Evidence map›Paper›PMID 34514815›Full record

ArticleJournal of the American Heart Association2021

Systolic Blood Pressure and Outcome in Patients Admitted With Acute Heart Failure: An Analysis of Individual Patient Data From 4 Randomized Clinical Trials.

Johannes Grand, Kristina Miger, Ahmad Sajadieh, Lars Køber, Christian Torp-Pedersen, Georg Ertl, José López-Sendón, Aldo Pietro Maggioni, John R Teerlink, Naoki Sato and 4 more

Abstract 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. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Effect of different blood pressure levels on short-term outcomes in hospitalized heart failure patients.International journal of cardiology. Cardiovascular risk and prevention · 2023
    Article
  5. Article
  6. Article
  7. 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

14 authors.

Johannes GrandDepartment of Cardiology Bispebjerg Hospital University of Copenhagen Copenhagen Denmark.ORCID 0000-0002-5511-4668
Kristina MigerDepartment of Cardiology Bispebjerg Hospital University of Copenhagen Copenhagen Denmark.
Ahmad SajadiehDepartment of Cardiology Bispebjerg Hospital University of Copenhagen Copenhagen Denmark.
Lars KøberDepartment of Cardiology, Rigshospitalet University of Copenhagen Copenhagen Denmark.ORCID 0000-0002-6635-1466
Christian Torp-PedersenDepartment of Cardiology Hillerød Hospital Hillerød Denmark.ORCID 0000-0003-2892-6131
Georg ErtlComprehensive Heart Failure Center University Hospital Würzburg Germany.
José López-SendónDepartment of Cardiology Hospital La PazIdiPazUniversidad Autonoma de Madrid Madrid Spain.ORCID 0000-0002-0871-9197
Aldo Pietro MaggioniDepartment of Cardiology Hospital La PazIdiPazUniversidad Autonoma de Madrid Madrid Spain.
John R TeerlinkDepartment of Cardiology University of CaliforniaSan FranciscoSan Francisco VA Medical Center Cardiology San Francisco CA.ORCID 0000-0001-9527-0852
Naoki SatoDepartment of Cardiovascular Medicine Kawaguchi Cardiovascular and Respiratory Hospital Saitama Japan.
Claudio GimpelewiczNovartis Pharma AG Basel Switzerland.
Marco MetraCardiology Department of Medical and Surgical Specialties Cardiothoracic Department Radiological Sciences and Public Health Civil HospitalsUniversity of Brescia Brescia Italy.ORCID 0000-0001-6691-8568
Thomas HolbroNovartis Pharma AG Basel Switzerland.
Olav W NielsenDepartment of Cardiology Bispebjerg Hospital University of Copenhagen Copenhagen Denmark.ORCID 0000-0003-3532-9431

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND In acute heart failure (AHF), systolic blood pressure (SBP) is an important clinical variable. This study assessed the association between SBP and short-term and long-term outcomes in a large cohort of patients with AHF. METHODS AND RESULTS This is an analysis of 4 randomized controlled trials investigating serelaxin versus placebo in patients admitted with AHF and SBPs from 125 to 180 mm Hg. Outcomes were 180-day all-cause mortality and a composite end point of all-cause mortality, worsening heart failure, or hospital readmission for heart failure the first 14 days. Left ventricular ejection fraction (LVEF) was examined as LVEF<40% and LVEF≥40%. Multivariable Cox regression models were adjusted for known confounders of outcomes in AHF. A total of 10 533 patients with a mean age of 73 (±12) years and a mean SBP of 145 (±7) mm Hg were included. LVEF was assessed in 9863 patients (93%); 4737 patients (45%) had LVEF<40%. Increasing SBP was inversely associated with 180-day mortality (adjusted hazard ratio [HR

Indexed as

Blood PressureHeart FailureAgedAged, 80 and overHumansMiddle AgedPatient AdmissionRandomized Controlled Trials as TopicTreatment Outcomeacute heart failureblood pressureleft ventricular ejection fractionmortalityworsening heart failure

Identifiers

PMID34514815
PMCPMC8649519

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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.