Evidence map›Paper›PMID 34841727›Full record

ArticleESC heart failure2022

Aetiological classification and prognosis in patients with heart failure with preserved ejection fraction.

Antoine Fayol, Maxime Wack, Marine Livrozet, Jean-Baptiste Carves, Orianne Domengé, Eva Vermersch, Mariana Mirabel, Alexandre Karras, Julien Le Guen, Anne Blanchard and 9 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07118410 (Effect of Resistance Exercise With Blood Flow Restriction by Vascular Occlusion on Myocardial Function in Heart Failure With Reduced Ejection Fraction), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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.

NCT07118410 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Resistance Exercise With Blood Flow Restriction by Vascular Occlusion on Myocardial Function in Heart Failure With Reduced Ejection Fraction

TypeinterventionalSponsorCentre Hospitalier Universitaire de NīmesRan2025 to 2027Enrolled38ConditionsHeart Failure, Ventricular Function, LeftArmsApplication of a vascular restriction device during resistance training
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  7. Artificial Intelligence in Diagnosis of Heart Failure.Journal of the American Heart Association · 2025
    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

19 authors at 2 institutions in 1 country.

Antoine FayolUniversité de Paris, INSERM, PARCC, Paris, F-75006, France.ORCID 0000-0003-4608-2649
Maxime WackCentre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, Inserm, Paris, France.
Marine LivrozetUniversité de Paris, INSERM, PARCC, Paris, F-75006, France.
Jean-Baptiste CarvesCIC1418 and DMU CARTE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Européen Georges-Pompidou, Paris, France.ORCID 0000-0003-2234-3728
Orianne DomengéUniversité de Paris, INSERM, PARCC, Paris, F-75006, France.ORCID 0000-0003-2395-3552
Eva VermerschUniversité de Paris, INSERM, PARCC, Paris, F-75006, France.ORCID 0000-0003-4813-2355
Mariana MirabelUniversité de Paris, INSERM, PARCC, Paris, F-75006, France.
Alexandre KarrasUniversité de Paris, INSERM, PARCC, Paris, F-75006, France.ORCID 0000-0002-3075-7739
Julien Le GuenDepartment of Geriatry, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Européen Georges-Pompidou, Paris, France.
Anne BlanchardUniversité de Paris, INSERM, PARCC, Paris, F-75006, France.ORCID 0000-0002-0815-0586
Michel AziziUniversité de Paris, INSERM, PARCC, Paris, F-75006, France.
Laurence AmarUniversité de Paris, INSERM, PARCC, Paris, F-75006, France.ORCID 0000-0003-3942-4276
Marie-Cécile BoriesUniversité de Paris, INSERM, PARCC, Paris, F-75006, France.
Elie MousseauxUniversité de Paris, INSERM, PARCC, Paris, F-75006, France.ORCID 0000-0002-8076-1445
Claire CaretteCIC1418 and DMU CARTE, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Européen Georges-Pompidou, Paris, France.ORCID 0000-0002-8175-0369
Etienne PuymiratUniversité de Paris, INSERM, PARCC, Paris, F-75006, France.ORCID 0000-0002-0533-9682
Albert HagègeUniversité de Paris, INSERM, PARCC, Paris, F-75006, France.ORCID 0000-0003-4685-6077
Anne-Sophie JannotCentre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, Inserm, Paris, France.ORCID 0000-0002-8001-8539
Jean-Sébastien HulotUniversité de Paris, INSERM, PARCC, Paris, F-75006, France.ORCID 0000-0001-5463-6117
Inserm · FRAssistance Publique – Hôpitaux de Paris · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsHeart failure with preserved ejection fraction (HFpEF) is a heterogeneous syndrome with various causes that may influence prognosis. METHODS AND

resultsWe extracted the electronic medical records for 2180 consecutive patients hospitalized between 2016 and 2019 for decompensated heart failure. Using a text mining algorithm looking for a left ventricular ejection fraction ≥50% and plasma brain natriuretic peptide level >100 pg/mL, we identified 928 HFpEF patients. We screened for a prevailing cause of HFpEF according to European guidelines and found that 418 (45.0%) patients had secondary HFpEF due to either myocardial (n = 125, 13.5%) or loading condition abnormalities (n = 293, 31.5%), while the remaining 510 (55.0%) patients had idiopathic HFpEF. We assessed the association between the causes of HFpEF and survival collected up to 31 December 2020 using Cox proportional hazards analysis. Even though patients with idiopathic HFpEF were older, frequently female, and had frequent co-morbidities and a higher crude mortality rate compared with secondary HFpEF patients, their prognosis was similar after adjustment for age and sex. Unsupervised clustering analysis revealed three main phenogroups with different distribution of idiopathic vs. secondary HFpEF. The phenogroup with the highest proportion of idiopathic HFpEF (69%) had (i) an excess rate of non-cardiac co-morbidities including chronic obstructive pulmonary disease (31%) or obesity (41%) and (ii) a better prognosis compared with the two other phenogroups enriched with secondary HFpEF.

conclusionsAetiological classification provides clinical and prognostic information and may be useful to better decipher the clinical heterogeneity of HFpEF.

Indexed as

Heart FailureComorbidityFemaleHumansPrognosisStroke VolumeVentricular Function, LeftAetiologiesClassificationHeart failure with preserved ejection factionPrognosis

Identifiers

PMID34841727
PMCPMC8788026
OpenAlexW3215717750

What OpenQuestion holds

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Registered trials

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.