Evidence map›Paper›PMID 31696666›Full record

ArticleESC heart failure2019

Combined effects of growth hormone and testosterone replacement treatment in heart failure.

Andrea Salzano, Alberto M Marra, Michele Arcopinto, Roberta D'Assante, Vincenzo Triggiani, Enrico Coscioni, Daniela Pasquali, Giuseppe Rengo, Toru Suzuki, Eduardo Bossone and 1 more

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Article
  3. Observational
  4. Article
  5. Article
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

11 authors at 8 institutions in 3 countries.

Andrea SalzanoIRCCS SDN, Diagnostic and Nuclear Research Institute, Naples, Italy.ORCID 0000-0003-2352-2103
Alberto M MarraIRCCS SDN, Diagnostic and Nuclear Research Institute, Naples, Italy.
Michele ArcopintoDepartment of Translational Medical Sciences, Division of Internal Medicine & Metabolism & Rehabilitation, Federico II University, Naples, Italy.
Roberta D'AssanteDepartment of Translational Medical Sciences, Division of Internal Medicine & Metabolism & Rehabilitation, Federico II University, Naples, Italy.
Vincenzo TriggianiInterdisciplinary Department of Medicine, Section of Internal Medicine, Geriatrics, Endocrinology, and Rare Diseases, University Aldo Moro, Bari, Italy.
Enrico CoscioniDepartment 'Cuore', University Hospital San Giovanni di Dio e Rungi d'Aragona, Salerno, Italy.
Daniela PasqualiDepartment of Neurological, Metabolic, and Geriatric Sciences, Endocrinology Unit, University of Campania Luigi Vanvitelli, Caserta, Italy.
Giuseppe RengoDepartment of Translational Medical Sciences, Division of Internal Medicine & Metabolism & Rehabilitation, Federico II University, Naples, Italy.
Toru SuzukiDepartment of Cardiovascular Sciences and NIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK.
Eduardo BossoneCardiology Division, A Cardarelli Hospital, Naples, Italy.
Antonio CittadiniDepartment of Translational Medical Sciences, Division of Internal Medicine & Metabolism & Rehabilitation, Federico II University, Naples, Italy.
Federico II University Hospital · ITSDN Istituto di Ricerca Diagnostica e Nucleare · ITIstituti Clinici Scientifici Maugeri · ITOspedale Antonio Cardarelli · ITOspedali Riuniti San Giovanni di Dio e Ruggi d'Aragona · ITUniversity of Bari Aldo Moro · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Leicester · GB

Funding

Ricerca Finalizzata Young Researchers GR-2016-02364727
6 · The paper itself

Abstract

aimsAlthough preliminary studies have demonstrated safety and effectiveness of single replacement therapy for growth hormone deficiency or testosterone deficiency in heart failure (HF), no data are available regarding the combined treatment with both GH and T in this setting. Thus, the aim of the present hypothesis generating pilot study was to evaluate the effectiveness and safety of multiple hormonal replacement therapies in chronic HF. METHODS AND

resultsFive stable HF with reduced ejection fraction patients, with a concomitant diagnosis of growth hormone deficiency and testosterone deficiency, on top of guideline-based HF treatment underwent 1 year of GH replacement therapy by subcutaneous injections of somatotropin at a dose of 0.012 mg/kg every second day. After 12 months, a T replacement treatment was added at a dosage of 1000 mg every 3 months. Each patient underwent a complete M-mode, two-dimensional, and Doppler echocardiographic examination, and an incremental symptom-limited cardiopulmonary exercise test on a bicycle ergometer at baseline (BL), after 1 year of GH treatment (V1), and after 1 year of combined GH + T treatments (V2). One-year of GH treatment resulted in a significant improvement in left ventricular ejection fraction (+5.4%, P < 0.01), New York Heart Association functional class (P < 0.05), and peak oxygen consumption (VO

conclusionsOur preliminary data suggest for the first time that combined replacement therapy with GH and T could be considered safe and therapeutic in HF patients with multiple hormone deficiencies, supporting the hypothesis that multiple hormone deficiencies syndrome can be considered as a novel and promising therapeutic target in HF. Further studies with a more robust design and larger population are needed.

Indexed as

Growth HormoneHormone Replacement TherapyTestosteroneAgedHeart FailureHumansMiddle AgedOxygen ConsumptionPilot ProjectsStroke VolumeGrowth HormoneTestosteroneAnabolismGrowth hormoneHeart failureHormonesTestosteroneTreatment

Identifiers

PMID31696666
PMCPMC6989300
OpenAlexW2985456005

What OpenQuestion holds

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LicenceCC BY
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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.