Evidence map›Paper›PMID 34970367›Full record

ArticleCardiology research2021

Angiotensin-Converting Enzyme Inhibitor Therapy Effects in Patients With Heart Failure With Preserved and Mid-Range Ejection Fraction.

Julia Safonova, Maria Kozhevnikova, Yulia Danilogorskaya, Elena Zheleznykh, Vita Zektser, Irina Ilgisonis, Lyudmila Popova, Natalia Khabarova, Elena Privalova, Yuri Belenkov

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Article in Cardiology research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 6 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 1 institution in 1 country.

Julia SafonovaI.M. Sechenov First Moscow State Medical University, Moscow, Russia.ORCID https://orcid.org/0000-0003-3946-8279
Maria KozhevnikovaI.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Yulia DanilogorskayaI.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Elena ZheleznykhI.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Vita ZektserI.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Irina IlgisonisI.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Lyudmila PopovaI.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Natalia KhabarovaI.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Elena PrivalovaI.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Yuri BelenkovI.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Sechenov University · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is hypothesis that endothelial function enhancement is strongly associated with better outcome and functional class improvement in heart failure with preserved ejection fraction (HFpEF) and heart failure with mid-range ejection fraction (HFmrEF) patients. Perindopril is the only angiotensin-converting enzyme inhibitor (ACEI) drug with proven positive effect on the endothelium in coronary artery disease (CAD) patients. In patients with HFpEF and HFmrEF, its impact is still unknown. The aim of this study was to assess perindopril's influence on endothelial dysfunction markers in these groups of patients.

methodsWe included 60 patients with HFpEF and HFmrEF. At the baseline, endothelial dysfunction biomarkers were measured by IFA and echocardiographic parameters (left atrial volume index (LAVI), ejection fraction (EF), left ventricular mass index (LVMI), left ventricular end-diastolic diameter (LVEDD), and left ventricular end-diastolic volume (LVEDV)) were studied. In patients with no history of previous ACEI or angiotensin II receptor blockers (ARBs) therapy, perindopril was prescribed for 12 months. If patient was treated with ARB or ACEI drug other than perindopril before the study, after 48-h withdrawal period, previous drug was replaced by perindopril.

resultsAfter 12-month therapy with perindopril, E-selectin decreased from 57.25 to 46.05 ng/mL and from 56.55 to 47.6 ng/mL in HFpEF and HFmrEF patients, respectively (P < 0.05). Significant reductions from 0.99 to 0.76 pg/mL (P < 0.05) and from 1.08 to 0.97 pg/mL (P < 0.05) in endothelin-1 level were shown in patients with HFpEF and HFmrEF.

conclusionThe 12-month therapy with perindopril leads to LAVI reduction in HFmrEF patients and potential endothelial dysfunction markers decrease in HFpEF and HFmrEF patients.

Indexed as

Angiotensin-converting enzyme inhibitorHFHFmrEFHFpEF

Identifiers

PMID34970367
PMCPMC8683104
OpenAlexW4225365107

What OpenQuestion holds

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Registered trials

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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.