Evidence map›Paper›PMID 33046850›Full record

ReviewNature reviews. Cardiology2021

Myocarditis and inflammatory cardiomyopathy: current evidence and future directions.

Carsten Tschöpe, Enrico Ammirati, Biykem Bozkurt, Alida L P Caforio, Leslie T Cooper, Stephan B Felix, Joshua M Hare, Bettina Heidecker, Stephane Heymans, Norbert Hübner and 9 more

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06246188 (Use of Stress-CMR Using Regadenoson and GE-267 in Adult Patients with Known or Suspected Coronary Artery Disease Using Mobile Cardiac MRI Units in a Single-arm Open-label Study), which is not on this map. Cited by 716 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
716citing papers in PubMed, 4 pooled it
95.0field-weighted citation impact, top 1% of its field
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.

NCT06246188 unknown statusnot on this mapstarted 2025, after this paper: background citation

Use of Stress-CMR Using Regadenoson and GE-267 in Adult Patients with Known or Suspected Coronary Artery Disease Using Mobile Cardiac MRI Units in a Single-arm Open-label Study

TypeobservationalSponsorGerman Heart InstituteRan2025 to 2025Enrolled80ConditionsCoronary Artery DiseaseArmsCardiac MRI using Regadenoson and GE-267
3 · Its place in the literature

Who cites it

716 citing papers in PubMed, 4 syntheses or guidelines pooled it, 1,129 citations in OpenAlex.

  1. Pooled it
  2. International journal of molecular sciences · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Prognostic value of 9 immune-inflammatory markers for patients with dilated cardiomyopathy: A retrospective study.International journal of cardiology. Cardiovascular risk and prevention · 2026
    Article
  17. Review
  18. Article
  19. Article
  20. Article

656 more citing papers are in PubMed but not listed here.

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

19 authors at 15 institutions in 7 countries.

Carsten TschöpeBerlin Institute of Health Center for Regenerative Therapies (BCRT), Charité - University Medicine Berlin, Campus Virchow Clinic, Berlin, Germany. carsten.tschoepe@charite.de.
Enrico AmmiratiDe Gasperis Cardio Center and Transplant Center, Niguarda Hospital, Milan, Italy.
Biykem BozkurtWinters Center for Heart Failure Research, Cardiovascular Research Institute, Baylor College of Medicine, Houston, TX, USA.
Alida L P CaforioDivision of Cardiology, Department of Cardiological, Thoracic and Vascular Sciences and Public Health, Centro Gallucci, University of Padova-Policlinico, Padova, Italy.ORCID http://orcid.org/0000-0002-4901-5655
Leslie T CooperDepartment of Cardiovascular Medicine, Mayo Clinic, Jacksonville, FL, USA.
Stephan B FelixDepartment of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.
Joshua M HareUniversity of Miami, Miller School of Medicine, Miami, FL, USA.
Bettina HeideckerDepartment of Cardiology, Charité - University Medicine Berlin, Campus Benjamin Franklin, Berlin, Germany.
Stephane HeymansDepartment of Cardiology, CARIM, Maastricht University, Maastricht, Netherlands.
Norbert HübnerGerman Centre for Cardiovascular Research (DZHK), partner site Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-1218-6223
Sebastian KelleGerman Centre for Cardiovascular Research (DZHK), partner site Berlin, Berlin, Germany.
Karin KlingelCardiopathology, Institute for Pathology and Neuropathology, University Hospital Tübingen, Tübingen, Germany.
Henrike MaatzCardiovascular and Metabolic Sciences, Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.
Abdul S ParwaniDepartment of Cardiology, Charité - University Medicine Berlin, Campus Virchow Klinikum, Berlin, Germany.
Frank SpillmannDepartment of Cardiology, Charité - University Medicine Berlin, Campus Virchow Klinikum, Berlin, Germany.
Randall C StarlingKaufman Center for Heart Failure, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, USA.ORCID http://orcid.org/0000-0002-1254-4860
Hiroyuki TsutsuiDepartment of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Petar SeferovicFaculty of Medicine, University of Belgrade, Belgrade, Serbia.
Sophie Van LinthoutBerlin Institute of Health Center for Regenerative Therapies (BCRT), Charité - University Medicine Berlin, Campus Virchow Clinic, Berlin, Germany.
Berlin-Brandenburger Centrum für Regenerative Therapien · DECharité - Universitätsmedizin Berlin · DEMax Delbrück Center · DEAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITCleveland Clinic · USDeutsches Herzzentrum der Charité · DEFranklin University · USKyushu University · JPMaastricht University · NLMichael E. DeBakey VA Medical Center · USUniversitätsmedizin Greifswald · DEUniversity of Belgrade · RSUniversity of Miami · USUniversity of Padua · ITWinnMed · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammatory cardiomyopathy, characterized by inflammatory cell infiltration into the myocardium and a high risk of deteriorating cardiac function, has a heterogeneous aetiology. Inflammatory cardiomyopathy is predominantly mediated by viral infection, but can also be induced by bacterial, protozoal or fungal infections as well as a wide variety of toxic substances and drugs and systemic immune-mediated diseases. Despite extensive research, inflammatory cardiomyopathy complicated by left ventricular dysfunction, heart failure or arrhythmia is associated with a poor prognosis. At present, the reason why some patients recover without residual myocardial injury whereas others develop dilated cardiomyopathy is unclear. The relative roles of the pathogen, host genomics and environmental factors in disease progression and healing are still under discussion, including which viruses are active inducers and which are only bystanders. As a consequence, treatment strategies are not well established. In this Review, we summarize and evaluate the available evidence on the pathogenesis, diagnosis and treatment of myocarditis and inflammatory cardiomyopathy, with a special focus on virus-induced and virus-associated myocarditis. Furthermore, we identify knowledge gaps, appraise the available experimental models and propose future directions for the field. The current knowledge and open questions regarding the cardiovascular effects associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are also discussed. This Review is the result of scientific cooperation of members of the Heart Failure Association of the ESC, the Heart Failure Society of America and the Japanese Heart Failure Society.

Indexed as

AnimalsAntiviral AgentsAutoimmunityBiopsyCardiomyopathiesCardiomyopathy, DilatedCoronavirus InfectionsCOVID-19Coxsackievirus InfectionsCytomegalovirus InfectionsDisease Models, AnimalEchovirus InfectionsEpstein-Barr Virus InfectionsErythema InfectiosumHepatitis CHIV InfectionsAntiviral AgentsImmunoglobulins, IntravenousImmunologic Factors

Identifiers

PMID33046850
PMCPMC7548534
OpenAlexW3092415006

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.