Evidence map›Paper›PMID 28769873›Full record

ReviewFrontiers in endocrinology2017

Targeting Obesity and Diabetes to Treat Heart Failure with Preserved Ejection Fraction.

Raffaele Altara, Mauro Giordano, Einar S Nordén, Alessandro Cataliotti, Mazen Kurdi, Saeed N Bajestani, George W Booz

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Frontiers in endocrinology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
5.2field-weighted citation impact, top 3% 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.

NCT04602338 recruitingnot on this mapstarted 2020, after this paper: background citation

Multimodality Imaging (Cardiovascular Magnetic Resonance Imaging, Echocardiography, and Nuclear Medicine Imaging) in the Screening, Diagnosis and Risk Stratification of Heart Failure With Preserved Ejection Fraction- a Multicenter Study.

Typeobservational_patient_registrySponsorChinese Academy of Medical Sciences, Fuwai HospitalRan2020 to 2028Enrolled1,000ConditionsHeart Failure, Diastolic, Multicenter Study
NCT04603404 recruitingnot on this mapstarted 2019, after this paper: background citation

Multimodality Imaging (Cardiovascular Magnetic Resonance Imaging, Echocardiography, and Nuclear Medicine Imaging) in the Screening, Diagnosis and Risk Stratification of Heart Failure With Preserved Ejection Fraction (HFpEF).

TypeobservationalSponsorChinese Academy of Medical Sciences, Fuwai HospitalRan2019 to 2030Enrolled430ConditionsHeart Failure, Diastolic
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 59 citations in OpenAlex.

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  15. Heart failure in diabetes.Metabolism: clinical and experimental · 2021
    Review
  16. Article
  17. Article
  18. Therapeutic Stalemate in Heart Failure With Preserved Ejection Fraction.Journal of the American Heart Association · 2021
    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

7 authors at 6 institutions in 4 countries.

Raffaele AltaraInstitute for Experimental Medical Research, Oslo University Hospital and University of Oslo, Oslo, Norway.
Mauro GiordanoDepartment of Medical, Surgical, Neurological, Metabolic and Geriatrics Sciences, University of Campania "L. Vanvitelli", Caserta, Italy.
Einar S NordénInstitute for Experimental Medical Research, Oslo University Hospital and University of Oslo, Oslo, Norway.
Alessandro CataliottiInstitute for Experimental Medical Research, Oslo University Hospital and University of Oslo, Oslo, Norway.
Mazen KurdiFaculty of Sciences, Department of Chemistry and Biochemistry, Lebanese University, Hadath, Lebanon.
Saeed N BajestaniDepartment of Pathology, School of Medicine, University of Mississippi Medical Center, Jackson, MS, United States.
George W BoozDepartment of Pharmacology and Toxicology, School of Medicine, University of Mississippi Medical Center, Jackson, MS, United States.
University of Mississippi Medical Center · USInstitutt for Eksperimentell Medisinsk Forskning · NOLebanese University · LBOslo University Hospital · NOUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure with preserved ejection fraction (HFpEF) is a major unmet medical need that is characterized by the presence of multiple cardiovascular and non-cardiovascular comorbidities. Foremost among these comorbidities are obesity and diabetes, which are not only risk factors for the development of HFpEF, but worsen symptoms and outcome. Coronary microvascular inflammation with endothelial dysfunction is a common denominator among HFpEF, obesity, and diabetes that likely explains at least in part the etiology of HFpEF and its synergistic relationship with obesity and diabetes. Thus, pharmacological strategies to supplement nitric oxide and subsequent cyclic guanosine monophosphate (cGMP)-protein kinase G (PKG) signaling may have therapeutic promise. Other potential approaches include exercise and lifestyle modifications, as well as targeting endothelial cell mineralocorticoid receptors, non-coding RNAs, sodium glucose transporter 2 inhibitors, and enhancers of natriuretic peptide protective NO-independent cGMP-initiated and alternative signaling, such as LCZ696 and phosphodiesterase-9 inhibitors. Additionally, understanding the role of adipokines in HFpEF may lead to new treatments. Identifying novel drug targets based on the shared underlying microvascular disease process may improve the quality of life and lifespan of those afflicted with both HFpEF and obesity or diabetes, or even prevent its occurrence.

Indexed as

diastolic dysfunctionendothelial and microvascular dysfunctionheart functionhypertensioninflammationmetabolic disease

Identifiers

PMID28769873
PMCPMC5512012
OpenAlexW2734654741

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.