Evidence map›Paper›PMID 34722354›Full record

ArticlePulse (Basel, Switzerland)2021

Gender-Related Differences in Hypertrophic Cardiomyopathy: A Systematic Review and Meta-Analysis.

Angkawipa Trongtorsak, Natchaya Polpichai, Sittinun Thangjui, Jakrin Kewcharoen, Ratdanai Yodsuwan, Amrit Devkota, Harvey J Friedman, Alfonso Q Estrada

Open access · bronzeAbstract read
In one paragraph

Article in Pulse (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 12% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Sex Differences in Hypertrophic Cardiomyopathy.Current cardiology reports · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Sex Differences in Heart Failure: A Step Forward.Interventional cardiology (London, England) · 2025
    Review
  11. Article
  12. Article
  13. Understanding the incidence of atrial fibrillation and stroke in hypertrophic cardiomyopathy patients: insights from Danish nationwide registries.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  14. Phenotypic spectrum of the first BelgianFrontiers in genetics · 2024
    Article
  15. Article
  16. Review
  17. Familial Hypertrophic Cardiomyopathy: Diagnosis and Management.Vascular health and risk management · 2023
    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

8 authors at 4 institutions in 2 countries.

Angkawipa TrongtorsakInternal Medicine Residency Program, AMITA Health Saint Francis Hospital, Chicago, Illinois, USA.
Natchaya PolpichaiFaculty of Medicine Songklanagarin Hospital, Prince of Songkla University, Songkhla, Thailand.
Sittinun ThangjuiInternal Medicine Residency Program, Bassett Healthcare Network, New York, New York, USA.
Jakrin KewcharoenInternal Medicine Residency Program, University of Hawaii, Honolulu, Hawaii, USA.
Ratdanai YodsuwanInternal Medicine Residency Program, Bassett Healthcare Network, New York, New York, USA.
Amrit DevkotaInternal Medicine Residency Program, AMITA Health Saint Francis Hospital, Chicago, Illinois, USA.
Harvey J FriedmanDepartment of Pulmonary Medicine and Critical Care, AMITA Health Saint Francis Hospital, Chicago, Illinois, USA.
Alfonso Q EstradaDepartment of Cardiovascular Medicine, AMITA Health Saint Francis Hospital, Chicago, Illinois, USA.
Saint Francis Hospital · USBassett Healthcare Network · USPrince of Songkla University · THUniversity of Hawaii System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGender-related differences in phenotypic expression and outcomes have been established in many cardiac conditions; however, the impact of gender in hypertrophic cardiomyopathy (HCM) remains unclear. We conducted a systematic review and meta-analysis to assess the differences in clinical outcomes between female and male HCM patients.

methodsWe searched MEDLINE and EMBASE from inception to October 2020. Included were cohort studies that compared outcomes of interest including all-cause mortality, HCM-related mortality, and worsening heart failure (HF) or HF hospitalization between male and female. Data from each study were combined using the random effects model to calculate pooled odds ratio (OR) with 95% confidence interval (CI).

resultsEleven retrospective cohort studies with a total of 9,427 patients (3,719 females) were included. Female gender was significantly associated with an increased risk of all-cause mortality (pooled OR = 1.63, 95% CI: 1.26-2.10,

conclusionsFemale gender was associated with a worse prognosis in HCM. These findings suggest the need for improved care in women including early identification of disease and more possible aggressive management. Moreover, gender-based strategy may benefit in HCM patients.

Indexed as

Gender-related differencesHeart failureHypertrophic cardiomyopathyMortality

Identifiers

PMID34722354
PMCPMC8527921
OpenAlexW3199777037

What OpenQuestion holds

Textmetadata
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.