Evidence map›Paper›PMID 29478967›Full record

ArticleJournal of the American Heart Association2018

Clinical Outcomes in Patients With Nonobstructive, Labile, and Obstructive Hypertrophic Cardiomyopathy.

Dai-Yin Lu, Iraklis Pozios, Bereketeab Haileselassie, Ioannis Ventoulis, Hongyun Liu, Lars L Sorensen, Marco Canepa, Susan Phillip, M Roselle Abraham, Theodore P Abraham

Open access · goldAbstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

49 citing papers in PubMed, 112 citations in OpenAlex.

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  13. Myosin inhibitors for treatment of hypertrophic cardiomyopathy.The Cochrane database of systematic reviews · 2025
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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

10 authors at 1 institution in 2 countries.

Dai-Yin LuJohns Hopkins Hypertrophic Cardiomyopathy Center of Excellence, Baltimore, MD.
Iraklis PoziosJohns Hopkins Hypertrophic Cardiomyopathy Center of Excellence, Baltimore, MD.
Bereketeab HaileselassieJohns Hopkins Hypertrophic Cardiomyopathy Center of Excellence, Baltimore, MD.
Ioannis VentoulisJohns Hopkins Hypertrophic Cardiomyopathy Center of Excellence, Baltimore, MD.
Hongyun LiuJohns Hopkins Hypertrophic Cardiomyopathy Center of Excellence, Baltimore, MD.
Lars L SorensenJohns Hopkins Hypertrophic Cardiomyopathy Center of Excellence, Baltimore, MD.
Marco CanepaJohns Hopkins Hypertrophic Cardiomyopathy Center of Excellence, Baltimore, MD.
Susan PhillipJohns Hopkins Hypertrophic Cardiomyopathy Center of Excellence, Baltimore, MD.
M Roselle AbrahamJohns Hopkins Hypertrophic Cardiomyopathy Center of Excellence, Baltimore, MD.
Theodore P AbrahamJohns Hopkins Hypertrophic Cardiomyopathy Center of Excellence, Baltimore, MD theodore.abraham@ucsf.edu.
Johns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertrophic cardiomyopathy (HCM) is a common inherited cardiac disease characterized by varying degrees of left ventricular outflow tract obstruction. In a large cohort, we compare the outcomes among 3 different hemodynamic groups. METHODS AND

resultsWe prospectively enrolled patients fulfilling standard diagnostic criteria for HCM from January 2005 to June 2015. Detailed phenotypic characterization, including peak left ventricular outflow tract pressure gradients at rest and after provocation, was measured by echocardiography. The primary outcome was a composite cardiovascular end point, which included new-onset atrial fibrillation, new sustained ventricular tachycardia/ventricular fibrillation, new or worsening heart failure, and death. The mean follow-up was 3.4±2.8 years. Among the 705 patients with HCM (mean age, 52±15 years; 62% men), 230 with obstructive HCM were older and had a higher body mass index and New York Heart Association class. The 214 patients with nonobstructive HCM were more likely to have a history of sustained ventricular tachycardia/ventricular fibrillation and implantable cardioverter defibrillator implantation. During follow-up, 121 patients experienced a composite cardiovascular end point. Atrial fibrillation occurred most frequently in the obstructive group. Patients with nonobstructive HCM had more frequent sustained ventricular tachycardia/ventricular fibrillation events. In multivariate analysis, obstructive (hazard ratio, 2.80; 95% confidence interval, 1.64-4.80) and nonobstructive (hazard ratio, 1.94; 95% confidence interval, 1.09-3.45) HCM were associated with more adverse events compared with labile HCM.

conclusionsNonobstructive HCM carries notable morbidity, including a higher arrhythmic risk than the other HCM groups. Patients with labile HCM have a relatively benign clinical course. Our data suggest detailed sudden cardiac death risk stratification in nonobstructive HCM and monitoring with less aggressive management in labile HCM.

Indexed as

AdultAgedCardiomyopathy, HypertrophicDeath, Sudden, CardiacDisease ProgressionFemaleHealth StatusHeart FailureHemodynamicsHumansMaleMiddle AgedPrognosisProspective StudiesRegistriesRisk Assessmentclassificationhypertrophic cardiomyopathyoutcome

Identifiers

PMID29478967
PMCPMC5866314
OpenAlexW2791267790

What OpenQuestion holds

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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.