Evidence map›Paper›PMID 40496394›Full record

ArticleWorld journal of cardiology2025

Circulating microRNAs in predicting fibrosis in hypertrophic cardiomyopathy: A systematic review.

Maneeth Mylavarapu, Lakshmi Sai Meghana Kodali, Roopeessh Vempati, Jai Sivanandan Nagarajan, Ankit Vyas, Rupak Desai

Abstract read
In one paragraph

Article in World journal of cardiology, 2025. 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. Review
  3. Biomarkers in Heart Failure: A Review and a Wish.International journal of molecular sciences · 2025
    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

6 authors.

Maneeth MylavarapuPublic Health, Adelphi University, Garden City, NY 11530, United States.
Lakshmi Sai Meghana KodaliPublic Health & Health Sciences, University of Michigan, Flint, MI 48502, United States.
Roopeessh VempatiInternal Medicine, Trinity Health Oakland Hospital, Pontiac, MI 48341, United States.
Jai Sivanandan NagarajanInternal Medicine, SUNY Upstate Medical University, Syracuse, NY 13210, United States.
Ankit VyasCardiology, Ochsner Clinic Foundation, New Orleans, LA 70121, United States.
Rupak DesaiOutcomes Research, Independent Researcher, Atlanta, GA 30079, United States. drrupakdesai@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertrophic cardiomyopathy (HCM) is characterized by left ventricular hypertrophy and interstitial fibrosis, which contribute to adverse outcomes such as heart failure and sudden cardiac death. While cardiac magnetic resonance (CMR) imaging is commonly used to detect myocardial fibrosis, circulating microRNAs (miRNAs) have emerged as promising noninvasive biomarkers for this condition due to their stability in blood plasma and resistance to pH and temperature variance.

aimTo explore the role of specific circulating miRNAs in identifying myocardial fibrosis in patients with HCM.

methodsUsing PubMed/MEDLINE and Google Scholar, we reviewed studies from 2014 to 2024 examining the link between circulating miRNAs and myocardial fibrosis in HCM. We included studies measuring miRNA expression in blood samples from HCM patients and assessing fibrosis

resultsSeven studies involving 365 HCM patients with a mean age of 49.37 ± 10.5 years, 116 (31.78%) females, and one animal study identified miR-21, miR-29a, miR-133, miR-4454, and miR-221 as frequently dysregulated markers associated with fibrosis. Elevated levels of miR-21 and miR-29a correlated with more extensive fibrosis, as assessed by late gadolinium enhancement in CMR imaging, with miR-29a consistently linked to both fibrosis and hypertrophy across the studies.

conclusionCirculating miRNAs, particularly miR-21, miR-29a, and miR-221, show significant potential as biomarkers for myocardial fibrosis in HCM. Further research should validate these findings and investigate the clinical application of miRNA-based diagnostics in HCM.

Indexed as

Cardiac magnetic resonanceCirculating micro RNAsHypertrophic cardiomyopathyLate gadolinium enhancementMyocardial fibrosisSystematic Review

Identifiers

PMID40496394
PMCPMC12146958

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