Evidence map›Paper›PMID 27650781›Full record

Trial reportScientific reports2016

Circulating Fibroblast Growth Factor 21 is Associated with Diastolic Dysfunction in Heart Failure Patients with Preserved Ejection Fraction.

Ruey-Hsing Chou, Po-Hsun Huang, Chien-Yi Hsu, Chun-Chin Chang, Hsin-Bang Leu, Chin-Chou Huang, Jaw-Wen Chen, Shing-Jong Lin

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

54 citing papers in PubMed, 82 citations in OpenAlex.

  1. Article
  2. Review
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  13. The Cardiohepatic Axis in Metabolic Disease: Liver to Heart.JACC. Basic to translational science · 2025
    Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Clinical Insights from Proteomics in Heart Failure.Current heart failure reports · 2025
    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

8 authors at 3 institutions in 1 country.

Ruey-Hsing ChouDivision of Cardiology, Department of Medicine Taipei Veterans General Hospital, Taipei, 11217, Taiwan.
Po-Hsun HuangDivision of Cardiology, Department of Medicine Taipei Veterans General Hospital, Taipei, 11217, Taiwan.
Chien-Yi HsuCardiovascular Research Center, Taipei Veterans General Hospital, Taipei, 11217, Taiwan.
Chun-Chin ChangDivision of Cardiology, Department of Medicine Taipei Veterans General Hospital, Taipei, 11217, Taiwan.
Hsin-Bang LeuDivision of Cardiology, Department of Medicine Taipei Veterans General Hospital, Taipei, 11217, Taiwan.
Chin-Chou HuangDivision of Cardiology, Department of Medicine Taipei Veterans General Hospital, Taipei, 11217, Taiwan.
Jaw-Wen ChenDivision of Cardiology, Department of Medicine Taipei Veterans General Hospital, Taipei, 11217, Taiwan.
Shing-Jong LinDivision of Cardiology, Department of Medicine Taipei Veterans General Hospital, Taipei, 11217, Taiwan.
Taipei Veterans General Hospital · TWNational Yang Ming University Hospital · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fibroblast growth factor 21 (FGF21), a polypeptide ligand promoted glucose homeostasis and lipids metabolism, was recently reported to attenuate cardiac hypertrophy. The aim of this study was to investigate the impact of FGF21 in diastolic heart failure. Subjects admitted for coronary angiogram were screened for heart failure, and those with left ventricular (LV) ejection fraction < 45% were excluded. Diastolic dysfunction was defined as functional abnormalities that exist during LV relaxation and filling by echocardiographic criteria. Plasma levels of FGF21 and N-terminal Pro-Brain Natriuretic Peptide (NT-pro-BNP) were determined. All patients were followed up for 1 year, or till the occurrence of heart failure readmission or death. Totally 95 patients with diastolic dysfunction and 143 controls were enrolled. Circulating FGF21 level was correlated with echocardiographic parameters of diastolic function and LV end-diastolic pressure (LVEDP). In multivariate logistic analysis, FGF21 was significantly associated with diastolic dysfunction, either identified by echocardiographic criteria (odds ratio: 2.97, p = 0.012) or confirmed with LVEDP level (odds ratio: 3.73, p = 0.030). Both plasma FGF21 (log rank p < 0.0001) and NT-pro-BNP levels (log rank p = 0.0057) showed good predictive power to the 1-year adverse cardiac events. This finding suggested FGF21 could be involved in the pathophysiology of diastolic heart failure.

Indexed as

Stroke VolumeAgedAged, 80 and overCoronary AngiographyEchocardiographyFemaleFibroblast Growth FactorsFollow-Up StudiesHeart Failure, DiastolicHumansMaleMiddle AgedNatriuretic Peptide, BrainPeptide Fragmentsfibroblast growth factor 21Fibroblast Growth FactorsNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)

Identifiers

PMID27650781
PMCPMC5030655
OpenAlexW2522393208

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Registered trials

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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.