Evidence map›Paper›PMID 33932255›Full record

ArticleEuropean journal of heart failure2021

Heart failure with preserved ejection fraction according to the HFA-PEFF score in COVID-19 patients: clinical correlates and echocardiographic findings.

Sara Hadzibegovic, Alessia Lena, Timothy W Churchill, Jennifer E Ho, Sophia Potthoff, Corinna Denecke, Lukas Rösnick, Katrin Moira Heim, Malte Kleinschmidt, Leif Erik Sander and 13 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of heart failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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  12. On the role of data, statistics and decisions in a pandemic.Advances in statistical analysis : AStA : a journal of the German Statistical Society · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 9 institutions in 3 countries.

Sara HadzibegovicDepartment of Cardiology (CBF), Charité Universitätsmedizin Berlin, Berlin, Germany.
Alessia LenaBerlin Institute of Health Center for Regenerative Therapies (BCRT), Berlin, Germany.
Timothy W ChurchillCardiovascular Performance Program, Massachusetts General Hospital, Boston, MA, USA.
Jennifer E HoCardiovascular Research Center, Massachusetts General Hospital, Boston, MA, USA.
Sophia PotthoffBerlin Institute of Health Center for Regenerative Therapies (BCRT), Berlin, Germany.
Corinna DeneckeDivision of Cardiology and Metabolism, Department of Cardiology (CVK), Charité - Universitätsmedizin Berlin, Berlin, Germany.
Lukas RösnickBerlin Institute of Health Center for Regenerative Therapies (BCRT), Berlin, Germany.
Katrin Moira HeimDepartment of Infectious Diseases and Respiratory Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Malte KleinschmidtDepartment of Infectious Diseases and Respiratory Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Leif Erik SanderDepartment of Infectious Diseases and Respiratory Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Martin WitzenrathDepartment of Infectious Diseases and Respiratory Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Norbert SuttorpDepartment of Infectious Diseases and Respiratory Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Alexander KrannichClinical Study Center (CSC), Berlin Institute of Health, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Jan PorthunNorwegian University of Science and Technology, Gjøvik, Norway.
Tim FriedeDepartment of Medical Statistics, University Medical Center Göttingen, Göttingen, Germany.
Javed ButlerMississippi State University Jackson Design Center Library, Starkville, MS, USA.
Ursula WilkenshoffDepartment of Cardiology (CBF), Charité Universitätsmedizin Berlin, Berlin, Germany.
Burkert PieskeGerman Centre for Cardiovascular Research (DZHK), Partner Site Berlin, Berlin, Germany.
Ulf LandmesserDepartment of Cardiology (CBF), Charité Universitätsmedizin Berlin, Berlin, Germany.
Stefan D AnkerBerlin Institute of Health Center for Regenerative Therapies (BCRT), Berlin, Germany.
Gregory D LewisCardiology Division, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Carsten TschöpeBerlin Institute of Health Center for Regenerative Therapies (BCRT), Berlin, Germany.
Markus S AnkerDepartment of Cardiology (CBF), Charité Universitätsmedizin Berlin, Berlin, Germany.
Charité - Universitätsmedizin Berlin · DEBerlin-Brandenburger Centrum für Regenerative Therapien · DEGerman Centre for Cardiovascular Research · DEBerlin Institute of Health at Charité - Universitätsmedizin Berlin · DEMassachusetts General Hospital · USHarvard University · USMississippi State University · USNorwegian University of Science and Technology · NOUniversitätsmedizin Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsViral-induced cardiac inflammation can induce heart failure with preserved ejection fraction (HFpEF)-like syndromes. COVID-19 can lead to myocardial damage and vascular injury. We hypothesised that COVID-19 patients frequently develop a HFpEF-like syndrome, and designed this study to explore this. METHODS AND

resultsCardiac function was assessed in 64 consecutive, hospitalized, and clinically stable COVID-19 patients from April-November 2020 with left ventricular ejection fraction (LVEF) ≥50% (age 56 ± 19 years, females: 31%, severe COVID-19 disease: 69%). To investigate likelihood of HFpEF presence, we used the HFA-PEFF score. A low (0-1 points), intermediate (2-4 points), and high (5-6 points) HFA-PEFF score was observed in 42%, 33%, and 25% of patients, respectively. In comparison, 64 subjects of similar age, sex, and comorbidity status without COVID-19 showed these scores in 30%, 66%, and 4%, respectively (between groups: P = 0.0002). High HFA-PEFF scores were more frequent in COVID-19 patients than controls (25% vs. 4%, P = 0.001). In COVID-19 patients, the HFA-PEFF score significantly correlated with age, estimated glomerular filtration rate, high-sensitivity troponin T (hsTnT), haemoglobin, QTc interval, LVEF, mitral E/A ratio, and H

conclusionHospitalized COVID-19 patients frequently show high likelihood of presence of HFpEF that is associated with cardiac structural and functional alterations, and myocardial injury. Detailed cardiac assessments including echocardiographic determination of left ventricular diastolic function and biomarkers should become routine in the care of hospitalized COVID-19 patients.

Indexed as

COVID-19Heart FailureAdultAgedEchocardiographyFemaleHumansMiddle AgedSARS-CoV-2Stroke VolumeVentricular Function, LeftCOVID-19Diastolic dysfunctionHFA-PEFFHigh-sensitivity troponin TNT-proBNP

Identifiers

PMID33932255
PMCPMC8239668
OpenAlexW3158363680

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.