Evidence map›Paper›PMID 40283468›Full record

ReviewJournal of clinical medicine2025

Upstream and Downstream Cardiovascular Changes in Rheumatic Mitral Stenosis: An Update.

Estu Rudiktyo, Arco J Teske, Emir Yonas, Ade M Ambari, Maarten J Cramer, Marco Guglielmo, Tommaso Semino, Bambang Budi Siswanto, Pieter A Doevendans, Amiliana M Soesanto

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
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.

Estu RudiktyoDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia-National Cardiovascular Center Harapan Kita, Jakarta 11420, Indonesia.ORCID 0000-0002-9230-1630
Arco J TeskeDepartment of Cardiology, Division Heart and Lungs, University Medical Center Utrecht, 3584 Utrecht, The Netherlands.ORCID 0000-0001-5305-1619
Emir YonasDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia-National Cardiovascular Center Harapan Kita, Jakarta 11420, Indonesia.
Ade M AmbariDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia-National Cardiovascular Center Harapan Kita, Jakarta 11420, Indonesia.
Maarten J CramerDepartment of Cardiology, Division Heart and Lungs, University Medical Center Utrecht, 3584 Utrecht, The Netherlands.
Marco GuglielmoDepartment of Cardiology, Division Heart and Lungs, University Medical Center Utrecht, 3584 Utrecht, The Netherlands.ORCID 0000-0003-1718-9949
Tommaso SeminoChair of Cardiovascular Disease, Department of Internal Medicine and Specialties (Di.M.I.), University of Genoa, 16126 Genova, Italy.ORCID 0009-0004-5314-0442
Bambang Budi SiswantoDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia-National Cardiovascular Center Harapan Kita, Jakarta 11420, Indonesia.ORCID 0000-0003-3998-1590
Pieter A DoevendansDepartment of Cardiology, Division Heart and Lungs, University Medical Center Utrecht, 3584 Utrecht, The Netherlands.
Amiliana M SoesantoDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia-National Cardiovascular Center Harapan Kita, Jakarta 11420, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rheumatic heart disease (RHD) and its complications are major health problems worldwide, especially in developing countries, owing to their high prevalence. Mitral stenosis (MS) is one of the most common lesions in RHD, either isolated or in combination with mitral regurgitation, and eventually leads to atrial fibrillation (AF), congestive heart failure, pulmonary hypertension (PH), and other complications, including ischemic stroke or limb ischemia, if not promptly diagnosed and treated. Recent studies have suggested that MS affects the cardiovascular system beyond mere obstructions. The presence of MS in RHD causes significant changes in the cardiovascular system, both upstream and downstream, affecting both the left and right ventricles. Rheumatic MS causes significant structural changes through inflammatory pathways and hemodynamic changes, owing to its obstructive effects. This review aims to discuss the vast changes in the cardiovascular system caused by rheumatic MS.

Indexed as

atrial fibrillationmitral stenosispulmonary hypertensionrheumatic heart diseaseventricular dysfunction

Identifiers

PMID40283468
PMCPMC12027831

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Registered trials

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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.