Evidence map›Paper›PMID 31364028›Full record

ReviewHeart failure reviews2020

Heart failure with preserved ejection fraction: the missing pieces in diagnostic imaging.

Sadi Loai, Hai-Ling Margaret Cheng

2 registry-linked trialsOpen access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Heart failure reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.1field-weighted citation impact, top 20% 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.

NCT04602338 recruitingnot on this map

Multimodality Imaging (Cardiovascular Magnetic Resonance Imaging, Echocardiography, and Nuclear Medicine Imaging) in the Screening, Diagnosis and Risk Stratification of Heart Failure With Preserved Ejection Fraction- a Multicenter Study.

Typeobservational_patient_registrySponsorChinese Academy of Medical Sciences, Fuwai HospitalRan2020 to 2028Enrolled1,000ConditionsHeart Failure, Diastolic, Multicenter Study
NCT04603404 recruitingnot on this map

Multimodality Imaging (Cardiovascular Magnetic Resonance Imaging, Echocardiography, and Nuclear Medicine Imaging) in the Screening, Diagnosis and Risk Stratification of Heart Failure With Preserved Ejection Fraction (HFpEF).

TypeobservationalSponsorChinese Academy of Medical Sciences, Fuwai HospitalRan2019 to 2030Enrolled430ConditionsHeart Failure, Diastolic
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  6. Improved identification of left atrial enlargement in patients with obesity.The international journal of cardiovascular imaging · 2024
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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

2 authors at 1 institution in 2 countries.

Sadi LoaiInstitute of Biomaterials & Biomedical Engineering, University of Toronto, 164 College Street, RS407, Toronto, Ontario, M5S 3G9, Canada.
Hai-Ling Margaret ChengInstitute of Biomaterials & Biomedical Engineering, University of Toronto, 164 College Street, RS407, Toronto, Ontario, M5S 3G9, Canada. hailing.cheng@utoronto.ca.ORCID 0000-0002-0733-9512
University of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure with preserved ejection fraction (HFpEF) is an increasingly prevalent phenotype affecting over half of today's heart failure patients. With no proven therapy and no universally accepted diagnostic guideline, many HFpEF patients continue to be misdiagnosed or underdiagnosed at the early stages until the disease has progressed much further along. It is extremely difficult to diagnose the HFpEF patient, because they have a normal ejection fraction and present with non-specific symptoms such as dyspnea or exercise intolerance. To provide greater specificity, the current diagnostic criteria mandate the presence of diastolic dysfunction, where myocardial relaxation is impaired and ventricular filling pressure is elevated as a result of a hypertrophic and stiff heart. Unfortunately, diastolic dysfunction reflects late-stage structural and functional changes and offers a very narrow window, if at all, for successful intervention. In this article, we review the imaging modalities used in the current diagnostic workflow for assessing HFpEF. We also describe the most up-to-date insight into its pathophysiological basis, which attributes systemic inflammation driven by comorbidities as the initiator of disease. With this extramyocardial perspective, we provide our recommendation on new imaging targets that extend beyond the heart to enable early, accurate diagnosis of HFpEF and allow an opportunity for treating this fatal condition.

Indexed as

Diagnostic ImagingDiastoleHeart FailureHeart VentriclesHumansStroke VolumeVentricular Function, LeftCardiac magnetic resonance imagingDiastolic dysfunctionEchocardiographyHeart failurePreserved ejection fraction

Identifiers

PMID31364028
OpenAlexW2966087042

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.