Evidence map›Paper›PMID 34618287›Full record

ReviewHeart failure reviews2022

Creatine deficiency and heart failure.

Annamaria Del Franco, Giuseppe Ambrosio, Laura Baroncelli, Tommaso Pizzorusso, Andrea Barison, Iacopo Olivotto, Fabio A Recchia, Carlo M Lombardi, Marco Metra, Yu F Ferrari Chen and 3 more

Open access · hybridAbstract readReview
In one paragraph

Review in Heart failure reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
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  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Biomolecular Basis of Life.Metabolites · 2025
    Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. AnBioMed research international · 2024
    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

13 authors at 8 institutions in 2 countries.

Annamaria Del FrancoInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Giuseppe AmbrosioDivision of Cardiology, School of Medicine, University of Perugia, Perugia, Italy.
Laura BaroncelliInstitute of Neuroscience, National Research Council (CNR), Pisa, Italy.
Tommaso PizzorussoInstitute of Neuroscience, National Research Council (CNR), Pisa, Italy.
Andrea BarisonDivision of Cardiology and Cardiovascular Medicine, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Iacopo OlivottoCardiomyopathy Unit, Azienda Ospedaliera Universitaria Careggi, Florence, Italy.
Fabio A RecchiaInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Carlo M LombardiDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health, University and Civil Hospital, Brescia, Italy.
Marco MetraDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health, University and Civil Hospital, Brescia, Italy.
Yu F Ferrari ChenDivision of Cardiology and Cardiovascular Medicine, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Claudio PassinoInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Michele EmdinInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy. emdin@ftgm.it.
Giuseppe VergaroInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Fondazione Toscana Gabriele Monasterio · ITScuola Superiore Sant'Anna · ITUniversity of Brescia · ITAzienda Ospedaliero-Universitaria Careggi · ITNational Research Council · ITTemple University · USUniversity of Florence · ITUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Impaired cardiac energy metabolism has been proposed as a mechanism common to different heart failure aetiologies. The energy-depletion hypothesis was pursued by several researchers, and is still a topic of considerable interest. Unlike most organs, in the heart, the creatine kinase system represents a major component of the metabolic machinery, as it functions as an energy shuttle between mitochondria and cytosol. In heart failure, the decrease in creatine level anticipates the reduction in adenosine triphosphate, and the degree of myocardial phosphocreatine/adenosine triphosphate ratio reduction correlates with disease severity, contractile dysfunction, and myocardial structural remodelling. However, it remains to be elucidated whether an impairment of phosphocreatine buffer activity contributes to the pathophysiology of heart failure and whether correcting this energy deficit might prove beneficial. The effects of creatine deficiency and the potential utility of creatine supplementation have been investigated in experimental and clinical models, showing controversial findings. The goal of this article is to provide a comprehensive overview on the role of creatine in cardiac energy metabolism, the assessment and clinical value of creatine deficiency in heart failure, and the possible options for the specific metabolic therapy.

Indexed as

CreatineHeart FailureAdenosine TriphosphateEnergy MetabolismHumansMitochondria, HeartMyocardiumPhosphocreatineAdenosine TriphosphateCreatinePhosphocreatineCardiac energy metabolismCreatineCreatine deficiencyHeart failure

Identifiers

PMID34618287
PMCPMC9388465
OpenAlexW3204636752

What OpenQuestion holds

Textmetadata
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.