Evidence map›Paper›PMID 34857095›Full record

ReviewJournal of the American College of Cardiology2021

Evaluating Medical Therapy for Calcific Aortic Stenosis: JACC State-of-the-Art Review.

Brian R Lindman, Devraj Sukul, Marc R Dweck, Mahesh V Madhavan, Benoit J Arsenault, Megan Coylewright, W David Merryman, David E Newby, John Lewis, Frank E Harrell and 4 more

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Journal of the American College of Cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06283940 (Effect of Physiotherapist-led Exercise-based Cardiac Rehabilitation in Older Patients With Aortic Stenosis Who Have Undergone TAVI?), which is not on this map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
10.7field-weighted citation impact, top 1% 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.

NCT06283940 narecruitingnot on this mapstarted 2024, after this paper: background citation

Effect of Physiotherapist-led Exercise-based Cardiac Rehabilitation in Older Patients With Aortic Stenosis Who Have Undergone TAVI?

TypeinterventionalSponsorVastra Gotaland RegionRan2024 to 2026Enrolled135ConditionsAortic Valve StenosisArmsPhysiotherapist-led exercise based cardiac rehabilitation (PT-X)
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 100 citations in OpenAlex.

  1. Article
  2. ILK-Dependent Modulation of DPP4 Prevents Progression of Calcific Aortic Valve Disease.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Sleep disorders as risk factors for calcific aortic stenosis.American journal of preventive cardiology · 2025
    Article
  18. Review
  19. Review
  20. 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

14 authors at 9 institutions in 3 countries.

Brian R LindmanStructural Heart and Valve Center, Cardiovascular Division, Vanderbilt University Medical Center, Nashville, Tennessee, USA. Electronic address: brian.r.lindman@vumc.org.
Devraj SukulCardiovascular Division, University of Michigan Medical Center, Ann Arbor, Michigan, USA.
Marc R DweckBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Mahesh V MadhavanDivision of Cardiology, Department of Medicine, New York-Presbyterian/Columbia University Irving Medical Center, New York, New York, USA.
Benoit J ArsenaultCentre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec-Université Laval, Québec City, Québec, Canada.
Megan CoylewrightThe Erlanger Heart and Lung Institute, Department of Medicine, University of Tennessee at Chattanooga, Chattanooga, Tennessee, USA.
W David MerrymanDepartment of Biomedical Engineering, Vanderbilt University, Nashville, Tennessee, USA.
David E NewbyBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
John LewisHeart Valve Voice US, Washington, DC, USA.
Frank E HarrellDepartment of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Michael J MackBaylor Scott and White Health Heart Hospital, Plano, Texas, USA.
Martin B LeonDivision of Cardiology, Department of Medicine, New York-Presbyterian/Columbia University Irving Medical Center, New York, New York, USA.
Catherine M OttoDivision of Cardiology, Department of Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
Philippe PibarotCentre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec-Université Laval, Québec City, Québec, Canada.
British Heart Foundation · GBColumbia University Irving Medical Center · USInstitut universitaire de cardiologie et de pneumologie de Québec · CAVanderbilt University · USHeart Hospital Baylor Plano · USUniversity of Michigan · USUniversity of Tennessee at Chattanooga · USUniversity of Washington · USVanderbilt University Medical Center · US

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
POSTDOCTORAL TRAINING IN CARDIOVASCULAR DISEASET32HL007854 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Marwah Abdalla, Michael Argenziano · 1996 to 2026
$14.7M
Mechanobiology of Cardiopulmonary FibrosisR35HL135790 · NHLBI · VANDERBILT UNIVERSITY · PI MERRYMAN, WILLIAM D · 2017 to 2023
$5.5M
British Heart Foundation CH/09/002/26360British Heart Foundation FS/14/78/31020Medical Research Council G0701127NCATS NIH HHS UL1 TR002243NHLBI NIH HHS R35 HL135790NHLBI NIH HHS T32 HL007854
6 · The paper itself

Abstract

Despite numerous promising therapeutic targets, there are no proven medical treatments for calcific aortic stenosis (AS). Multiple stakeholders need to come together and several scientific, operational, and trial design challenges must be addressed to capitalize on the recent and emerging mechanistic insights into this prevalent heart valve disease. This review briefly discusses the pathobiology and most promising pharmacologic targets, screening, diagnosis and progression of AS, identification of subgroups that should be targeted in clinical trials, and the need to elicit the patient voice earlier rather than later in clinical trial design and implementation. Potential trial end points and tools for assessment and approaches to implementation and design of clinical trials are reviewed. The efficiencies and advantages offered by a clinical trial network and platform trial approach are highlighted. The objective is to provide practical guidance that will facilitate a series of trials to identify effective medical therapies for AS resulting in expansion of therapeutic options to complement mechanical solutions for late-stage disease.

Indexed as

Adaptive Clinical Trials as TopicAortic ValveAortic Valve StenosisCalcinosisDisease ProgressionHumansHypolipidemic AgentsHypolipidemic Agentsaortic valve stenosiscomputed tomographyechocardiographymedical therapyrandomized clinical trialtrial endpointsvalvular heart disease

Identifiers

PMID34857095
PMCPMC8647810
OpenAlexW3215797780

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.