Evidence map›Paper›PMID 17312822›Full record

ArticleIrish journal of medical science

Elevated BNP with normal systolic function in asymptomatic individuals at-risk for heart failure: a marker of diastolic dysfunction and clinical risk.

S Karuppiah, F Graham, M Ledwidge, C Conlon, J Cahill, C O'Loughlin, J McManus, K McDonald

Abstract read
PubMed Publisher
In one paragraph

Article in Irish journal of medical science. 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
0.2field-weighted citation impact, top 39% 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.

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, 8 citations in OpenAlex.

  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

8 authors at 2 institutions in 2 countries.

S KaruppiahHeart Failure Unit, St Vincent's University Hospital, Dublin, Ireland.
F Graham
M Ledwidge
C Conlon
J Cahill
C O'Loughlin
J McManus
K McDonald
St. Vincent's University Hospital · IEMelbourne Clinic · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundB-type natriuretic peptide (BNP) is widely accepted in the evaluation of left ventricular systolic dysfunction and heart failure. However, little is known of the implications of elevated BNP levels in individuals with preserved systolic function (PSF).

aimsTo investigate the drivers and clinical implications of elevated BNP levels in asymptomatic individuals with established PSF.

methodsWe enrolled 154 individuals who all underwent physical examination, BNP evaluation and Doppler-echocardiographic studies. They were divided into those above and below the median BNP level (50 pg/ml).

resultsIndependent predictors of higher BNP were older age, more severe left ventricular hypertrophy (LVH), reduced E/A ratio and ischaemic heart disease. Survival and multivariable analysis demonstrated more death and/or admission in those above the median BNP (HR: 4.79, p=0.007).

conclusionsElevated BNP is the strongest, independent predictor of serious adverse cardiovascular outcomes in this population and requires closer clinical follow-up.

Indexed as

AgedBiomarkersDiastoleEchocardiography, DopplerFemaleHeart FailureHumansMaleNatriuretic Peptide, BrainPredictive Value of TestsReproducibility of ResultsRisk FactorsROC CurveSensitivity and SpecificitySystoleVentricular Function, LeftBiomarkersNatriuretic Peptide, Brain

Identifiers

PMID17312822
OpenAlexW2059905496

What OpenQuestion holds

Textmetadata
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.