Evidence map›Paper›PMID 25464491›Full record

ArticleInternational journal of cardiology2015

Soluble ST2 reflects hemodynamic stress in non-ischemic heart failure.

Kaspar Broch, Arne K Andreassen, Thor Ueland, Annika E Michelsen, Wenche Stueflotten, Pål Aukrust, Svend Aakhus, Lars Gullestad

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in International journal of cardiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05335629 (Evaluation of the Effect of Dapagliflozin on Cardiac Remodeling in Post Myocardial Infarction Patients), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.6field-weighted citation impact, top 18% 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.

NCT05335629 nacompletedstarted 2022, after this paper: background citation

Evaluation of the Effect of Dapagliflozin on Cardiac Remodeling in Post Myocardial Infarction Patients

Ran2022Enrolled54Registered outcomes2Posted comparisons0ConditionsDiabetes Mellitus, Type 2, Myocardial Infarction, Myocardial Remodeling, VentricularArmsDapagliflozin 10mg Tab
Open the trial in the graph
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 35 citations in OpenAlex.

  1. Serum-Soluble ST2 Is a Novel Biomarker for Evaluating Left Atrial Low-Voltage Zone in Paroxysmal Atrial Fibrillation.Medical science monitor : international medical journal of experimental and clinical research · 2020
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  7. Inhibition of NF-Journal of immunology research · 2021
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  10. Exercise-induced Changes in Soluble ST2 Concentrations in Marathon Runners.Medicine and science in sports and exercise · 2019
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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 1 country.

Kaspar BrochDepartment of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway; K. G. Jebsen Research Centre and Center for Heart Failure Research, Faculty of Medicine, University of Oslo, Oslo, Norway. Electronic address: kaspar.broch@ous-hf.no.
Arne K AndreassenDepartment of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Thor UelandResearch Institute for Internal Medicine, Oslo, Norway.
Annika E MichelsenResearch Institute for Internal Medicine, Oslo, Norway.
Wenche StueflottenDepartment of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Pål AukrustResearch Institute for Internal Medicine, Oslo, Norway; Section for Clinical Immunology and Infectious Diseases, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Svend AakhusDepartment of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Lars GullestadDepartment of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway; K. G. Jebsen Research Centre and Center for Heart Failure Research, Faculty of Medicine, University of Oslo, Oslo, Norway.
Oslo University Hospital · NOInstitutt for Eksperimentell Medisinsk Forskning · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElevated levels of soluble ST2 (sST2) are associated with adverse outcome in heart failure. A change in sST2 levels has also been shown to presage outcome. In vitro, ST2 expression is induced by myocardial stress and pro-inflammatory stimuli. The determinants of sST2 levels in vivo, and how they vary with clinical status over time, have not been well described. In a cohort of patients with non-ischemic heart failure, we aimed to assess the association between sST2-levels and hemodynamic parameters reflecting right and left ventricular pre- and afterload, and how these vary with time and clinical status.

methodsWe prospectively recruited 102 patients with a left ventricular ejection fraction of 26 ± 10% and a diagnosis of idiopathic dilated cardiomyopathy based on patient history, clinical examination, echocardiography and coronary angiography. Patients went through extensive baseline work-up and were re-examined after one year. Subsequently, heart transplantations and deaths were recorded. Determinants of sST2 were analyzed at baseline and after one year. Soluble ST2 was measured with a highly sensitive immunoassay.

resultsSoluble ST2 levels were associated with hemodynamic parameters, but these associations were attenuated with clinical improvement. Soluble ST2 was elevated in patients with severe symptoms, but did not vary with etiology, viral presence or the amount of myocardial fibrosis. Heart rate and right atrial pressure remained independent predictors of sST2 on multiple regression analysis.

conclusionsOur results imply that in non-ischemic heart failure, sST2 reflects hemodynamic stress rather than pathogenic processes in the myocardium.

Indexed as

AdultAgedBiomarkersCohort StudiesExercise TestFemaleFollow-Up StudiesHeart FailureHemodynamicsHumansInterleukin-1 Receptor-Like 1 ProteinMaleMiddle AgedProspective StudiesReceptors, Cell SurfaceBiomarkersIL1RL1 protein, humanInterleukin-1 Receptor-Like 1 ProteinReceptors, Cell SurfaceDilated cardiomyopathyEtiologyHemodynamicsPrognosisST2

Identifiers

PMID25464491
OpenAlexW1993325965

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.