Evidence map›Paper›PMID 29660848›Full record

Observational studyJournal of veterinary internal medicine2018

International collaborative study to assess cardiovascular risk and evaluate long-term health in cats with preclinical hypertrophic cardiomyopathy and apparently healthy cats: The REVEAL Study.

Philip R Fox, Bruce W Keene, Kenneth Lamb, Karsten A Schober, Valerie Chetboul, Virginia Luis Fuentes, Gerhard Wess, Jessie Rose Payne, Daniel F Hogan, Alison Motsinger-Reif and 48 more

Erratum issuedOpen access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of veterinary internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 98 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 1 pooled it
10.1field-weighted citation impact, top 1% 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

98 citing papers in PubMed, 1 synthesis or guideline pooled it, 147 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Feline comorbidities: cardiovascular and kidney diseases.Journal of feline medicine and surgery · 2026
    Review
  10. Article
  11. Review
  12. Article
  13. Use of pimobendan in cats: a practical evidence-based review.Journal of feline medicine and surgery · 2025
    Review
  14. Feline Peritoneal Effusions-A Poor Prognosis?Animals : an open access journal from MDPI · 2025
    Article
  15. Evidence for chronic inflammation in cats with cardiomyopathies.Journal of feline medicine and surgery · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

58 authors at 20 institutions in 20 countries.

