Evidence map›Paper›PMID 21779815›Full record

ReviewClinical research in cardiology : official journal of the German Cardiac Society2011

Biomarkers: optimizing treatment guidance in heart failure.

Michael Böhm, Adriaan A Voors, Jean-Marie Ketelslegers, Stephan H Schirmer, Eva Turgonyi, Peter Bramlage, Faiez Zannad

Abstract readReview
PubMed Publisher
In one paragraph

Review in Clinical research in cardiology : official journal of the German Cardiac Society, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
6.1field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 54 citations in OpenAlex.

  1. Beneficial effects of renal sympathetic denervation on cardiovascular inflammation and remodeling in essential hypertension.Clinical research in cardiology : official journal of the German Cardiac Society · 2015
    Trial
  2. Review
  3. Observational
  4. Article
  5. Review
  6. Article
  7. Midregional proadrenomedullin and growth differentiation factor-15 are not influenced by obesity in heart failure patients.Clinical research in cardiology : official journal of the German Cardiac Society · 2017
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Connective tissue growth factor (CTGF/CCN2): diagnostic and prognostic value in acute heart failure.Clinical research in cardiology : official journal of the German Cardiac Society · 2014
    Article
  13. Article
  14. Article
  15. Article
  16. Angiographic score assessment improves cardiovascular risk prediction: the clinical value of SYNTAX and Gensini application.Clinical research in cardiology : official journal of the German Cardiac Society · 2013
    Article
  17. Atrial standstill in a patient with progressive severe heart failure.Clinical research in cardiology : official journal of the German Cardiac Society · 2013
    Article
  18. Prognostic value of NT-pro-BNP and hs-CRP for risk stratification in primary care: results from the population-based DETECT study.Clinical research in cardiology : official journal of the German Cardiac Society · 2013
    Article
  19. Article
  20. Galectin-3 is an independent marker for ventricular remodeling and mortality in patients with chronic heart failure.Clinical research in cardiology : official journal of the German Cardiac Society · 2013
    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

7 authors at 6 institutions in 7 countries.

Michael BöhmKlinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Homburg/Saar, Germany. michael.boehm@uniklinikum-saarland.de
Adriaan A Voors
Jean-Marie Ketelslegers
Stephan H Schirmer
Eva Turgonyi
Peter Bramlage
Faiez Zannad
Universitätsklinikum des Saarlandes · DECentre Hospitalier Régional et Universitaire de Nancy · FRInstituto de Cardiología y Cirugía Cardiovascular · CUPfizer (United States) · USUCLouvain · BEUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure is a frequent and life-threatening syndrome which is not only the result of myocardial injury or hemodynamic overload as commonly perceived, but appears to be the result of an interplay among genetic, neurohormonal, inflammatory, and biochemical factors, collectively referred to as biomarkers. Biomarkers can become risk factors in case their therapeutic modification results in an improvement of clinical outcomes. Among those markers identified in patients with heart failure, a number appears to have direct clinical relevance in aiding diagnosis, risk stratification, monitoring therapy, and treating to targets in order to improve clinical outcomes. These include brain natriuretic peptides (e.g., BNP, NT-proBNP), inflammatory markers (e.g., hsCRP), neurohormones (e.g., aldosterone), cardiorenal markers (e.g., cycstatin C), and novel markers (e.g., galectin-3). While their utility to indicate risk is mostly well established, there are less data to establish that a treatment using biomarkers as a guidance results in better outcomes than a more generalized intensified treatment of patients with heart failure. Future directions may involve larger platforms that facilitate to simultaneously analyze hundreds of biomarkers and may help to tailor heart failure therapy on a single patient basis, considering the specific pathogenesis and prognosis. Also from a therapeutic perspective there are data that a single intervention such as aldosterone blockade may affect multiple biomarkers at the same time. Taken together the data indicate that biomarkers are evolving into a valuable addendum to the diagnostic and therapeutic armamentarium.

Indexed as

AldosteroneBiomarkersExtracellular MatrixHeart FailureHumansNatriuretic PeptidesPatient SelectionPredictive Value of TestsPrognosisRisk AssessmentRisk FactorsAldosteroneBiomarkersNatriuretic Peptides

Identifiers

PMID21779815
OpenAlexW1983704160

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.