Evidence map›Paper›PMID 34640341›Full record

ReviewJournal of clinical medicine2021

Looking for a Tailored Therapy for Heart Failure: Are We Capable of Treating the Patient Instead of the Disease?

Alessandro Fucili, Paolo Cimaglia, Paolo Severi, Francesco Giannini, Alberto Boccadoro, Marco Micillo, Claudio Rapezzi, Luigi Tavazzi, Roberto Ferrari

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
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

9 authors at 2 institutions in 1 country.

Alessandro FuciliCardiovascular Research Centre, Ferrara University, Via Aldo Moro 8, 44124 Ferrara, Italy.ORCID 0000-0002-1843-2923
Paolo CimagliaCardiovascular Department, GVM Care and Research, Maria Cecilia Hospital, Via Corriera 1, 48033 Cotignola, Italy.
Paolo SeveriCardiovascular Research Centre, Ferrara University, Via Aldo Moro 8, 44124 Ferrara, Italy.
Francesco GianniniCardiovascular Department, GVM Care and Research, Maria Cecilia Hospital, Via Corriera 1, 48033 Cotignola, Italy.
Alberto BoccadoroCardiovascular Research Centre, Ferrara University, Via Aldo Moro 8, 44124 Ferrara, Italy.
Marco MicilloCardiovascular Research Centre, Ferrara University, Via Aldo Moro 8, 44124 Ferrara, Italy.
Claudio RapezziCardiovascular Research Centre, Ferrara University, Via Aldo Moro 8, 44124 Ferrara, Italy.
Luigi TavazziCardiovascular Department, GVM Care and Research, Maria Cecilia Hospital, Via Corriera 1, 48033 Cotignola, Italy.
Roberto FerrariCardiovascular Research Centre, Ferrara University, Via Aldo Moro 8, 44124 Ferrara, Italy.ORCID 0000-0003-2046-9175
University of Ferrara · ITMaria Cecilia Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

After almost a decade of stagnation in clinical research for HF treatment, five large randomized trials recently published have supported the use of four new classes of drugs, namely: angiotensin receptor/neprilysin inhibitor, sodium-glucose co-transporters 2 inhibitors, soluble guanylate cyclase modulators, and myosin activators. Each treatment has proved to be beneficial for both long-term outcomes and quality of life. Beside their clinical relevance, all these novel treatments have a different mechanism of action beyond the usual neuro-hormonal blockage. These different pathways, together with the unquestionable clinical evidence, advocate a re-thinking of HF treatment and of the appropriate drug to integrate with the existing standard therapy, according to different characteristics of HFrEF patients. This study aimed to offer a synthetic overview of the mechanisms of action of the new drugs and to propose a more personalized approach, considering patients' characteristics and safety profiles. To this end, we have identified seven profiles for patients with chronic heart failure with reduced ejection fraction and two for pre-discharge patients.

Indexed as

ACEiangiotensin-converting enzyme inhibitorangiotensin receptor blockersARBsbeta-blockersheart failureivabradinemineral corticoid receptor antagonistMRA

Identifiers

PMID34640341
PMCPMC8509308
OpenAlexW3200726171

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.