Evidence map›Paper›PMID 17987382›Full record

ReviewHeart failure reviews2008

Pathways involved in the transition from hypertension to hypertrophy to heart failure. Treatment strategies.

John W Wright, Shigehiko Mizutani, Joseph W Harding

Abstract readReview
PubMed Publisher
In one paragraph

Review in Heart failure reviews, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Article
  7. The Vasoactive Mas Receptor in Essential Hypertension.Journal of clinical medicine · 2020
    Review
  8. Article
  9. Review
  10. Article
  11. Management of Heart Failure with Preserved Ejection Fraction: Current Challenges and Future Directions.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2017
    Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Heart failure with a normal ejection fraction: treatments for a complex syndrome?Current treatment options in cardiovascular medicine · 2012
    Article
  18. Review
  19. Article
  20. 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

3 authors at 2 institutions in 2 countries.

John W WrightDepartment of Psychology, Washington State University, Pullman, WA 99164-4820, USA. wrightjw@wsu.edu
Shigehiko Mizutani
Joseph W Harding
Washington State University · USNagoya University · JP

Funding

SLEEP AND SYNAPTIC PLASTICITYR01HL064245 · NHLBI · WASHINGTON STATE UNIVERSITY · PI FANG, JIDONG · 1999 to 2002
$1.0M
NHLBI NIH HHS R01-HL64245-03
6 · The paper itself

Abstract

The renin-angiotensin-aldosterone system (RAAS) is critical in regulating systemic blood pressure, water and electrolyte balance, and pituitary gland hormones. These physiologies appear to be primarily mediated by the angiotensin II/AT(1) receptor subtype system. Overstimulation of this system can predispose cardiovascular disease (CVD) characterized by excessive vasoconstriction, fibrosis, and cardiac remodeling. If untreated, the patient typically displays a continuum of pathophysiologic conditions progressing from atherosclerosis to left ventricle hypertrophy (LVH), coronary thrombosis, myocardial infarcts, with heart failure as an endpoint. Intervention with antihypertensive therapy is necessary to inhibit this progression. RAAS blocking drugs appear to be the most effective approach. Diastolic heart failure patients benefit from treatment with angiotensin converting enzyme (ACE) inhibitors and angiotensin AT(1) receptor blockers (ARBs). Elderly CVD patients evidence age-related changes in body composition that alter the distribution and half-life of medications, thus presenting special challenges to treatment. The presence of comorbidities such as diabetes, renal dysfunction, liver insufficiency further complicates any therapeutic strategy. In addition, noncompliance because of cognitive impairment, depression, confusion due to the complexity of dose regimens, and lack of an appropriate social support system can disrupt positive outcome. The present review discusses the roles of an overactive RAAS and sympathetic nervous system as primary contributors to CVD. In addition, treatment strategies are discussed, focusing on middle aged and elderly hypertensive and heart failure patients.

Indexed as

Antihypertensive AgentsDisease ProgressionHeart FailureHumansHypertensionHypertrophy, Left VentricularModels, BiologicalReceptor, Angiotensin, Type 1Renin-Angiotensin SystemSympathetic Nervous SystemAntihypertensive AgentsReceptor, Angiotensin, Type 1

Identifiers

PMID17987382
OpenAlexW2060516690

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.