Evidence map›Paper›PMID 34867815›Full record

ReviewFrontiers in endocrinology2021

Hyperuricemia and the Risk of Heart Failure: Pathophysiology and Therapeutic Implications.

Ke Si, Chijing Wei, Lili Xu, Yue Zhou, Wenshan Lv, Bingzi Dong, Zhongchao Wang, Yajing Huang, Yangang Wang, Ying Chen

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

30 citing papers in PubMed, 52 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

Ke SiDepartment of Endocrinology, Affiliated Hospital of Qingdao University, Qingdao, China.
Chijing WeiDepartment of Endocrinology, Affiliated Hospital of Qingdao University, Qingdao, China.
Lili XuDepartment of Endocrinology, Affiliated Hospital of Qingdao University, Qingdao, China.
Yue ZhouDepartment of Endocrinology, Affiliated Hospital of Qingdao University, Qingdao, China.
Wenshan LvDepartment of Endocrinology, Affiliated Hospital of Qingdao University, Qingdao, China.
Bingzi DongDepartment of Endocrinology, Affiliated Hospital of Qingdao University, Qingdao, China.
Zhongchao WangDepartment of Endocrinology, Affiliated Hospital of Qingdao University, Qingdao, China.
Yajing HuangDepartment of Endocrinology, Affiliated Hospital of Qingdao University, Qingdao, China.
Yangang WangDepartment of Endocrinology, Affiliated Hospital of Qingdao University, Qingdao, China.
Ying ChenDepartment of Endocrinology, Affiliated Hospital of Qingdao University, Qingdao, China.
Qingdao University · CNAffiliated Hospital of Qingdao University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The association between hyperuricemia and cardiovascular disease (CVD) has been reported and studied in the past two decades. Xanthine oxidase (XO) induced uric acid (UA) serves as a risk factor and has the independent prognostic and functional impact of heart failure (HF), but whether it plays a positive role in the pathogenesis of HF has remained unclear. Growing evidence suggest the up-regulated XO avtivity and increased production of free oxygen radical (ROS) correspondingly are the core pathogenesis of HF with hyperuricemia, which results in a whole cluster of pathophysiologic cardiovascular effects such as oxidative stress, endothelial dysfunction, vascular inflammation, left ventricular (LV) dysfunction as well as insulin resistance (IR). The use of XO inhibition represents a promising therapeutic choice in patients with HF due to its dual effect of lowering serum UA levels as well as reducing ROS production. This review will discuss the pathophysiologic mechanisms of hyperuricemia with HF, the targeted therapeutic interventions of UA lowering therapies (ULT) with XO inhibition and mechanism underlying beneficial effects of ULT. In addition, the review also summarizes current evidence on the role of ULT in HF and compares CV risk between allopurinol and febuxostat for practical and clinical purposes. Guidelines and implementation of CV risk management in daily practice will be discussed as well.

Indexed as

Heart FailureHumansHyperuricemiaOxidative StressReactive Oxygen SpeciesRisk FactorsUric AcidReactive Oxygen SpeciesUric Acidcardiovascular diseaseheart failurehyperuricemiapathophysiologytreatment

Identifiers

PMID34867815
PMCPMC8633872
OpenAlexW3212707827

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.