Evidence map›Paper›PMID 34212778›Full record

ArticleJournal of the American Heart Association2021

The Gut Microbiome of Heart Failure With Preserved Ejection Fraction.

Anna L Beale, Joanne A O'Donnell, Michael E Nakai, Shane Nanayakkara, Donna Vizi, Kaye Carter, Eliza Dean, Rosilene V Ribeiro, Stephanie Yiallourou, Melinda J Carrington and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06645535 (The Role and Mechanism of Gut Microbiota and Metabolites in Heart Failure With Preserved Ejection Fraction), which is not on this map. Cited by 95 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% 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.

NCT06645535 enrolling by invitationnot on this mapstarted 2022, after this paper: background citation

The Role and Mechanism of Gut Microbiota and Metabolites in Heart Failure With Preserved Ejection Fraction

Typeobservational_patient_registrySponsorThe First Affiliated Hospital with Nanjing Medical UniversityRan2022 to 2027Enrolled300ConditionsHFpEF - Heart Failure With Preserved Ejection Fraction
3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 1 synthesis or guideline pooled it, 128 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. The Gut-Heart Axis: A Microbiome-Centered Perspective on Heart Failure.International journal of molecular sciences · 2026
    Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Metabolic syndrome and a broken heart: trust your gut or risk your heart.American journal of physiology. Heart and circulatory physiology · 2026
    Review
  19. Review
  20. Article

35 more citing papers are in PubMed but not listed here.

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

12 authors at 4 institutions in 1 country.

Anna L BealeHeart Failure Research Group Baker Heart and Diabetes Institute Melbourne Australia.
Joanne A O'DonnellHypertension Research Laboratory, School of Biological Sciences, Faculty of Science Monash University Melbourne Australia.
Michael E NakaiHypertension Research Laboratory, School of Biological Sciences, Faculty of Science Monash University Melbourne Australia.
Shane NanayakkaraHeart Failure Research Group Baker Heart and Diabetes Institute Melbourne Australia.
Donna ViziDepartment of Cardiology Alfred Hospital Melbourne Australia.
Kaye CarterDepartment of Cardiology Alfred Hospital Melbourne Australia.
Eliza DeanDepartment of Cardiology Alfred Hospital Melbourne Australia.
Rosilene V RibeiroSchool of Life and Environmental Sciences, Charles Perkins Centre University of Sydney Australia.
Stephanie YiallourouPre-Clinical Disease and Prevention Baker Heart and Diabetes Institute Melbourne Australia.
Melinda J CarringtonPre-Clinical Disease and Prevention Baker Heart and Diabetes Institute Melbourne Australia.
Francine Z MarquesHeart Failure Research Group Baker Heart and Diabetes Institute Melbourne Australia.
David M KayeHeart Failure Research Group Baker Heart and Diabetes Institute Melbourne Australia.
Baker Heart and Diabetes Institute · AUThe Alfred Hospital · AUMonash University · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Risk factors for heart failure with preserved ejection fraction (HFpEF) include hypertension, age, sex, and obesity. Emerging evidence suggests that the gut microbiota independently contributes to each one of these risk factors, potentially mediated via gut microbial-derived metabolites such as short-chain fatty acids. In this study, we determined whether the gut microbiota were associated with HFpEF and its risk factors. Methods and Results We recruited 26 patients with HFpEF and 67 control participants from 2 independent communities. Patients with HFpEF were diagnosed by exercise right heart catheterization. We assessed the gut microbiome by bacterial 16S rRNA sequencing and food intake by the food frequency questionnaire. There was a significant difference in α-diversity (eg, number of microbes) and β-diversity (eg, type and abundance of microbes) between both cohorts of controls and patients with HFpEF (

Indexed as

Gastrointestinal MicrobiomeStroke VolumeVentricular Function, LeftAgedBacteriaCase-Control StudiesDysbiosisFatty Acids, VolatileFemaleHeart FailureHumansMaleMiddle AgedRibotypingRisk AssessmentRisk FactorsFatty Acids, Volatile16Sheart failure with preserved ejection fractionmicrobiomemicrobiotashort‐chain fatty acids

Identifiers

PMID34212778
PMCPMC8403331
OpenAlexW3174000300

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.