Evidence map›Paper›PMID 32618142›Full record

ArticleESC heart failure2020

Elevated plasma phenylalanine predicts mortality in critical patients with heart failure.

Wei-Siang Chen, Chao-Hung Wang, Chi-Wen Cheng, Ming-Hui Liu, Chien-Ming Chu, Huang-Ping Wu, Pao-Chin Huang, Yi-Tsen Lin, Ta Ko, Wen-Hsin Chen and 3 more

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 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

40 citing papers in PubMed, 57 citations in OpenAlex.

  1. Article
  2. Role of Gut Microbiota in Diabetic HFpEF: Mechanisms and Therapeutic Implications.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026
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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

13 authors at 4 institutions in 1 country.

Wei-Siang ChenIntensive Care Unit, Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan.
Chao-Hung WangHeart Failure Research Center, Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, 222 Mai Chin Road, Keelung, Taoyuan, Taiwan.ORCID 0000-0001-5468-4354
Chi-Wen ChengHeart Failure Research Center, Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, 222 Mai Chin Road, Keelung, Taoyuan, Taiwan.
Ming-Hui LiuHeart Failure Research Center, Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, 222 Mai Chin Road, Keelung, Taoyuan, Taiwan.
Chien-Ming ChuDivision of Pulmonary, Critical Care and Sleep Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan.
Huang-Ping WuDivision of Pulmonary, Critical Care and Sleep Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan.
Pao-Chin HuangNutrition Department, Chang Gung Memorial Hospital, Keelung, Taiwan.
Yi-Tsen LinNutrition Department, Chang Gung Memorial Hospital, Keelung, Taiwan.
Ta KoIntensive Care Unit, Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan.
Wen-Hsin ChenIntensive Care Unit, Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan.
Huei-Jen WangDepartment of Nursing, Chang Gung Memorial Hospital, Keelung, Taiwan.
Shu-Chiu LeeDepartment of Nursing, Chang Gung Memorial Hospital, Keelung, Taiwan.
Chung-Yu LiangIntensive Care Unit, Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan.
Chang Gung University · TWKeelung Chang Gung Memorial Hospital · TWChang Gung Memorial Hospital · TWChing Kuo Institute of Management and Health · TW

Funding

Chang Gung Memorial Hospital 2G0601Chang Gung Memorial Hospital 2G0621Chang Gung Memorial Hospital 2G0631Chang Gung Memorial Hospital CMRPG2G0591Ministry of Science and Technology of Taiwan MOST107-2314-B-182-071-MY2
6 · The paper itself

Abstract

aimsPrevious studies found a relationship between elevated phenylalanine levels and poor cardiovascular outcomes. Potential strategies are available to manipulate phenylalanine metabolism. This study investigated whether increased phenylalanine predicted mortality in critical patients with either acute heart failure (HF) or acute on chronic HF, and its correlation with inflammation and immune cytokines. METHODS AND

resultsThis study recruited 152 subjects, including 115 patients with HF admitted for critical conditions and 37 normal controls. We measured left ventricular ejection fraction (LVEF), plasma concentrations of phenylalanine, C-reactive protein, albumin, pre-albumin, transferrin, and pro-inflammatory and immune cytokines. Acute Physiology and Chronic Health Evaluation (APACHE II), Sequential Organ Failure Assessment (SOFA), and maximal vasoactive-inotropic scores (VIS

conclusionsElevated phenylalanine levels predicted mortality in critical patients, phenotypically predominantly presenting with HF, independently of traditional prognostic factors and cytokines associated with inflammation and immunity.

Indexed as

Heart FailurePhenylalanineHumansPrognosisRetrospective StudiesStroke VolumeVentricular Function, LeftPhenylalanineBiomarkersHeart failurePhenylalaninePrognosis

Identifiers

PMID32618142
PMCPMC7524095
OpenAlexW3039907757

What OpenQuestion holds

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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.