Evidence map›Paper›PMID 26609532›Full record

Observational studyBioMed research international2015

Endogenous Ouabain: An Old Cardiotonic Steroid as a New Biomarker of Heart Failure and a Predictor of Mortality after Cardiac Surgery.

Marco Simonini, Simona Pozzoli, Elena Bignami, Nunzia Casamassima, Elisabetta Messaggio, Chiara Lanzani, Elena Frati, Irene Maria Botticelli, Francesco Rotatori, Ottavio Alfieri and 2 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

17 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
  2. Review
  3. Sensational site: the sodium pump ouabain-binding site and its ligands.American journal of physiology. Cell physiology · 2024
    Review
  4. The NaFrontiers in endocrinology · 2023
    Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. How does pressure overload cause cardiac hypertrophy and dysfunction? High-ouabain affinity cardiac NaAmerican journal of physiology. Heart and circulatory physiology · 2017
    Review
  15. Article
  16. Endogenous Ouabain: Recent Advances and Controversies.Hypertension (Dallas, Tex. : 1979) · 2016
    Review
  17. Review
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

12 authors at 2 institutions in 2 countries.

Marco SimoniniGenomics of Renal Diseases and Hypertension Department, "Vita-Salute" San Raffaele University, Chair of Nephrology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Simona PozzoliGenomics of Renal Diseases and Hypertension Department, "Vita-Salute" San Raffaele University, Chair of Nephrology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Elena BignamiAnesthesia and Intensive Care Department, "Vita-Salute" San Raffaele University, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Nunzia CasamassimaGenomics of Renal Diseases and Hypertension Department, "Vita-Salute" San Raffaele University, Chair of Nephrology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Elisabetta MessaggioGenomics of Renal Diseases and Hypertension Department, "Vita-Salute" San Raffaele University, Chair of Nephrology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Chiara LanzaniGenomics of Renal Diseases and Hypertension Department, "Vita-Salute" San Raffaele University, Chair of Nephrology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Elena FratiAnesthesia and Intensive Care Department, "Vita-Salute" San Raffaele University, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Irene Maria BotticelliGenomics of Renal Diseases and Hypertension Department, "Vita-Salute" San Raffaele University, Chair of Nephrology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Francesco RotatoriSUNY Downstate Medical Center, State University of New York, Brooklyn, NY 11203, USA.
Ottavio AlfieriCardiac Surgery Department, "Vita-Salute" San Raffaele University, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Alberto ZangrilloAnesthesia and Intensive Care Department, "Vita-Salute" San Raffaele University, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Paolo ManuntaGenomics of Renal Diseases and Hypertension Department, "Vita-Salute" San Raffaele University, Chair of Nephrology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Vita-Salute San Raffaele University · ITState University of New York · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular diseases remain the main cause of mortality and morbidity worldwide; primary prevention is a priority for physicians. Biomarkers are useful tools able to identify high-risk individuals, guide treatments, and determine prognosis. Our aim is to investigate Endogenous Ouabain (EO), an adrenal stress hormone with hemodynamic effects, as a valuable biomarker of heart failure. In a population of 845 patients undergoing elective cardiac surgery, we have investigated the relationships between EO and echocardiography parameters/plasmatic biomarker of cardiac function. EO was found to be correlated negatively with left ventricular EF (p = 0.001), positively with Cardiac End-Diastolic Diameter (p = 0.047), and positively with plasmatic NT-proBNP level (p = 0.02). Moreover, a different plasmatic EO level (both preoperative and postoperative) was found according to NYHA class (p = 0.013). All these results have been replicated on an independent cohort of patients (147 subjects from US). Finally, a higher EO level in the immediate postoperative time was indicative of a more severe cardiological condition and it was associated with increased perioperative mortality risk (p = 0.023 for 30-day morality). Our data suggest that preoperative and postoperative plasmatic EO level identifies patients with a more severe cardiovascular presentation at baseline. These patients have a higher risk of morbidity and mortality after cardiac surgery.

Indexed as

BiomarkersCardiac Surgical ProceduresCardiotonic AgentsEchocardiographyFemaleHeart FailureHumansMaleMiddle AgedOuabainPostoperative PeriodPrognosisProspective StudiesRisk AssessmentSteroidsBiomarkersCardiotonic AgentsOuabainSteroids

Identifiers

PMID26609532
PMCPMC4644558
OpenAlexW1869450225

What OpenQuestion holds

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LicenceCC BY
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.