Evidence map›Paper›PMID 27188578›Full record

ReviewNature reviews. Disease primers2016

Calcific aortic stenosis.

Brian R Lindman, Marie-Annick Clavel, Patrick Mathieu, Bernard Iung, Patrizio Lancellotti, Catherine M Otto, Philippe Pibarot

3 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Disease primers, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 474 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
474citing papers in PubMed, 3 pooled it
33.2field-weighted citation impact, top 1% 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.

NCT04521452 phase4unknown statusnot on this mapstarted 2020, after this paper: background citation

An Open-label, Randomized Study of Inhibitory Effect of Evogliptin, the Dipeptidyl Peptidase-4 Inhibitor, on the Progression of Aortic Valve Calcification in Patients With Type 2 Diabetes Mellitus and Mild-to-moderate Aortic Stenosis

TypeinterventionalSponsorAsan Medical CenterRan2020 to 2024Enrolled218ConditionsCAVDArmsEvogliptin
NCT04968509 phase3recruitingnot on this mapstarted 2024, after this paper: background citation

A Randomized Trial of PCSK9 Inhibitors in Calcific Aortic Valve Stenosis

TypeinterventionalSponsorBeijing Anzhen HospitalRan2024 to 2028Enrolled160ConditionsAortic StenosisArmsPCSK9 inhibitors and statins with or without ezetimibe, Statins with or without ezetimibe
NCT07256197 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effect and Safety of PCSK9 Inhibitors on the Progression of Mild/Middle Calcific Aortic Stenosis: A Randomized Controlled Clinical Trial

TypeinterventionalSponsorBeijing Anzhen HospitalRan2026 to 2029Enrolled160ConditionsAortic Stenosis, CalcificArmsTreatment with PCSK9 inhibitors, Treatment without PCSK9 inhibitors
3 · Its place in the literature

Who cites it

474 citing papers in PubMed, 3 syntheses or guidelines pooled it, 879 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. medRxiv : the preprint server for health sciences · 2026
    Article
  7. Review
  8. Innovation and Challenges in Materials for Transcatheter Aortic Valves.Journal of cardiovascular translational research · 2026
    Review
  9. Article
  10. Article
  11. Aortic Stenosis Hyalectan Remodeling Revealed by Proteomics and Glycoproteomics.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

414 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

7 authors at 5 institutions in 4 countries.

Brian R LindmanCardiovascular Division, Washington University School of Medicine, St. Louis, Missouri, USA.
Marie-Annick ClavelQuébec Heart and Lung Institute, Department of Medicine, Laval University, 2725 Chemin Sainte-Foy, Québec City, Québec G1V 4G5, Canada.
Patrick MathieuQuébec Heart and Lung Institute, Department of Medicine, Laval University, 2725 Chemin Sainte-Foy, Québec City, Québec G1V 4G5, Canada.
Bernard IungCardiology Department, AP-HP, Bichat Hospital, Paris, France.
Patrizio LancellottiUniversity of Liège Hospital, GIGA Cardiovascular Sciences, Department of Cardiology, Heart Valve Clinic and CHU Sart Tilman, Liège, Belgium.
Catherine M OttoDivision of Cardiology, Department of Medicine, University of Washington School of Medicine, Seattle, USA.
Philippe PibarotQuébec Heart and Lung Institute, Department of Medicine, Laval University, 2725 Chemin Sainte-Foy, Québec City, Québec G1V 4G5, Canada.
Université Laval · CAAssistance Publique – Hôpitaux de Paris · FRUniversity of Liège · BEUniversity of Washington · USWashington University in St. Louis · US

Funding

PDE5 INHIBITION AS ADJUNCTIVE MEDICAL THERAPY IN AORTIC STENOSISK23HL116660 · NHLBI · WASHINGTON UNIVERSITY · PI LINDMAN, BRIAN RICHARD · 2013 to 2015
$450k
NHLBI NIH HHS K23 HL116660
6 · The paper itself

Abstract

Calcific aortic stenosis (AS) is the most prevalent heart valve disorder in developed countries. It is characterized by progressive fibro-calcific remodelling and thickening of the aortic valve leaflets that, over years, evolve to cause severe obstruction to cardiac outflow. In developed countries, AS is the third-most frequent cardiovascular disease after coronary artery disease and systemic arterial hypertension, with a prevalence of 0.4% in the general population and 1.7% in the population >65 years old. Congenital abnormality (bicuspid valve) and older age are powerful risk factors for calcific AS. Metabolic syndrome and an elevated plasma level of lipoprotein(a) have also been associated with increased risk of calcific AS. The pathobiology of calcific AS is complex and involves genetic factors, lipoprotein deposition and oxidation, chronic inflammation, osteoblastic transition of cardiac valve interstitial cells and active leaflet calcification. Although no pharmacotherapy has proved to be effective in reducing the progression of AS, promising therapeutic targets include lipoprotein(a), the renin-angiotensin system, receptor activator of NF-κB ligand (RANKL; also known as TNFSF11) and ectonucleotidases. Currently, aortic valve replacement (AVR) remains the only effective treatment for severe AS. The diagnosis and staging of AS are based on the assessment of stenosis severity and left ventricular systolic function by Doppler echocardiography, and the presence of symptoms. The introduction of transcatheter AVR in the past decade has been a transformative therapeutic innovation for patients at high or prohibitive risk for surgical valve replacement, and this new technology might extend to lower-risk patients in the near future.

Indexed as

Aortic ValveAortic Valve StenosisCalcinosisHeart Valve ProsthesisHeart Valve Prosthesis ImplantationHumansHyperlipidemiasHypertrophy, Left VentricularPrevalenceRheumatic FeverRisk Factors

Identifiers

PMID27188578
PMCPMC5127286
OpenAlexW2326187533

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.