network Clinical Research Center - Medical University of South CarolinaUG1HL135689 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ATZ, ANDREW M, GRAHAM, ERIC M. · 2017 to 2023
$2.3M
Pediatric Heart Network Emory UniversityUG1HL135682 · NHLBI · EMORY UNIVERSITY · PI BOOK, WENDY M., KOCHILAS, LAZAROS K. · 2017 to 2023
$2.2M
Pediatric Heart Network - The Hospital for Sick Children, TorontoUG1HL135680 · NHLBI · HOSPITAL FOR SICK CHLDRN (TORONTO) · PI MCCRINDLE, BRIAN W, MITAL, SEEMA · 2017 to 2023
$1.7M
Pediatric Heart Network Clinical Research Centers - Boston Children's HospitalUM1HL172702 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI Sarah D DE FERRANTI, Jane W. Newburger · 2024 to 2026
$1.5M
NHLBI NIH HHS U01 HL068270NHLBI NIH HHS U24 HL135691NHLBI NIH HHS UG1 HL135646NHLBI NIH HHS UG1 HL135665NHLBI NIH HHS UG1 HL135666NHLBI NIH HHS UG1 HL135678NHLBI NIH HHS UG1 HL135680NHLBI NIH HHS UG1 HL135682NHLBI NIH HHS UG1 HL135683NHLBI NIH HHS UG1 HL135685NHLBI NIH HHS UG1 HL135689NHLBI NIH HHS UM1 HL172702NHLBI NIH HHS UM1 HL172717
6 · The paper itself

Abstract

backgroundMultisystem Inflammatory Syndrome in Children is characterized by high rates of acute cardiovascular involvement with rapid recovery of organ dysfunction. However, information regarding long-term sequelae is lacking. We sought to characterize the systolic function and myocardial tissue properties using cardiac magnetic resonance (CMR) imaging in a multicenter observational cohort of patients with Multisystem Inflammatory Syndrome in Children.

methodsIn this observational cohort study, comprising 32 centers in North America, CMR studies were analyzed by a core laboratory to assess ventricular volumetric data, tissue characterization, and coronary involvement.

resultsA total of 263 CMRs from 255 patients with Multisystem Inflammatory Syndrome in Children were analyzed. The mean patient age was 11.4±4.4 years. Most studies were performed at 3 months (33%) or 6 months (45%) after hospitalization. Left ventricular dysfunction was present in 17 (6.7%) of the first CMRs and was never worse than mild. Dysfunction was observed in 4/7 (57%) patients at admission, 5/87 (6.9%) patients at 3 months, and 6/129 (4.6%) patients imaged either at 6 months or 1 year post-hospitalization. Late gadolinium enhancement was present in 2 (0.8%) patients, 1 at 3 months and another at 6 months following hospitalization. Coronary artery dilation was present in 13 of the 174 (7.5%) patients. Nine patients met the Lake Louise criteria for myocarditis (3.5%) at the time of CMR.

conclusionsIn this largest published multiinstitutional longitudinal CMR evaluation of confirmed patients with Multisystem Inflammatory Syndrome in Children, the prevalence of ventricular dysfunction and myocardial tissue characterization abnormalities on medium-term follow-up was low. However, a small number of patients had mild residual abnormalities at 6 months and 1 year following hospitalization. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifier: NCT05287412.

Indexed as

COVID-19Magnetic Resonance Imaging, CineSystemic Inflammatory Response SyndromeVentricular Dysfunction, LeftAdolescentChildChild, PreschoolFemaleHumansMaleNorth AmericaTime FactorsVentricular Function, Leftchilddilatationhumansmyocarditisprevalence

Identifiers

PMID40181776
PMCPMC12353833

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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.