Evidence map›Paper›PMID 33997640›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2021

Effects of Atrial Fibrillation on Heart Failure Outcomes and NT-proBNP Levels in the GUIDE-IT Trial.

Fouad Chouairi, Justin Pacor, P Elliott Miller, Michael A Fuery, Cesar Caraballo, Sounok Sen, Eric S Leifer, G Michael Felker, Mona Fiuzat, Christopher M O'Connor and 5 more

Open access · goldAbstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Circulating Cardiovascular Proteomic Associations With Genetics and Disease.Circulation. Genomic and precision medicine · 2025
    Article
  5. Article
  6. Article
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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

15 authors at 5 institutions in 1 country.

Fouad ChouairiSection of Cardiovascular Medicine, Yale University, New Haven, CT.
Justin PacorDepartment of Internal Medicine, Yale University, New Haven, CT.
P Elliott MillerSection of Cardiovascular Medicine, Yale University, New Haven, CT.
Michael A FueryDepartment of Internal Medicine, Yale University, New Haven, CT.
Cesar CaraballoSection of Cardiovascular Medicine, Yale University, New Haven, CT.
Sounok SenSection of Cardiovascular Medicine, Yale University, New Haven, CT.
Eric S LeiferDivision of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, Bethesda, MD.
G Michael FelkerDuke Clinical Research Institute, Durham, NC.
Mona FiuzatDuke Clinical Research Institute, Durham, NC.
Christopher M O'ConnorInova Heart and Vascular Institute, Falls Church, VA.
James L JanuzziMassachusetts General Hospital, Boston.
Daniel J FriedmanSection of Cardiovascular Medicine, Yale University, New Haven, CT.
Nihar R DesaiSection of Cardiovascular Medicine, Yale University, New Haven, CT.
Tariq AhmadSection of Cardiovascular Medicine, Yale University, New Haven, CT.
James V FreemanSection of Cardiovascular Medicine, Yale University, New Haven, CT.
Yale University · USClinical Research Institute · USAlaska Heart and Vascular Institute · USMassachusetts General Hospital · USNational Heart Lung and Blood Institute · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NRSA Training CoreTL1TR001864 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$9.9M
NCATS NIH HHS TL1 TR001864NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

objectiveTo evaluate effects of atrial fibrillation (AF) on cardiac biomarkers and outcomes in a trial population of patients with heart failure (HF) with reduced ejection fraction treated with optimal guideline-directed medical therapy.

methodsWe performed a secondary analysis of 894 patients in the Guiding Evidence-Based Therapy Using Biomarker-Intensified Treatment in Heart Failure (GUIDE-IT) trial (January 2013-July 2016). Patients were stratified by AF status and compared with regard to guideline-directed medical therapy use, longitudinal levels of N-terminal pro-B type natriuretic peptide (NT-proBNP), and outcomes including HF hospitalization and mortality.

resultsAfter adjustment, AF was associated with a significant increase in the risk of HF hospitalization or cardiovascular death (hazard ratio, 1.28; 95% CI, 1.02 to 1.61;

conclusionAmong patients with HF with reduced ejection fraction, prevalent AF was associated with higher NT-proBNP concentrations through 2 years of follow-up and higher risk for HF hospitalization despite no substantial differences in medical therapy.

Indexed as

AF, atrial fibrillationCV, cardiovascularGDMT, guideline-directed medical therapyGUIDE-IT, Guiding Evidence-Based Therapy Using Biomarker-Intensified Treatment in Heart Failure trialHF, heart failureHFrEF, heart failure with reduced ejection fractionKCCQ, Kansas City Cardiomyopathy QuestionnaireNT-proBNP, N-terminal pro–B type natriuretic peptideRCT, randomized controlled trial

Identifiers

PMID33997640
PMCPMC8105522
OpenAlexW3144203674

What OpenQuestion holds

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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.