Evidence map›Paper›PMID 33411091›Full record

ReviewHeart failure reviews2021

Mechanisms underlying the pathophysiology of heart failure with preserved ejection fraction: the tip of the iceberg.

Daniela Miranda-Silva, Tânia Lima, Patrícia Rodrigues, Adelino Leite-Moreira, Inês Falcão-Pires

Abstract readReview
PubMed Publisher
In one paragraph

Review in Heart failure reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Review
  2. Article
  3. A perspective on the future of heart failure research.Journal of molecular and cellular cardiology plus · 2026
    Article
  4. Review
  5. Angiotensin-Converting Enzyme Inhibitory Peptide Derived from UltrafineJournal of agricultural and food chemistry · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Mitochondrial CaInternational journal of molecular sciences · 2022
    Review
  16. Article
  17. Review
  18. Similarities and Differences Between HFmrEF and HFpEF.Frontiers in cardiovascular medicine · 2021
    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

5 authors.

Daniela Miranda-SilvaDepartment of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal. daniela.miranda143@gmail.com.ORCID 0000-0001-8438-3851
Tânia LimaDepartment of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal.
Patrícia RodriguesDepartment of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal.
Adelino Leite-MoreiraDepartment of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal.
Inês Falcão-PiresDepartment of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure with preserved ejection fraction (HFpEF) is a multifaceted syndrome with a complex aetiology often associated with several comorbidities, such as left ventricle pressure overload, diabetes mellitus, obesity, and kidney disease. Its pathophysiology remains obscure mainly due to the complex phenotype induced by all these associated comorbidities and to the scarcity of animal models that adequately mimic HFpEF. Increased oxidative stress, inflammation, and endothelial dysfunction are currently accepted as key players in HFpEF pathophysiology. However, we have just started to unveil HFpEF complexity and the role of calcium handling, energetic metabolism, and mitochondrial function remain to clarify. Indeed, the enlightenment of such cellular and molecular mechanisms represents an opportunity to develop novel therapeutic approaches and thus to improve HFpEF treatment options. In the last decades, the number of research groups dedicated to studying HFpEF has increased, denoting the importance and the magnitude achieved by this syndrome. In the current technological and web world, the amount of information is overwhelming, driving us not only to compile the most relevant information about the theme but also to explore beyond the tip of the iceberg. Thus, this review aims to encompass the most recent knowledge related to HFpEF or HFpEF-associated comorbidities, focusing mainly on myocardial metabolism, oxidative stress, and energetic pathways.

Indexed as

Heart FailureAnimalsCalciumComorbidityHumansOxidative StressStroke VolumeCalciumEnergetic deficitLeft ventricle reverse remodellingMetabolismMitochondriaMyocardial remodellingReactive oxygen species

Identifiers

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.