Evidence map›Paper›PMID 40926310›Full record

ArticleJournal of the Chinese Medical Association : JCMA2025

Cardiac magnetic resonance parameters for prognostic stratification in pulmonary hypertension: A longitudinal study.

Fei-Ran Chiou, Shih-Hsien Sung, Jui-Han Chiu, Chao-Yu Guo, Ying-Chi Lee, Ying-Yueh Chang, Ching-Yao Weng, Yi-Jui Hsu, Chun-Ku Chen

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Article in Journal of the Chinese Medical Association : JCMA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

1 citing paper in PubMed.

  1. 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

9 authors.

Fei-Ran ChiouDepartment of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Shih-Hsien SungDepartment of Internal Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
Jui-Han ChiuDepartment of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Chao-Yu GuoInstitute of Public Health, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
Ying-Chi LeeDepartment of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Ying-Yueh ChangDepartment of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Ching-Yao WengDepartment of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Yi-Jui HsuDepartment of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Chun-Ku ChenDepartment of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.ORCID 0000-0002-8475-6774

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac magnetic resonance (CMR) imaging is a critical tool for the diagnosis and evaluation of pulmonary hypertension (PH). This study aimed to investigate the temporal changes in cardiac morphological and functional characteristics in PH using CMR, with the goal of identifying early indicators of adverse clinical outcomes.

methodsThis retrospective study included patients diagnosed with PH using right heart catheterization. Each patient underwent two CMR sessions, approximately 1.5 years apart, for follow-up. CMR characteristics, including morphological and functional parameters such as myocardial strain, were analyzed in relation to the primary adverse events endpoint, defined as a composite of heart failure hospitalization and all-cause mortality.

resultsA total of 36 patients (8 men and 28 women, mean age 48.0 ± 13.3 years) were enrolled. Eleven patients (30.6%) experienced adverse events after the second CMR. High right ventricular (RV) volume and worse RV strain at follow-up were observed in patients who experienced future events (RV end-diastolic volume [RVEDV], 247.2 vs 182.3 mL, p = 0.029; and right ventricular global longitudinal strain [RVGLS], -12.0% vs -17.1%, p = 0.021, respectively). In contrast, an increase in left ventricular ejection fraction (LVEF) and left ventricular (LV) volume was noted in patients without events, whereas a decrease in LV end-diastolic volume was associated with subsequent events (111.6 vs 123.9 mL, p = 0.024). An increase in LVEF was observed in patients without events (61.5% vs 57.3%, p = 0.030), underscoring the predictive value of LV function.

conclusionThis study emphasizes the value of CMR in monitoring patients with PH, particularly for assessing ventricular function as a predictor of future outcomes. The observed trends in myocardial strain highlight its potential as a prognostic marker, warranting further research to confirm its clinical utility.

Indexed as

Hypertension, PulmonaryMagnetic Resonance ImagingAdultAgedFemaleHumansLongitudinal StudiesMaleMiddle AgedPrognosisRetrospective StudiesLeft ventricular functionMagnetic resonance imagingPulmonary hypertensionRight ventricular function

Identifiers

PMID40926310
PMCPMC12718706

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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.