Evidence map›Paper›PMID 32761450›Full record

SynthesisClinical autonomic research : official journal of the Clinical Autonomic Research Society2020

Efficacy and safety of catheter-based renal denervation for heart failure with reduced ejection fraction: a systematic review and meta-analysis.

Zheng Lian, Shi-Ran Yu, Jun-Xian Song, Chong-Yoo Lee, Su-Fang Li, Yu-Xia Cui, Li-Na Su, Hong Chen

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical autonomic research : official journal of the Clinical Autonomic Research Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Renal denervation: basic and clinical evidence.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Review
  6. Ablating the renal nerves to treat heart failure with reduced ejection fraction: another treatment option in a crowded space?Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Zheng LianDepartment of Cardiology, Peking University People's Hospital, Xizhimen South Road No. 11, Xicheng District, Beijing, 100044, China.
Shi-Ran YuDepartment of Cardiology, Peking University People's Hospital, Xizhimen South Road No. 11, Xicheng District, Beijing, 100044, China.
Jun-Xian SongDepartment of Cardiology, Peking University People's Hospital, Xizhimen South Road No. 11, Xicheng District, Beijing, 100044, China.
Chong-Yoo LeeDepartment of Cardiology, Peking University People's Hospital, Xizhimen South Road No. 11, Xicheng District, Beijing, 100044, China.
Su-Fang LiDepartment of Cardiology, Peking University People's Hospital, Xizhimen South Road No. 11, Xicheng District, Beijing, 100044, China.
Yu-Xia CuiDepartment of Cardiology, Peking University People's Hospital, Xizhimen South Road No. 11, Xicheng District, Beijing, 100044, China.
Li-Na SuDepartment of Cardiology, Peking University People's Hospital, Xizhimen South Road No. 11, Xicheng District, Beijing, 100044, China.
Hong ChenDepartment of Cardiology, Peking University People's Hospital, Xizhimen South Road No. 11, Xicheng District, Beijing, 100044, China. chenhongbj@medmail.com.cn.
Peking University · CNPeking University People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo perform a comprehensive meta-analysis of all available evidence on the efficacy and safety of catheter-based renal denervation for heart failure with reduced ejection fraction.

methodsWe searched English and Chinese databases and calculated the weighted mean difference or standardized mean difference and 95% confidence intervals to estimate the efficacy and safety of renal denervation for heart failure. All relevant studies were screened and a meta-analysis was conducted using Review Manager 5.4.

resultsA total of 11 studies were identified for the meta-analysis. For the primary outcomes, the results showed that renal denervation significantly improved ejection fraction (weighted mean difference 6.42), left ventricular end-systolic diameter (weighted mean difference -3.95), left ventricular end-diastolic diameter (weighted mean difference -4.17) and left atrial diameter (weighted mean difference -4.09). For the secondary outcomes, renal denervation reduced the B-type natriuretic peptide level, heart rate, systolic blood pressure and diastolic blood pressure. However, further analysis revealed that renal denervation improved heart function but did not further reduce the heart rate and blood pressure compared with the control group.

conclusionTreatment with renal denervation can significantly improve heart function and structure in patients with heart failure. In addition, the level of B-type natriuretic peptide can be reduced after renal denervation treatment. Renal denervation did not further reduce heart rate and blood pressure compared with the control group. Therefore, the treatment of heart failure with renal denervation is effective and safe.

Indexed as

Heart FailureSympathectomyBlood PressureCathetersHumansKidneyAutonomicHeart failureMetaRDNRenal denervation

Identifiers

PMID32761450
OpenAlexW3036232226

What OpenQuestion holds

Textmetadata
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.