Evidence map›Paper›PMID 23989714›Full record

ReviewCirculation research2013

Cardiac metabolism in heart failure: implications beyond ATP production.

Torsten Doenst, Tien Dung Nguyen, E Dale Abel

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Circulation research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 685 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
685citing papers in PubMed, 1 pooled it
–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.

NCT05202938 unknown statusnot on this mapstarted 2022, after this paper: background citation

Energy MEtabolism of Septic Heart.

TypeobservationalSponsorCentre de recherche du Centre hospitalier universitaire de SherbrookeRan2022 to 2024Enrolled32ConditionsSeptic Shock, Chronic Heart FailureArmsultrasound cardiography, FDG PET scan, Palmitate PET scan, Acetate PET scan, Blood sampling
NCT06747429 narecruitingnot on this mapstarted 2026, after this paper: background citation

Cardiac Metabolic Reprogramming by a Nutritional Intervention: the High Fat Diet for Heart Failure (HF4HF) Study, a proof-of Concept Randomized Controlled Trial

TypeinterventionalSponsorFundación Centro Nacional de Investigaciones Cardiovasculares Carlos IIIRan2026 to 2026Enrolled80ConditionsNon-ischemic Dilated Cardiomyopathy, Heart Failure With Reduced Ejection FractionArmsHigh fat diet, Standard diet
3 · Its place in the literature

Who cites it

685 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Review of in vitro approaches for assessing the toxicity of chemical stressors across diverse physiological systems.Toxicological sciences : an official journal of the Society of Toxicology · 2026
    Review
  7. Article
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  9. Glutamine Metabolism in Cardiac Hypertrophy.Reviews in cardiovascular medicine · 2026
    Review
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625 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

3 authors.

Torsten DoenstDepartment of Cardiothoracic Surgery, Jena University Hospital, Friedrich-Schiller-University Jena, Germany. doenst@med.uni-jena.de
Tien Dung Nguyen
E Dale Abel

Funding

Insulin Resistance and Myocardial AutophagyR01HL108379 · NHLBI · UNIVERSITY OF UTAH · PI ABEL, E DALE · 2011 to 2014
$1.5M
NHLBI NIH HHS R01 HL108379NHLBI NIH HHS R01HL108379
6 · The paper itself

Abstract

The heart has a high rate of ATP production and turnover that is required to maintain its continuous mechanical work. Perturbations in ATP-generating processes may therefore affect contractile function directly. Characterizing cardiac metabolism in heart failure (HF) revealed several metabolic alterations called metabolic remodeling, ranging from changes in substrate use to mitochondrial dysfunction, ultimately resulting in ATP deficiency and impaired contractility. However, ATP depletion is not the only relevant consequence of metabolic remodeling during HF. By providing cellular building blocks and signaling molecules, metabolic pathways control essential processes such as cell growth and regeneration. Thus, alterations in cardiac metabolism may also affect the progression to HF by mechanisms beyond ATP supply. Our aim is therefore to highlight that metabolic remodeling in HF not only results in impaired cardiac energetics but also induces other processes implicated in the development of HF such as structural remodeling and oxidative stress. Accordingly, modulating cardiac metabolism in HF may have significant therapeutic relevance that goes beyond the energetic aspect.

Indexed as

Adenosine TriphosphateAnimalsEnergy MetabolismGlucoseHeart FailureHumansMitochondriaMyocardiumAdenosine TriphosphateGlucoseheart failurehypertrophy/remodelingmetabolismmitochondria

Identifiers

PMID23989714
PMCPMC3896379

What OpenQuestion holds

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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 OpenQuestion graph.