Philip R FoxDepartment of Cardiology and Caspary Research Institute, The Animal Medical Center, New York, New York, U.S.A.ORCID http://orcid.org/0000-0003-4089-0573
Bruce W KeeneDepartment of Clinical Sciences, North Carolina State University, Raleigh, North Carolina, U.S.A.
Kenneth LambLamb Consulting, Minneapolis, Minnesota, U.S.A.
Karsten A SchoberDepartment of Veterinary Clinical Sciences, The Ohio State University, Columbus, Ohio, U.S.A.
Valerie ChetboulAlfort Cardiology Unit, Ecole Nationale Vétérinaire d'Alfort, Maisons-Alfort Cedex, France.
Virginia Luis FuentesDepartment of Veterinary Clinical Sciences and Services, The Royal Veterinary College, Hatfield, Hertfordshire, United Kingdom.
Gerhard WessClinic of Small Animal Medicine, Ludwig-Maximilians University, Munich, Germany.
Jessie Rose PayneDepartment of Veterinary Clinical Sciences and Services, The Royal Veterinary College, Hatfield, Hertfordshire, United Kingdom.
Daniel F HoganDepartment of Veterinary Clinical Sciences, Purdue University, West Lafayette, Indiana, U.S.A.
Alison Motsinger-ReifDepartment of Statistics, North Carolina State University, Raleigh, North Carolina, U.S.A.
Jens HäggströmDepartment of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden.ORCID http://orcid.org/0000-0003-3402-023X
Emilie Trehiou-SechiAlfort Cardiology Unit, Ecole Nationale Vétérinaire d'Alfort, Maisons-Alfort Cedex, France.
Deborah M Fine-FerreiraDepartment of Veterinary Medicine and Surgery, University of Missouri, Columbia, Missouri, U.S.A.
Reid K NakamuraAdvanced Veterinary Care Center, Lawndale, California, U.S.A.
Pamela M LeeDepartment of Cardiology and Caspary Research Institute, The Animal Medical Center, New York, New York, U.S.A.ORCID http://orcid.org/0000-0001-6003-0496
Manreet K SinghWilliam R. Pritchard Veterinary Medical Teaching Hospital, University of California-Davis, Davis, California, U.S.A.
Wendy A WareDepartment of Veterinary Clinical Sciences, Iowa State University, Ames, Iowa, U.S.A.
Jonathan A AbbottDepartment of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg, Virginia, U.S.A.ORCID http://orcid.org/0000-0001-6981-8968
Geoffrey CulshawRoyal (Dick) SVS Hospital for Small Animals, The University of Edinburgh, Roslin, Midlothian, United Kingdom.
Sabine RiesenDepartment for Companion Animals and Horses, University of Veterinary Medicine, Vienna, Austria.
Michele BorgarelliDepartment of Clinical Sciences, Kansas State University, Manhattan, Kansas, U.S.A.
Michael B LesserAdvanced Veterinary Care Center, Lawndale, California, U.S.A.
Nicole Van IsraëlAnimal CardioPulmonary Consultancy, Masta, Stavelot, Belgium.
Etienne CôtéDepartment of Companion Animals, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada.
John E RushDepartment of Clinical Sciences, Tufts University, Cummings School of Veterinary Medicine, North Grafton, Massachusetts, U.S.A.
Barret BulmerTufts Veterinary Emergency Treatment & Specialties, Walpole, Massachusetts, U.S.A.
Roberto A SantilliDepartment of Cardiology, Clinica Veterinaria Malpensa, Varese, Italy.ORCID http://orcid.org/0000-0001-5937-2050
Andrea C VollmarFachtieraerztin fur Kleintiere, Wissen and Bonn, Germany.
Maribeth J BossbalyVeterinary Specialty and Emergency Center, Levittown, Pennsylvania, U.S.A.
Nadine QuickClinic of Small Animal Medicine, Ludwig-Maximilians University, Munich, Germany.
Claudio BussadoriDepartment of Cardiology, Clinica Veterinaria Gran Sasso, Milan, Italy.
Janice M BrightDepartment of Clinical Sciences, Colorado State University, Fort Collins, Colorado, U.S.A.
Amara H EstradaDepartment of Small Animal Clinical Sciences, University of Florida, Gainesville, Florida.
Dan G OhadDepartment of Clinical Sciences, The Koret School of Veterinary Medicine, Rehovot, Israel.
Maria Josefa Fernández-Del PalacioDepartamento de Medicina y Cirugía Animal, Universidad de Murcia, Murcia, Spain.
Jenifer Lunney BrayleyVeterinary Medical Specialists of Houston, Houston, Texas, U.S.A.
Denise S SchwartzDepartment of Internal Medicine, University of São Paulo, São Paulo, Brazil.
Christina M BovéDepartment of Clinical Studies, University of Guelph, Guelph, Ontario, Canada.
Sonya G GordonDepartment of Small Animal Clinical Sciences, Texas A&M University, College Station, Texas, U.S.A.
Seung Woo JungWilliam R. Pritchard Veterinary Medical Teaching Hospital, University of California-Davis, Davis, California, U.S.A.ORCID http://orcid.org/0000-0002-6313-3084
Paola BrambillaDepartment of Veterinary Medicine, University of Milan, Milan, Italy.
N Sydney MoïseDepartment of Clinical Sciences, Cornell University, Ithaca, New York, U.S.A.
Christopher D StauthammerDepartment of Veterinary Clinical Sciences, University of Minnesota, St. Paul, Minnesota, U.S.A.
Rebecca L StepienDepartment of Medical Sciences, University of Wisconsin School of Veterinary Medicine, Madison, Wisconsin, U.S.A.
Cecilia QuintavallaDepartment of Veterinary Sciences, University of Parma, Parma, Italy.
Christophe AmbergerCabinet Vétérinaire et Centre d'Imagerie, Geneva, Switzerland.
Ferenc ManczurDepartment of Internal Medicine, University of Veterinary Medicine, Budapest, Hungary.
Yong-Wei HungCardiospecial Veterinary Hospital, Taipei, Taiwan.
Remo LobettiBryanston Veterinary Hospital, Bryanston, South Africa.
Marie De SwarteUniversity College Dublin Veterinary Hospital, University College Dublin, Dublin, Ireland.
Alice TamboriniUniversity College Dublin Veterinary Hospital, University College Dublin, Dublin, Ireland.ORCID http://orcid.org/0000-0003-3589-203X
Carmel T MooneyUniversity College Dublin Veterinary Hospital, University College Dublin, Dublin, Ireland.
Mark A OyamaDepartment of Clinical Studies, University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A.ORCID http://orcid.org/0000-0002-5218-9226
Andrey KomolovVeterinary Clinic Beliy Klyk, Moscow, Russia.
Yoko FujiiAzabu University, Sagamihara, Kanagawa, Japan.
Romain PariautDepartment of Veterinary Clinical Sciences, Louisiana State University, Baton Rouge, Louisiana, U.S.A.
Masami UechiJasmine Animal Cardiovascular Center, Yokohama, Kanagawa, Japan.
Victoria Yukie Tachika OharaDepartment of Medicine, Surgery and Zootechnics for Small Species, Universidad Nacional Autónoma de México, Mexico City, Mexico.
University College Dublin · IEAdvanced Engineering (Czechia) · CZÉcole Nationale Vétérinaire d'Alfort · FRLudwig-Maximilians-Universität München · DENorth Carolina State University · USRoyal Veterinary College · GBThe Schwarzman Animal Medical Center · USTufts University · USVeterinary Medical Teaching Hospital · USAssociação Brasileira de Oncologia Veterinária · BRAzabu University · JPBelorusneft (Belarus) · BYCardiopulmonary Research Science and Technology Institute · USCentre d'Imagerie BioMedicale · CHColorado State University · USCornell University · USDermatology Specialists · USFondazione Audiologica Varese · ITInstitut für Nachhaltiges Management · DEIowa State University · US

