Evidence map›Paper›PMID 35093952›Full record

ReviewMedical principles and practice : international journal of the Kuwait University, Health Science Centre2022

The Gut in Heart Failure: Current Knowledge and Novel Frontiers.

Antonella Gallo, Noemi Macerola, Angela Maria Favuzzi, Maria Anna Nicolazzi, Antonio Gasbarrini, Massimo Montalto

Abstract readReview
In one paragraph

Review in Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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

23 citing papers in PubMed.

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  12. Early pathological mechanisms in a mouse model of heart failure with preserved ejection fraction.American journal of physiology. Heart and circulatory physiology · 2024
    Article
  13. Review
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  16. Heart Failure: a Punch from the Gut.Current heart failure reports · 2024
    Review
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  18. Article
  19. Article
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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

6 authors.

Antonella GalloDepartment of Medical Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Noemi MacerolaDepartment of Medical Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Angela Maria FavuzziDepartment of Medical Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Maria Anna NicolazziDepartment of Medical Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Antonio GasbarriniDepartment of Medical Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Massimo MontaltoDepartment of Medical Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure (HF) represents a major health problem affecting millions of people worldwide. In the latest years, many efforts have been made to search for more effective strategies to prevent and modify the course of this disease, but results are still not satisfying. HF represents a complex clinical syndrome involving many other systems, including the gastrointestinal system. Although the relationship between the gut and HF is far from being fully understood, based on recent evidence highlighting the putative role of the gastrointestinal system in different cardiovascular diseases, it is conceivable that the gut-heart link may represent the basis for novel therapeutic approaches in the HF context as well. This intricate interplay involving typical hemodynamic changes and their consequences on gut morphology, permeability, and function, sets the stage for alterations in microbiota composition and is able to impact mechanisms of HF through different routes such as bacterial translocation and metabolic pathways. Thus, the modulation of the gut microbiota through diet, probiotics, and fecal transplantation has been suggested as a potential therapeutic approach. More interestingly, another effect of alteration in microbiota composition reflects in the upregulation of cotransporters (NHE3) with consequent salt and fluid overload and worsening visceral congestion. Therefore, the inhibitors of this cotransporter may also represent a novel therapeutic frontier. By review of recent data on this topic, we describe the current state of the complex interplay between the gastrointestinal and cardiac systems in HF, and the relevance of this knowledge in seeking new therapeutic strategies.

Indexed as

Cardiovascular DiseasesGastrointestinal MicrobiomeHeart FailureMicrobiotaHumansDysbiosisGut microbiotaHeart failureShort-chain fatty acidSodium-hydrogen exchanger 3Trimethylamine N-oxide

Identifiers

PMID35093952
PMCPMC9275003

What OpenQuestion holds

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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.