Evidence map›Paper›PMID 31431116›Full record

Observational studyJournal of the American Heart Association2019

Association of Diabetes Mellitus on Cardiac Remodeling, Quality of Life, and Clinical Outcomes in Heart Failure With Reduced and Preserved Ejection Fraction.

Jonathan Yap, Wan Ting Tay, Tiew-Hwa Katherine Teng, Inder Anand, A Mark Richards, Lieng Hsi Ling, Michael R MacDonald, Chanchal Chandramouli, Jasper Tromp, Bambang B Siswanto and 4 more

Open access · goldAbstract readComparative StudyMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 2% 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

59 citing papers in PubMed, 2 syntheses or guidelines pooled it, 116 citations in OpenAlex.

  1. Pooled it
  2. Cardiovascular magnetic resonance native TJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2020
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Review
  11. Coinfection ofFrontiers in cellular and infection microbiology · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Examining health-related quality of life in ambulatory adult patients with chronic heart failure: insights from Malaysia using EQ-5D-5L.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  16. Article
  17. Review
  18. Article
  19. Observational
  20. Ferroptosis: A New Mechanism in Diabetic Cardiomyopathy.International journal of medical sciences · 2024
    Review
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

14 authors at 8 institutions in 7 countries.

Jonathan YapNational Heart Centre Singapore Singapore.
Wan Ting TayNational Heart Centre Singapore Singapore.
Tiew-Hwa Katherine TengNational Heart Centre Singapore Singapore.
Inder AnandVeterans Affairs Medical Center Minneapolis MN.
A Mark RichardsCardiovascular Research Institute National University Heart Centre Singapore.
Lieng Hsi LingCardiovascular Research Institute National University Heart Centre Singapore.
Michael R MacDonaldChangi General Hospital Singapore.
Chanchal ChandramouliNational Heart Centre Singapore Singapore.
Jasper TrompNational Heart Centre Singapore Singapore.
Bambang B SiswantoNational Cardiovascular Center Universitas Indonesia Jakarta Indonesia.
ASIAN‐HF (Asian Sudden Cardiac Death in Heart Failure) Registry Investigators
Michael ZileDivision of Cardiology Department of Medicine Medical University of South Carolina Charleston SC.
John McMurrayInstitute of Cardiovascular and Medical Sciences University of Glasgow Glasgow United Kingdom.
Carolyn S P LamNational Heart Centre Singapore Singapore.
National Heart Centre Singapore · SGUniversity Medical Center Groningen · NLMedical University of South Carolina · USNational University Heart Centre Singapore · SGChangi General Hospital · SGThe University of Western Australia · AUUniversity of Indonesia · IDVeterans Health Administration · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Diabetes mellitus frequently coexists with heart failure (HF), but few studies have compared the associations between diabetes mellitus and cardiac remodeling, quality of life, and clinical outcomes, according to HF phenotype. Methods and Results We compared echocardiographic parameters, quality of life (assessed by the Kansas City Cardiomyopathy Questionnaire), and outcomes (1-year all-cause mortality, cardiovascular mortality, and HF hospitalization) between HF patients with and without type 2 diabetes mellitus in the prospective ASIAN-HF (Asian Sudden Cardiac Death in Heart Failure) Registry, as well as community-based controls without HF. Adjusted Cox proportional hazards models were used to assess the association of diabetes mellitus with clinical outcomes. Among 5028 patients with HF and reduced ejection fraction (HFrEF; EF <40%) and 1139 patients with HF and preserved EF (HFpEF; EF ≥50%), the prevalences of type 2 diabetes mellitus were 40.2% and 45.0%, respectively (P=0.003). In both HFrEF and HFpEF cohorts, diabetes mellitus (versus no diabetes mellitus) was associated with smaller indexed left ventricular diastolic volumes and higher mitral E/e' ratio. There was a predominance of eccentric hypertrophy in HFrEF and concentric hypertrophy in HFpEF. Patients with diabetes mellitus had lower Kansas City Cardiomyopathy Questionnaire scores in both HFpEF and HFrEF, with more prominent differences in HFpEF (P

Indexed as

Quality of LifeStroke VolumeVentricular Function, LeftVentricular RemodelingAgedAged, 80 and overAsiaCause of DeathDiabetes Mellitus, Type 2Diabetic CardiomyopathiesEchocardiographyFemaleHeart FailureHospitalizationHumansMalediabetes mellitusdiabetic cardiomyopathyechocardiographyheart failurepreserved left ventricular function

Identifiers

PMID31431116
PMCPMC6755825
OpenAlexW2969853813

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.