Evidence map›Paper›PMID 28834676›Full record

ArticleESC heart failure2015

Prospective study on changes in blood variables in pregnant women at higher risk of peripartum cardiomyopathy.

Takeshi Umazume, Takahiro Yamada, Satoshi Ishikawa, Takashi Yamada, Takahiro Koyama, Itsuko Furuta, Mamoru Morikawa, Satoshi Yamada, Hisanori Minakami

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Takeshi UmazumeDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Takahiro YamadaDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Satoshi IshikawaDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Takashi YamadaDepartment of Obstetrics and Gynecology, Hokkaido JCHO Hospital, Sapporo, Japan.
Takahiro KoyamaDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Itsuko FurutaDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Mamoru MorikawaDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Satoshi YamadaDepartment of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Hisanori MinakamiDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Hokkaido University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsEchocardiography is necessary for the diagnosis of peripartum cardiomyopathy (PPCM). Multifetal pregnancies (MFP) and hypertensive disorders (HD) are prominent risk factors for PPCM. To determine which blood variables exhibit greater change in a late stage of pregnancy in women with MFP and/or HD compared with women with normotensive singleton pregnancies. METHODS AND

resultsSerum levels of six variables-high-sensitive troponin I (hs-TnI), N-terminal fragment of precursor protein brain-type natriuretic peptide (NT-proBNP), myoglobin, creatine kinase-myocardial band, ferritin, and prolactin-were compared between 29 women with MFP (n = 13) and/or HD (n = 18) and 100 women with normotensive singleton pregnancies (control group). None of 129 women developed PPCM. All variables increased significantly peripartum in both groups. In 29 women with MFP and/or HD, the elevated hs-TnI and NT-proBNP levels (median) were significantly higher compared with the control group (5.4 vs. 3.7 pg/mL for hs-TnI with P = 0.002, 185 vs. 68 pg/mL for NT-proBNP with P = 0.007), and the prevalence rate of more than 90th percentile value specific for the 129 women was significantly more frequent for hs-TnI (>12.2 pg/mL; 31% [9/29] vs. 4.0% [4/100], P < 0.001) and tended to be more frequent for NT-proBNP (>342 pg/mL; 21% [6/29] vs. 7.0%, P = 0.072).

conclusionsBoth hs-TnI and NT-proBNP were likely to increase markedly in women with MFP and/or HD. The combination of hs-TnI and NT-proBNP may contribute to better selection of candidates for echocardiography.

Indexed as

Cardiac biomarkersMaternal mortalityPeripartum cardiomyopathyPre-eclampsiaTwin pregnancy

Identifiers

PMID28834676
PMCPMC6410548
OpenAlexW1709848781

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.