Evidence map›Paper›PMID 33816003›Full record

ArticleCureus2021

Pharmacotherapies in Heart Failure With Preserved Ejection Fraction: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Nischit Baral, Swotantra Gautam, Saroj A Yadav, Sangeeta Poudel, Govinda Adhikari, Rohit Rauniyar, Pramod Savarapu, Anjan Katel, Anish C Paudel, Prem R Parajuli

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 52% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Guideline
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 8 institutions in 2 countries.

Nischit BaralInternal Medicine, McLaren Health Care, Flint/Michigan State University, Michigan, USA.
Swotantra GautamGeneral Medicine, B. P. Koirala Institute of Health Sciences, Dharan, NPL.
Saroj A YadavGeneral Medicine, Patan Academy of Health Sciences, Kathmandu, NPL.
Sangeeta PoudelGeneral Medicine, KIST Medical College/Tribhuvan University, Kathmandu, NPL.
Govinda AdhikariInternal Medicine, McLaren Flint/Michigan State University, Flint, USA.
Rohit RauniyarInternal Medicine, McLaren Flint/Michigan State University, Flint, USA.
Pramod SavarapuInternal Medicine, McLaren Flint/Michigan State University, Flint, USA.
Anjan KatelInternal Medicine, Kathmandu University School of Medical Sciences, Dhulikhel, NPL.
Anish C PaudelInternal Medicine, Reading Hospital Tower Health, Reading, USA.
Prem R ParajuliInternal Medicine, Reading Hospital Tower Health, Reading, USA.
Kathmandu University · NPPatan Academy of Health Sciences · NPB.P. Koirala Institute of Health Sciences · NPMcLaren Health Care · USMichigan State University · USReading Hospital · USTribhuvan University · NPTribhuvan University Teaching Hospital · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeart failure (HF) with preserved ejection fraction (HFpEF) causes significant cardiovascular morbidity and mortality. It is a growing problem in the developed world, especially, in the aging population. There is a paucity of data on the treatment of patients with HFpEF. We aimed to identify pharmacotherapies that improve peak oxygen consumption (peak VO

methodsWe conducted a systematic literature search for English studies in PubMed, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, Scopus, and Google scholar. We searched databases using terms relating to or describing HFpEF, stage C HFpEF, and diastolic HF and included only randomized controlled trials (RCTs). RevMan 5.4 (The Cochrane Collaboration, 2020, London, UK) was used for data analysis, and two independent investigators performed literature retrieval and data-extraction. We used PRISMA guidelines to report the outcomes. We included 14 articles in our systematic review and six studies in meta-analysis.

resultsWe calculated the pooled mean difference (MD) of peak VO

conclusionCompared to placebo, none of the pharmacotherapies significantly improved peak VO2 in HFpEF except ivabradine. In our meta-analysis, the pooled improvement in peak VO

Indexed as

all-cause mortalitycardiovascular mortalityheart failureheart failure with preserved ejection fractionhospitalizationpeak vo2pharmacotherapies

Identifiers

PMID33816003
PMCPMC8009057
OpenAlexW3134901050

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.