Evidence map›Paper›PMID 40904321›Full record

SynthesisFuture cardiology2025

Systematic review of cardiac ventricular dysfunction in Wilson's disease: mechanisms, diagnostic advancements, and management strategies.

Darshan Hullon, Taif Haitham Al Saraireh, Ghasaq Al Obaidi, Harim Mirza, Vera A Fediunina, Zahra Oskouyan, Najlaa Al-Sudani, Mohamad Abdallah Tawallbeh

Abstract readSystematic Review
In one paragraph

Synthesis in Future cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. 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

8 authors.

Darshan HullonInternal Medicine, MercyOne Clinton Medical Centre, Clinton, IA, USA.ORCID 0009-0001-9163-1881
Taif Haitham Al SarairehMinistry of Heatlh, Prince Hamzeh Hospital, Amman, Jordan.ORCID 0000-0002-7467-9613
Ghasaq Al ObaidiInternal Medicine, College of Medicine, University of Baghdad, Baghdad, Iraq.ORCID 0009-0008-2030-7866
Harim MirzaDow medical college, Karachi, Pakistan.ORCID 0009-0002-3241-5131
Vera A FediuninaMedical Centre "Medlight" Yuzhno-Sakhalinsk, Yuzhno-Sakhalinsk, Russia.ORCID 0000-0003-1437-8250
Zahra OskouyanCardiology, Mashhad University of Medical Science, Mashhad, Iran.
Najlaa Al-SudaniInternal Medicine, Memorial Hermann Southeast hospital, Houston, TX, USA.
Mohamad Abdallah TawallbehSurgery, St. Anna Hospital, Herne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWilson's disease (WD) is a rare autosomal recessive disorder caused by ATP7B gene mutations, leading to systemic copper accumulation. This systematic review examines the cardiac manifestations of WD and aims to summarize key diagnostic and therapeutic findings from available studies.

methodsWe conducted a systematic review of 21 studies using databases such as PubMed and Scopus. Studies were selected based on relevance to WD and cardiac involvement. Data extraction focused on diagnostic methods, outcomes, and treatments. Risk of bias and methodological quality were assessed qualitatively.

resultsA total of 21 studies were included. Cardiac complications included arrhythmias, myocardial fibrosis, and diastolic dysfunction. Oxidative stress and mitochondrial dysfunction were identified as key pathological mechanisms. Cardiac MRI was highlighted as a valuable diagnostic tool. While chelation remains the cornerstone therapy, gene therapy and liver transplantation are considered for advanced cases.

conclusionsThis review underscores the importance of early cardiac assessment in WD patients. New diagnostic tools and emerging therapies show promise, though evidence remains limited by small sample sizes. Further longitudinal studies are needed to inform clinical guidelines. PROTOCOL REGISTRATION: www.crd.york.ac.uk/prospero identifier is CRD420251107174.

Indexed as

Hepatolenticular DegenerationVentricular DysfunctionDisease ManagementHumansarrhythmiascardiac dysfunctioncardiac MRIcardiomyopathychelation therapyWilson’s disease

Identifiers

PMID40904321
PMCPMC12758202

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.