Evidence map›Paper›PMID 28228942›Full record

ArticleJRSM cardiovascular disease

Effects of renal denervation on vascular remodelling in patients with heart failure and preserved ejection fraction: A randomised control trial.

Hitesh C Patel, Carl Hayward, Jennifer Keegan, Peter D Gatehouse, Ronak Rajani, Rajdeep S Khattar, Raad H Mohiaddin, Stuart D Rosen, Alexander R Lyon, Carlo di Mario

Open access · hybridAbstract read
In one paragraph

Article in JRSM cardiovascular disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Reconsidering Renal Sympathetic Denervation for Heart Failure.JACC. Basic to translational science · 2017
    Article
  6. 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

10 authors at 5 institutions in 1 country.

Hitesh C PatelCardiovascular Biomedical Research Unit, Royal Brompton Hospital and Imperial College, London, UK.
Carl HaywardCardiovascular Biomedical Research Unit, Royal Brompton Hospital and Imperial College, London, UK.
Jennifer KeeganDepartment of Cardiac MRI, Royal Brompton Hospital, London, UK.
Peter D GatehouseDepartment of Cardiac MRI, Royal Brompton Hospital, London, UK.
Ronak RajaniDepartment of Cardiology, St Thomas' Hospital, London, UK.
Rajdeep S KhattarDepartment of Non-Invasive Cardiology, Royal Brompton Hospital, London, UK.
Raad H MohiaddinCardiovascular Biomedical Research Unit, Royal Brompton Hospital and Imperial College, London, UK.
Stuart D RosenCardiovascular Biomedical Research Unit, Royal Brompton Hospital and Imperial College, London, UK; Department of Cardiology, Ealing Hospital, Southall, UK.
Alexander R LyonCardiovascular Biomedical Research Unit, Royal Brompton Hospital and Imperial College, London, UK.
Carlo di MarioCardiovascular Biomedical Research Unit, Royal Brompton Hospital and Imperial College, London, UK.
Royal Brompton Hospital · GBImperial College London · GBNIHR Royal Brompton Cardiovascular Biomedical Research Unit · GBEaling Hospital · GBSt Thomas' Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effect of renal denervation (RDT) on micro- and macro-vascular function in patients with heart failure with preserved ejection fraction (HFpEF).

designA prospective, randomised, open-controlled trial with blinded end-point analysis.

settingA single-centre London teaching hospital.

participantsTwenty-five patients with HFpEF who were recruited into the RDT-PEF trial.

main outcome measuresMacro-vascular: 24-h ambulatory pulse pressure, aorta distensibilty (from cardiac magnetic resonance imaging (CMR), aorta pulse wave velocity (CMR), augmentation index (peripheral tonometry) and renal artery blood flow indices (renal MR). Micro-vascular: endothelial function (peripheral tonometry) and urine microalbuminuria.

resultsAt baseline, 15 patients were normotensive, 9 were hypertensive and 1 was hypotensive. RDT did not lower any of the blood pressure indices. Though there was evidence of abnormal vascular function at rest, RDT did not affect these at 3 or 12 months follow-up.

conclusionsRDT did not improve markers of macro- and micro-vascular function.

Indexed as

endothelial functionheart failure with preserved ejection fractionpulse wave velocityRenal denervationvascular function

Identifiers

PMID28228942
PMCPMC5308435
OpenAlexW2583240955

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.