Evidence map›Paper›PMID 25973737›Full record

ArticleClinical cardiology2015

Increased Transforming Growth Factor-β Levels Associated With Cardiac Adverse Events in Hypertrophic Cardiomyopathy.

Burak Ayça, Irfan Sahin, Suat Hayri Kucuk, Fatih Akin, Didem Kafadar, Murat Avşar, Ilker Ilhan Avci, Barış Gungor, Ertugrul Okuyan, Mustafa Hakan Dinckal

Open access · bronzeAbstract read
In one paragraph

Article in Clinical cardiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. TGF-β1 Is Associated with Left Ventricular Dysfunction.Current issues in molecular biology · 2025
    Article
  5. Obstructive hypertrophic cardiomyopathy: from genetic insights to a multimodal therapeutic approach with mavacamten, aficamten, and beyond.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Circulating Biomarkers in Hypertrophic Cardiomyopathy.Journal of the American Heart Association · 2022
    Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. CaMKII Activity in the Inflammatory Response of Cardiac Diseases.International journal of molecular sciences · 2019
    Review
  17. 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

10 authors at 3 institutions in 1 country.

Burak AyçaDepartment of Cardiology, Bağcılar Education Research Hospital, Bağcılar, Istanbul, Turkey.
Irfan SahinDepartment of Cardiology, Bağcılar Education Research Hospital, Bağcılar, Istanbul, Turkey.
Suat Hayri KucukDepartment of Biochemistry, Bağcılar Education and Research Hospital, Bağcılar, Istanbul, Turkey.
Fatih AkinMedical Faculty, Department of Cardiology, Muğla Sıtkı Kocman University, Muğla, Turkey.
Didem KafadarDepartment of Cardiology, Bağcılar Education Research Hospital, Bağcılar, Istanbul, Turkey.
Murat AvşarDepartment of Cardiology, Bağcılar Education Research Hospital, Bağcılar, Istanbul, Turkey.
Ilker Ilhan AvciDepartment of Cardiology, Bağcılar Education Research Hospital, Bağcılar, Istanbul, Turkey.
Barış GungorDepartment of Cardiology, Siyami Ersek Education and Research Hospital, Istanbul, Turkey.
Ertugrul OkuyanDepartment of Cardiology, Bağcılar Education Research Hospital, Bağcılar, Istanbul, Turkey.
Mustafa Hakan DinckalDepartment of Cardiology, Bağcılar Education Research Hospital, Bağcılar, Istanbul, Turkey.
Bağcılar Eğitim ve Araştırma Hastanesi · TRDr. Siyami Ersek Göğüs Kalp Ve Damar Cerrahisi Eğitim Ve Araştırma Hastanesi · TRMuğla University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertrophic cardiomyopathy (HCM) is a common genetic heart disease characterized by ventricular hypertrophy, myocardial fibrosis, and impaired ventricular relaxation. The exact mechanisms by which fibrosis is caused remain unknown. HYPOTHESIS: Circulating TGF-β is related to poor prognosis in HCM.

methodsWe compared TGF-β levels of 49 HCM patients with those of 40 non-HCM patients. We followed the patients with HCM for 18 months and divided them into 2 groups: low TGF-β (≤ 4877 pg/mL) and high TGF-β (> 4877 pg/mL). We compared the 2 groups in terms of brain natriuretic peptide (BNP), echocardiographic parameters, and clinical outcomes including myocardial infarction, arrhythmias, implantable cardioverter-defibrillator implantation, hospitalization, New York Heart Association (NYHA) class, acute heart failure, and mortality.

resultsThe HCM patients had higher TGF-β levels than those in the control group (P = 0.005). In the follow-up, those in the high TGF-β group had higher BNP levels, larger left-atrial size, thicker interventricular septum, NYHA class, more hospitalizations, and a greater number of clinical adverse events (P < 0.001, P = 0.01, P < 0.001, P = 0.002, P < 0.001 and P = 0.003, respectively). TGF-β level of > 4877 pg/mL can predict adverse events with a specificity of 75% and a sensitivity of 72% (P = 0.014). In multivariate regression analysis, TGF-β, BNP, and interventricular septum thickness were significantly associated with adverse events (P = 0.028, P = 0.030, and P = 0.034, respectively).

conclusionsThe TGF-β level is higher in HCM patients and associated with a poor prognosis in HCM.

Indexed as

AdultCardiomyopathy, HypertrophicEnzyme-Linked Immunosorbent AssayFemaleHospitalizationHumansMaleMiddle AgedNatriuretic Peptide, BrainPrognosisTransforming Growth Factor beta1UltrasonographyYoung AdultNatriuretic Peptide, BrainTransforming Growth Factor beta1

Identifiers

PMID25973737
PMCPMC6711023
OpenAlexW1504272736

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.