Evidence map›Paper›PMID 30202782›Full record

ArticleInternational journal of cardiology. Heart & vasculature2018

Is heart failure with mid range ejection fraction (HFmrEF) a distinct clinical entity or an overlap group?

Jessica Webb, Jane Draper, Lauren Fovargue, Ben Sieniewicz, Justin Gould, Simon Claridge, Carys Barton, Silapiya Smith, Kristin Tondel, Ronak Rajani and 5 more

Abstract read
In one paragraph

Article in International journal of cardiology. Heart & vasculature, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Strategies for management of heart failure with preserved ejection fraction.International journal of cardiology. Heart & vasculature · 2019
    Article
  9. Observational
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

15 authors.

Jessica WebbDepartment of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, SE1 7EH, United Kingdom.
Jane DraperDepartment of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, SE1 7EH, United Kingdom.
Lauren FovargueDivision of Imaging Sciences and Biomedical Engineering, King's College London, SE1 7EH, United Kingdom.
Ben SieniewiczDepartment of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, SE1 7EH, United Kingdom.
Justin GouldDepartment of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, SE1 7EH, United Kingdom.
Simon ClaridgeDepartment of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, SE1 7EH, United Kingdom.
Carys BartonDepartment of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, SE1 7EH, United Kingdom.
Silapiya SmithDepartment of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, SE1 7EH, United Kingdom.
Kristin TondelDivision for Methods, Data Collection and Methods, Statistics Norway, Oslo, Norway.
Ronak RajaniDepartment of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, SE1 7EH, United Kingdom.
Stamatis KapetanakisDepartment of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, SE1 7EH, United Kingdom.
Christopher A RinaldiDepartment of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, SE1 7EH, United Kingdom.
Theresa A McDonaghDivision of Imaging Sciences and Biomedical Engineering, King's College London, SE1 7EH, United Kingdom.
Reza RazaviDepartment of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, SE1 7EH, United Kingdom.
Gerald Carr-WhiteDepartment of Cardiology, Guy's and St Thomas' NHS Foundation Trust, London, SE1 7EH, United Kingdom.

Funding

British Heart Foundation PG/16/108/32593
6 · The paper itself

Abstract

backgroundThe new category of heart failure (HF), Heart Failure with mid range Ejection Fraction (HFmrEF) has recently been proposed with recent publications reporting that HFmrEF represents a transitional phase. The aim of this study was to determine the prevalence and clinical characteristics of patients with HFmrEF and to establish what proportion of patients transitioned to other types of HF, and how this affected clinical outcomes. METHODS AND

resultsPatients were diagnosed with HF according to the 2016 ESC guidelines. Clinical outcomes and variables were recorded for all consecutive in-patients referred to the heart failure service. In total, 677 patients with new HF were identified; 25.6% with HFpEF, 21% with HFmrEF and 53.5% with HFrEF. While clinical characteristics and prognostic factors of HFmrEF were intermediate between HFrEF and HFpEF, HFmrEF patients had the best outcome, with higher mortality in the HFrEF population (p 0.02) and higher HF rehospitalisation rates in the HFpEF population (

conclusionHFmrEF patients had the best outcomes, compared to high rates of mortality seen in patients with HFrEF and high rates of HF readmissions seen in patients with HFpEF. Only 1/3 of HFmrEF patients transitioned during follow up, with the lowest mortality seen in patients transitioning to HFpEF.

Indexed as

HFmrEF, Heart Failure with mid range Ejection FractionHFpEF, Heart Failure with preserved Ejection FractionHFrEF, Heart Failure with reduced Ejection FractionNTproBNP, N terminal pro-B-type natriuretic peptideTransition

Identifiers

PMID30202782
PMCPMC6128173

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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.