Evidence map›Paper›PMID 32495688›Full record

Observational studyJournal of the American Heart Association2020

Antepartum Aspirin Administration Reduces Activin A and Cardiac Global Longitudinal Strain in Preeclamptic Women.

Heba Naseem, John Dreixler, Ariel Mueller, Avery Tung, Rohin Dhir, Rachna Chibber, Abid Fazal, Joey P Granger, Bhavisha A Bakrania, Victoria deMartelly and 2 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Effect of aspirin on maternal hemodynamics in Chinese women at high risk for preterm pre-eclampsia: longitudinal study.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025
    Article
  2. Review
  3. Metabolic theory of preeclampsia: implications for maternal cardiovascular health.American journal of physiology. Heart and circulatory physiology · 2024
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Observational
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

12 authors at 4 institutions in 2 countries.

Heba NaseemDepartment of Anesthesia and Critical Care University of Chicago IL.
John DreixlerDepartment of Anesthesia and Critical Care University of Chicago IL.
Ariel MuellerDepartment of Anesthesia and Critical Care University of Chicago IL.
Avery TungDepartment of Anesthesia and Critical Care University of Chicago IL.
Rohin DhirDepartment of Anesthesia and Critical Care University of Chicago IL.
Rachna ChibberDepartment of Obstetrics and Gynecology Health Sciences Center Kuwait University Kuwait.
Abid FazalDepartment of Anesthesia and Critical Care University of Chicago IL.
Joey P GrangerDepartment of Physiology and Biophysics University of Mississippi Medical Center Jackson MS.
Bhavisha A BakraniaDepartment of Physiology and Biophysics University of Mississippi Medical Center Jackson MS.
Victoria deMartellyDepartment of Obstetrics and Gynecology University of Chicago IL.
Sarosh RanaDepartment of Obstetrics and Gynecology University of Chicago IL.
Sajid ShahulDepartment of Anesthesia and Critical Care University of Chicago IL.
University of Chicago · USJackson Memorial Hospital · USHarvard University · USKuwait University · KW

Funding

Role of obesity in preeclamptic pregnancy.P20GM121334 · NIGMS · UNIVERSITY OF MISSISSIPPI MED CTR · PI Pier Paolo Claudio, Babbette LaMarca · 2017 to 2026
$26.4M
Siglec 9 for the diagnosis of ARDSR21HL148488 · NHLBI · UNIVERSITY OF CHICAGO · PI SHAHUL, SAJID · 2019 to 2020
$243k
NHLBI NIH HHS R21 HL148488NIGMS NIH HHS P20 GM121334
6 · The paper itself

Abstract

Background Approximately 60% of women have Stage B heart failure 1 year after a preeclamptic delivery. Emerging evidence suggests that the profibrotic growth factor activin A, which has been shown to induce cardiac fibrosis and hypertrophy, is elevated in preeclampsia and may be inhibited by aspirin therapy. We hypothesized that preeclamptic women receiving aspirin would have lower activin A levels and reduced global longitudinal strain (GLS), a sensitive measure of cardiac dysfunction, than women who do not receive aspirin. To test our hypothesis, we performed a cohort study of women with preeclampsia or superimposed preeclampsia and compared activin A levels and GLS in parturients who did or did not receive aspirin. Methods and Results Ninety-two parturients were enrolled, of whom 25 (27%) received aspirin (81 mg/day) therapy. GLS, plasma activin A, and follistatin, which inactivates activin A, were measured. Women receiving aspirin therapy had lower median (interquartile range) levels of activin A (8.17 [3.70, 10.36] versus 12.77 [8.37, 31.25] ng/mL;

Indexed as

Prenatal CareActivinsAdultAspirinBiomarkersDown-RegulationDrug Administration ScheduleFemaleFollistatinFollistatin-Related ProteinsHumansPre-EclampsiaPregnancyProspective StudiesTime FactorsTreatment Outcomeactivin AActivinsAspirinBiomarkersFollistatinFollistatin-Related ProteinsFstl3 protein, humanFST protein, humanactivin Aaspirincardiac dysfunctionglobal longitudinal strainpregnancy

Identifiers

PMID32495688
PMCPMC7429043
OpenAlexW3031799105

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.