Evidence map›Paper›PMID 34453882›Full record

ArticleAmerican heart journal2022

Relationship of ejection fraction and natriuretic peptide trajectories in heart failure with baseline reduced and mid-range ejection fraction.

Kenneth C Bilchick, Patrick Stafford, Olusola Laja, Comfort Elumogo, Persey Bediako, Nora Tolbert, Douglas Sawch, Sthuthi David, Nishtha Sodhi, Anita Barber and 5 more

Abstract read
In one paragraph

Article in American heart journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
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  6. Review
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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.

Kenneth C BilchickDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia. Electronic address: bilchick@virginia.edu.
Patrick StaffordDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia.
Olusola LajaDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia.
Comfort ElumogoDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia.
Persey BediakoDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia.
Nora TolbertDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia.
Douglas SawchDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia.
Sthuthi DavidDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia.
Nishtha SodhiDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia.
Anita BarberDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia.
Younghoon KwonDivision of Cardiology, University of Washington, Seattle, Washington.
Nishaki MehtaDepartment of Medicine, William Beaumont Hospital, Royal Oak, Michigan.
Brandy PattersonDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia.
Khadijah BreathettDivision of Cardiology, Department of Medicine, Sarver Heart Center, University of Arizona, Tucson.
Sula MazimbaDepartment of Medicine, University of Virginia Health System, Charlottesville, Virginia.

Funding

UCSF Research in Implementation Sciences for Equity (RISE)R25HL126146 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CRYSTAL WILEY CENE, Alicia Fernandez · 2014 to 2026
$4.6M
Multiscale Models of Cardiac Growth, Remodeling, and Myocardial InfarctionU01HL127654 · NHLBI · UNIVERSITY OF VIRGINIA · PI HOLMES, JEFFREY W · 2015 to 2019
$2.7M
Free-breathing and simultaneous multislice cine DENSE myocardial strain imagingR01HL147104 · NHLBI · UNIVERSITY OF VIRGINIA · PI EPSTEIN, FREDERICK H · 2019 to 2022
$1.5M
Addressing Individual Provider Bias and Group Decision-Making in Selection of Advanced Heart Failure Therapies in Racial/Ethnic MinoritiesK01HL142848 · NHLBI · UNIVERSITY OF ARIZONA · PI BREATHETT, KHADIJAH · 2018 to 2021
$858k
MRI of Mechanical Activation and Scar for Optimal Cardiac Resynchronization Therapy ImplementationR56HL135556 · NHLBI · UNIVERSITY OF VIRGINIA · PI BILCHICK, KENNETH C · 2017 to 2017
$711k
Risk Stratification for ICD Generator Changes in the ICD RegistryR21HL140445 · NHLBI · UNIVERSITY OF VIRGINIA · PI BILCHICK, KENNETH C · 2018 to 2019
$255k
NHLBI NIH HHS K01 HL142848NHLBI NIH HHS L30 HL148881NHLBI NIH HHS R01 HL147104NHLBI NIH HHS R21 HL140445NHLBI NIH HHS R25 HL126146NHLBI NIH HHS R56 HL135556NHLBI NIH HHS U01 HL127654
6 · The paper itself

Abstract

backgroundThe prognostic importance of trajectories of neurohormones relative to left ventricular function over time in heart failure with reduced and mid-range EF (HFrEF and HFmrEF) is poorly defined.

objectiveTo evaluate left ventricular ejection fraction (LVEF) and B-type natriuretic peptide (BNP) trajectories in HFrEF and HFmrEF.

methodsAnalyses of LVEF and BNP trajectories after incident HF admissions presenting with abnormal LV systolic function were performed using 3 methods: a Cox proportional hazards model with time-varying covariates, a dual longitudinal-survival model with shared random effects, and an unsupervised analysis to capture 3 discrete trajectories for each parameter.

resultsAmong 1,158 patients (68.9 ± 13.0 years, 53.3% female), both time-varying LVEF measurements (P=.001) and log-transformed BNP measurements (p-values=2 × 10

conclusionAlthough LVEF trajectories have greater temporal variation, BNP trajectories provide additive prognostication and an even stronger association with survival times in heart failure patients with abnormal LV systolic function.

Indexed as

Heart FailureFemaleHumansMaleNatriuretic Peptide, BrainPrognosisStroke VolumeVentricular Function, LeftNatriuretic Peptide, Brain

Identifiers

PMID34453882
PMCPMC8633031

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Registered trials

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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.