Evidence map›Paper›PMID 30225990›Full record

Observational studyClinical cardiology2018

Sex-related differences in left ventricular diastolic function and arterial elastance during admission in patients with heart failure with preserved ejection fraction: The PURSUIT HFpEF study.

Shiro Hoshida, Tetsuya Watanabe, Yukinori Shinoda, Kuniyasu Ikeoka, Tomoko Minamisaka, Hidetada Fukuoka, Hirooki Inui, Keisuke Ueno, Shinichiro Suna, Daisaku Nakatani and 6 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Clinical cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  16. Sex Differences in Heart Failure With Preserved Ejection Fraction.Journal of the American Heart Association · 2021
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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

16 authors.

Shiro HoshidaDepartment of Cardiovascular Medicine, Yao Municipal Hospital, Osaka, Japan.ORCID https://orcid.org/0000-0002-0268-9417
Tetsuya WatanabeDepartment of Cardiovascular Medicine, Yao Municipal Hospital, Osaka, Japan.
Yukinori ShinodaDepartment of Cardiovascular Medicine, Yao Municipal Hospital, Osaka, Japan.
Kuniyasu IkeokaDepartment of Cardiovascular Medicine, Yao Municipal Hospital, Osaka, Japan.
Tomoko MinamisakaDepartment of Cardiovascular Medicine, Yao Municipal Hospital, Osaka, Japan.
Hidetada FukuokaDepartment of Cardiovascular Medicine, Yao Municipal Hospital, Osaka, Japan.
Hirooki InuiDepartment of Cardiovascular Medicine, Yao Municipal Hospital, Osaka, Japan.
Keisuke UenoDepartment of Cardiovascular Medicine, Yao Municipal Hospital, Osaka, Japan.
Shinichiro SunaDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Daisaku NakataniDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Shungo HikosoDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Takahisa YamadaDivision of Cardiology, Osaka General Medical Center, Osaka, Japan.
Yoshio YasumuraDepartment of Cardiology, Amagasaki Chuo Hospital, Hyogo, Japan.
Hisakazu FujiCardiovascular Division, Kobe Ekisaikai Hospital, Hyogo, Japan.
Yasushi SakataDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
PURSUIT HFpEF Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe previously reported that an index of afterload-related left ventricular diastolic function, operant diastolic elastance (Ed)/effective arterial elastance (Ea) = E/e'/(0.9 × systolic blood pressure), was significantly higher in elderly hypertensive women. We aimed to determine sex-related differences in the E/e'-related indices for left ventricular diastolic function and their related factors during admission in patients with heart failure with preserved ejection fraction (HFpEF). HYPOTHESIS: Elderly HFpEF women exhibit severe left ventricular diastolic dysfunction associated with different left atrioventricular volume ratio.

methodsWe divided 267 patients with HFpEF (men/women, 116/151) into two groups by age (≥75 years, n = 212; <75 years, n = 55). We examined the alterations of E/e', E/e'/stroke volume index = Ed, and Ed/Ea, and cardiac structure during admission.

resultsEd and Ea were significantly higher in women than in men, at admission, especially in patients ≥75 years. Before discharge, not only Ed and Ea but also Ed/Ea was significantly higher in women than in men, especially in patients ≥75 years. Elderly female patients had larger left atrial than left ventricular volume.

conclusionsHigher afterload-related left ventricular diastolic elastance, Ed/Ea, in association with higher arterial elastance, Ea, accompanied by left atrioventricular volume mismatch was observed in elderly HFpEF women.

Indexed as

Patient AdmissionAgedAged, 80 and overArteriesBlood PressureDiastoleEchocardiography, DopplerFemaleHeart FailureHeart VentriclesHumansIncidenceJapanMaleProspective StudiesSex Factorsarterial elastancediastolic functionelderlyleft cardiac volumesex

Identifiers

PMID30225990
PMCPMC6490063

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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.