Evidence map›Paper›PMID 32424988›Full record

ArticleESC heart failure2020

Myeloperoxidase and related biomarkers are suggestive footprints of endothelial microvascular inflammation in HFpEF patients.

Camilla Hage, Erik Michaëlsson, Bengt Kull, Tasso Miliotis, Sara Svedlund, Cecilia Linde, Erwan Donal, Jean-Claude Daubert, Li-Ming Gan, Lars H Lund

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Immunology of heart failure with preserved ejection fraction.Expert review of clinical immunology · 2025
    Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Observational
  7. Review
  8. Article
  9. Vascular (dys)function in the failing heart.Nature reviews. Cardiology · 2025
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Multifaceted roles of neutrophils in cardiac disease.Journal of leukocyte biology · 2025
    Review
  17. Review
  18. Article
  19. Review
  20. The role of NETosis in heart failure.Heart failure reviews · 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

10 authors at 7 institutions in 4 countries.

Camilla HageHeart and Vascular Theme, Heart Failure Section, Karolinska University Hospital, SE-171 76, Stockholm, Sweden.
Erik MichaëlssonResearch and Early Development Cardiovascular Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Bengt KullResearch and Early Development Cardiovascular Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Tasso MiliotisResearch and Early Development Cardiovascular Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Sara SvedlundDepartment of Clinical Physiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Cecilia LindeDepartment of Medicine, Cardiology Unit, Karolinska Institutet, Stockholm, Sweden.
Erwan DonalDépartement de Cardiologie and CIC-IT U 804, Centre Hospitalier Universitaire de Rennes, Rennes, France.
Jean-Claude DaubertDépartement de Cardiologie and CIC-IT U 804, Centre Hospitalier Universitaire de Rennes, Rennes, France.
Li-Ming GanResearch and Early Development Cardiovascular Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Lars H LundHeart and Vascular Theme, Heart Failure Section, Karolinska University Hospital, SE-171 76, Stockholm, Sweden.
AstraZeneca (Germany) · DECentre Hospitalier Universitaire de Rennes · FRKarolinska Institutet · SEAstraZeneca (Sweden) · SEKarolinska University Hospital · SESahlgrenska University Hospital · SEUniversity of Gothenburg · SE

Funding

Center for Gender Medicine, Karolinska Institutet NAFédération Française de Cardiologie/Société Française de CardiologieMedtronic Bakken Research CenterStockholm County Council 00556-2009Stockholm County Council 20110120Swedish Heart Lung Foundation 20080409Swedish Heart Lung Foundation 20100419Swedish Research Council 2013-23897-104604-23
6 · The paper itself

Abstract

aimsIn heart failure (HF) with preserved ejection fraction (HFpEF), microvascular inflammation is proposed as an underlying mechanism. Myeloperoxidase (MPO) is associated with vascular dysfunction and prognosis in congestive HF. METHODS AND

resultsMPO, MPO-related biomarkers, and echocardiography were assessed in 86 patients, 4-8 weeks after presentation with acute HF (EF ≥ 45%), and in 46 healthy controls. Patients were followed up for median 579 days (Q1;Q3 276;1178) regarding the composite endpoint all-cause mortality or HF hospitalization. Patients were 73 years old, 51% were female, EF was 64% (Q1;Q3 58;68), E/e' was ratio 10.8 (8.3;14.0), and left atrial volume index (LAVI) was 43 mL/m

conclusionsIn HFpEF, MPO-dependent oxidative stress reflected by uric acid and calprotectin is increased, and SDMA is associated with diastolic dysfunction and uric acid with outcome. This suggests microvascular neutrophil involvement mirroring endothelial dysfunction, a central component of the HFpEF syndrome and a potential treatment target.

Indexed as

Heart FailurePeroxidaseAgedBiomarkersFemaleHumansInflammationMaleMiddle AgedStroke VolumeBiomarkersPeroxidaseEndothelial dysfunctionHeart failure with preserved ejection fractionMicrovascular inflammationMyeloperoxidasePrognosis

Identifiers

PMID32424988
PMCPMC7373930
OpenAlexW3026492896

What OpenQuestion holds

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LicenceCC BY-NC
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.