Funding

Collaborative Applied StatisticsZIAES103335 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI MOTSINGER-REIF, ALISON · 2019 to 2025
$9.0M
6 · The paper itself

Abstract

backgroundHypertrophic cardiomyopathy is the most prevalent heart disorder in cats and principal cause of cardiovascular morbidity and mortality. Yet, the impact of preclinical disease is unresolved. HYPOTHESIS/

objectivesObservational study to characterize cardiovascular morbidity and survival in cats with preclinical nonobstructive (HCM) and obstructive (HOCM) hypertrophic cardiomyopathy and in apparently healthy cats (AH). ANIMALS: One thousand seven hundred and thirty client-owned cats (430 preclinical HCM; 578 preclinical HOCM; 722 AH).

methodsRetrospective multicenter, longitudinal, cohort study. Cats from 21 countries were followed through medical record review and owner or referring veterinarian interviews. Data were analyzed to compare long-term outcomes, incidence, and risk for congestive heart failure (CHF), arterial thromboembolism (ATE), and cardiovascular death.

resultsDuring the study period, CHF, ATE, or both occurred in 30.5% and cardiovascular death in 27.9% of 1008 HCM/HOCM cats. Risk assessed at 1, 5, and 10 years after study entry was 7.0%/3.5%, 19.9%/9.7%, and 23.9%/11.3% for CHF/ATE, and 6.7%, 22.8%, and 28.3% for cardiovascular death, respectively. There were no statistically significant differences between HOCM compared with HCM for cardiovascular morbidity or mortality, time from diagnosis to development of morbidity, or cardiovascular survival. Cats that developed cardiovascular morbidity had short survival (mean ± standard deviation, 1.3 ± 1.7 years). Overall, prolonged longevity was recorded in a minority of preclinical HCM/HOCM cats with 10% reaching 9-15 years. CONCLUSIONS AND CLINICAL IMPORTANCE: Preclinical HCM/HOCM is a global health problem of cats that carries substantial risk for CHF, ATE, and cardiovascular death. This finding underscores the need to identify therapies and monitoring strategies that decrease morbidity and mortality.

Indexed as

Age FactorsAnimalsCardiomyopathy, HypertrophicCardiovascular DiseasesCase-Control StudiesCat DiseasesCatsEchocardiographyFemaleIncidenceMaleRetrospective StudiesRisk FactorsSurvival Analysisarterial thromboembolismasymptomaticcongestive heart failureepidemiologyincidenceoutcomesurvival

Identifiers

PMID29660848
PMCPMC5980443
OpenAlexW2799694745

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.