Evidence map›Paper›PMID 28862949›Full record

ArticleJournal of the American Heart Association2017

High Perforin-Positive Cardiac Cell Infiltration and Male Sex Predict Adverse Long-Term Mortality in Patients With Inflammatory Cardiomyopathy.

Felicitas Escher, Uwe Kühl, Dirk Lassner, Andrea Stroux, Ulrich Gross, Dirk Westermann, Burkert Pieske, Wolfgang Poller, Heinz-Peter Schultheiss

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 26% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Etiologies and predictors of mortality in an all-comer population of patients with non-ischemic heart failure.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Article
  4. Review
  5. Blocking activation of CD4Clinical immunology (Orlando, Fla.) · 2023
    Article
  6. Review
  7. Article
  8. Cpxm2 as a novel candidate for cardiac hypertrophy and failure in hypertension.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. 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

9 authors at 5 institutions in 1 country.

Felicitas EscherInstitute for Cardiac Diagnostics and Therapy (IKDT), Berlin, Germany felicitas.escher@charite.de.
Uwe KühlInstitute for Cardiac Diagnostics and Therapy (IKDT), Berlin, Germany.
Dirk LassnerInstitute for Cardiac Diagnostics and Therapy (IKDT), Berlin, Germany.
Andrea StrouxInstitute for Biometry and Clinical Epidemiology, Charité--Universitätsmedizin Berlin, Berlin, Germany.
Ulrich GrossInstitute for Cardiac Diagnostics and Therapy (IKDT), Berlin, Germany.
Dirk WestermannUniversity Heart Center Hamburg, Hamburg, Germany.
Burkert PieskeDepartment of Cardiology, Charité, CVK--Universitätsmedizin Berlin, Berlin, Germany.
Wolfgang PollerDepartment of Cardiology, Charité, CBF--Universitätsmedizin Berlin, Berlin, Germany.
Heinz-Peter SchultheissInstitute for Cardiac Diagnostics and Therapy (IKDT), Berlin, Germany.
CS Diagnostics · DECharité - Universitätsmedizin Berlin · DEGerman Centre for Cardiovascular Research · DEUniversity Medical Center Hamburg-Eppendorf · DEZimmer Biomet (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe authors analyzed the effects of perforin-dependent infiltration on long-term mortality in patients with inflammatory cardiomyopathy (CMi). We previously demonstrated that left ventricular function deteriorates and progresses to substantial cardiac dysfunction in patients with perforin-positive cardiac cell infiltration. METHODS AND

resultsBetween 2003 and 2013, 2389 consecutive patients with clinically suspected CMi who underwent endomyocardial biopsies were enrolled. Endomyocardial biopsies were performed at first admission after exclusion of ischemic or valvular heart disease, and CMi was confirmed in 1717 patients. Follow-up was up to 10.1 years (median 0.47 years; interquartile range, 0.03-2.56 years) and information on vital status was obtained from official resident data files. Multivariable statistical analysis was conducted for all patients with CMi regarding significant predictors of all-cause mortality or need for heart transplantation. Multiple Cox regression analysis revealed perforin above the calculated cutoff point of 2.9 cells/mm² as a strong predictor of impaired survival with a hazard ratio of 1.881 (95% confidence interval, 1.177-3.008;

conclusionsHigh perforin-positive cardiac cell infiltration and male sex are independent adverse predictors of long-term mortality in CMi. Furthermore, exact quantification of immunohistochemically detected infiltrates is necessary to assess the prognosis.

Indexed as

Chemotaxis, LeukocyteAdultAgedBiomarkersBiopsyCardiomyopathiesFemaleHumansKaplan-Meier EstimateMaleMiddle AgedMultivariate AnalysisMyocarditisMyocardiumPerforinPrognosisBiomarkersPerforininflammatory cardiomyopathymyocardial inflammationperforinsurvival

Identifiers

PMID28862949
PMCPMC5586411
OpenAlexW2746580249

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.