Evidence map›Paper›PMID 34002539›Full record

ArticleESC heart failure2021

Perhexiline treatment improves toxic effects of β-adrenergic receptor stimulation in experimental peripartum cardiomyopathy.

Tobias J Pfeffer, Manuel List, Julia H Müller, Michaela Scherr, Johann Bauersachs, Denise Hilfiker-Kleiner, Melanie Ricke-Hoch

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
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

7 authors at 1 institution in 1 country.

Tobias J PfefferDepartment of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.
Manuel ListDepartment of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.
Julia H MüllerDepartment of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.
Michaela ScherrDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Johann BauersachsDepartment of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.
Denise Hilfiker-KleinerDepartment of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.
Melanie Ricke-HochDepartment of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.
Medizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPeripartum cardiomyopathy (PPCM) is a pregnancy-associated cardiomyopathy that occurs in previously heart-healthy women towards the end of pregnancy or in the first months after delivery and is characterized by heart failure due to systolic dysfunction. The clinical course of PPCM differs between mild symptoms and severe forms with acute heart failure complicated by cardiogenic shock (CS). Treatment of CS complicating PPCM is challenging, as β-adrenergic receptor (β-AR) stimulation seems to be associated with progression of heart failure and adverse outcome. This experimental study aims to examine whether postpartum treatment with the glucose uptake-promoting drug perhexiline alone or as co-treatment with β-AR stimulation prevents heart failure in the experimental PPCM mouse model. METHODS AND

resultsPostpartum (PP) female PPCM-prone mice with a cardiomyocyte-restricted STAT3-deficiency (αMHC-Cre

conclusionsTreatment of PPCM patients with β-AR agonists should be avoided whenever possible. In cases with CS complicating PPCM, when treatment with β-AR agonists cannot be prevented, co-medication with perhexiline might help to reduce the cardiotoxic side effects of β-AR stimulation. Clinical data are necessary to further validate this therapeutic approach.

Indexed as

CardiomyopathiesPeripartum PeriodAnimalsFemaleHumansMiceMyocytes, CardiacPerhexilinePregnancyReceptors, Adrenergic, betaPerhexilineReceptors, Adrenergic, betaB-adrenergic receptor stimulationCardiogenic shockErbB4PerhexilinePeripartum cardiomyopathy (PPCM)

Identifiers

PMID34002539
PMCPMC8318439
OpenAlexW3163587523

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.