Evidence map›Paper›PMID 42092042›Full record

ArticleScientific reports2026

Detecting early structural and functional myocardial alterations in patients with repaired tetralogy of fallot: a prospective MRI study.

Hannah E Kappler, Nadja Kocher, Sebastian Berg, Markus Uhl, Marius Menza, Bernd Jung, Christopher L Schlett, Christoph Zürn, Brigitte Stiller, Charlotte Wintergerst and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Hannah E KapplerDepartment of Congenital Heart Defects and Pediatric Cardiology, Faculty of Medicine, University Heart Center Freiburg, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany. hannah.kappler@uniklinik-freiburg.de.
Nadja KocherDepartment of Radiology, Kantonsspital Aarau, Aarau, Switzerland.
Sebastian BergInstitut für Bildgebende Diagnostik (IBID), Diakoniekrankenhaus, Freiburg, Germany.
Markus UhlDepartment of Radiology, Pediatric Radiology, and Interventional Radiology, St. Josefskrankenhaus, Freiburg, Germany.
Marius MenzaDepartment of Radiology, Medical Physics, Faculty of Medicine, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Bernd JungDepartment of Diagnostic, Interventional and Pediatric Radiology, University Hospital Bern, Bern, Switzerland.
Christopher L SchlettDepartment of Diagnostic and Interventional Radiology, Faculty of Medicine, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Christoph ZürnDepartment of Congenital Heart Defects and Pediatric Cardiology, Faculty of Medicine, University Heart Center Freiburg, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Brigitte StillerDepartment of Congenital Heart Defects and Pediatric Cardiology, Faculty of Medicine, University Heart Center Freiburg, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Charlotte Wintergerst *Department of Diagnostic and Interventional Radiology, Faculty of Medicine, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Jana Taron *Department of Diagnostic and Interventional Radiology, Faculty of Medicine, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients with repaired tetralogy of Fallot (rTOF), right ventricular (RV) fibrosis has been associated with ventricular tachycardia, heart failure, and sudden cardiac death. Here, we aimed to identify links between diffuse myocardial fibrosis and regional mechanical dysfunction by cardiac magnetic resonance imaging (CMR) in rTOF. Clinical CMR was extended in 17 consecutive rTOF patients (median age 20 years, 4 females) to include biventricular native T1 (nT1) mapping as indicator of diffuse fibrosis, and tissue phase mapping (TPM) for quantification of biventricular segmental, directional systolic/diastolic myocardial velocities. Patients demonstrated smaller peak velocities than healthy volunteers in both ventricles (e.g. LV-base circumferential peak-systolic velocity: median [IQR] -0.9 [1.5] vs. -3.0 [1.2] cm/s, p < 0.001). RV peak velocities were reduced even in patients with normal RV ejection fraction (e.g. RV-mid long-axis peak-diastolic velocity: -3.3 [1.2] vs. -6.9 [1.8] cm/s, p = 0.001). Global LV nT1 was higher in patients versus controls (1029 [48] vs. 993 [28] ms, p = 0.013). Within the rTOF group, fibrosis in lateral LV correlated with shorter time-to-peak-velocity (TTP), whereas fibrosis in inferior RV correlated with longer TTP. Therefore, in rTOF TPM facilitates early diagnosis of impaired systolic and diastolic myocardial function while diffuse fibrosis has differential effects on RV and LV mechanics.

Indexed as

Magnetic Resonance ImagingMyocardiumTetralogy of FallotAdolescentAdultFemaleFibrosisHeart VentriclesHumansMaleProspective StudiesStroke VolumeYoung AdultCardiac functionFibrosisMRIT1 mappingTetralogy of FallotTissue phase mapping

Identifiers

PMID42092042
PMCPMC13269691

What Socratic holds

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LicenceCC BY
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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 Socratic graph.