Evidence map›Paper›PMID 28444995›Full record

Trial reportClinical cardiology2017

Peripheral artery disease and risk of adverse outcomes in heart failure with preserved ejection fraction.

Pratik B Sandesara, Muhammad Hammadah, Ayman Samman-Tahhan, Heval M Kelli, Wesley T O'Neal

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
1.2field-weighted citation impact, top 21% 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, 4 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. A cardiovascular-motor axis framework for perfusion-mediated motor impairment.International journal of cardiology. Heart & vasculature · 2026
    Review
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Review
  13. Impact of Modified HCirculation reports · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Interpretable Machine Learning Approach for Predicting 30-Day Mortality of Critical Ill Patients with Pulmonary Embolism and Heart Failure: A Retrospective Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

5 authors at 1 institution in 1 country.

Pratik B SandesaraDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia.
Muhammad HammadahDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia.
Ayman Samman-TahhanDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia.
Heval M KelliDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia.
Wesley T O'NealDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia.
Emory University · US

Funding

The Association between Acute Mental Stress and Electrocardiographic Left Atrial AbnormalitiesF32HL134290 · NHLBI · EMORY UNIVERSITY · PI O'NEAL, WESLEY T · 2016 to 2017
$122k
NHLBI NIH HHS F32 HL134290
6 · The paper itself

Abstract

backgroundPeripheral artery disease (PAD) in heart failure with preserved ejection fraction (HFpEF) is associated with an increased mortality risk, but the risk of individual outcomes associated with PAD in this patient group is less clear. HYPOTHESIS: PAD is associated with adverse outcomes in HFpEF, including hospitalization and specific cardiovascular outcomes.

methodsWe examined the association between PAD and adverse outcomes in 3385 patients with HFpEF (mean age, 69 ± 9.6 years; 49% male; 89% white) from the Treatment of Preserved Cardiac Function Heart Failure With an Aldosterone Antagonist Trial (TOPCAT). Baseline PAD was identified by self-reported history and medical-record review. The following outcomes were adjudicated by a clinical endpoint committee: hospitalization, hospitalization for heart failure (HF), myocardial infarction, stroke, death, and cardiovascular death.

resultsOver a median follow-up of 3.4 years (interquartile range, 2.0-4.9 years), an increased risk for hospitalization (hazard ratio [HR]: 1.36, 95% confidence interval [CI]: 1.16-1.60), myocardial infarction (HR: 1.69, 95% CI: 1.07-2.67), death (HR: 1.56, 95% CI: 1.22-1.99), and cardiovascular death (HR: 1.53, 95% CI: 1.12-2.10) was observed for those with PAD compared with those without PAD. PAD was not associated with incident stroke. The association between PAD and hospitalization for HF was limited to participants with prior history of HF hospitalization (n = 2449; HR: 1.51, 95% CI: 1.09-2.13).

conclusionsPAD increases the risk for adverse outcomes in HFpEF and is associated with HF rehospitalization. Practitioners should be aware of the inherent risk associated with PAD in HFpEF.

Indexed as

Stroke VolumeVentricular Function, LeftAgedCause of DeathFemaleHeart FailureHumansKaplan-Meier EstimateMaleMiddle AgedMineralocorticoid Receptor AntagonistsMyocardial InfarctionPatient ReadmissionPeripheral Arterial DiseaseProportional Hazards ModelsRisk AssessmentMineralocorticoid Receptor AntagonistsSpironolactoneHeart FailurePeripheral Artery DiseasePreserved Ejection Fraction

Identifiers

PMID28444995
PMCPMC5610588
OpenAlexW2608233918

What OpenQuestion holds

Textmetadata
LicenceTDM
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.