Evidence map›Paper›PMID 35257498›Full record

ArticleESC heart failure2022

Changes in clinical and imaging variables during withdrawal of heart failure therapy in recovered dilated cardiomyopathy.

Brian P Halliday, Ruth Owen, John Gregson, Ali Vazir, Rebecca Wassall, Zohya Khalique, Amrit S Lota, Upasana Tayal, Daniel J Hammersley, Richard E Jones and 4 more

Open 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. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
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 3 institutions in 1 country.

Brian P HallidayCardiovascular Research Centre, Royal Brompton Hospital, Guy's and St Thomas' NHS Trust and National Heart Lung Institute, Imperial College, London, SW3 6NP, UK.
Ruth OwenDepartment of Medical Statistics, London School of Hygiene and Tropical Medicine, London, UK.
John GregsonDepartment of Medical Statistics, London School of Hygiene and Tropical Medicine, London, UK.
Ali VazirCardiovascular Research Centre, Royal Brompton Hospital, Guy's and St Thomas' NHS Trust and National Heart Lung Institute, Imperial College, London, SW3 6NP, UK.
Rebecca WassallCardiovascular Research Centre, Royal Brompton Hospital, Guy's and St Thomas' NHS Trust and National Heart Lung Institute, Imperial College, London, SW3 6NP, UK.
Zohya KhaliqueCardiovascular Research Centre, Royal Brompton Hospital, Guy's and St Thomas' NHS Trust and National Heart Lung Institute, Imperial College, London, SW3 6NP, UK.
Amrit S LotaCardiovascular Research Centre, Royal Brompton Hospital, Guy's and St Thomas' NHS Trust and National Heart Lung Institute, Imperial College, London, SW3 6NP, UK.
Upasana TayalCardiovascular Research Centre, Royal Brompton Hospital, Guy's and St Thomas' NHS Trust and National Heart Lung Institute, Imperial College, London, SW3 6NP, UK.
Daniel J HammersleyCardiovascular Research Centre, Royal Brompton Hospital, Guy's and St Thomas' NHS Trust and National Heart Lung Institute, Imperial College, London, SW3 6NP, UK.
Richard E JonesCardiovascular Research Centre, Royal Brompton Hospital, Guy's and St Thomas' NHS Trust and National Heart Lung Institute, Imperial College, London, SW3 6NP, UK.
Dudley J PennellCardiovascular Research Centre, Royal Brompton Hospital, Guy's and St Thomas' NHS Trust and National Heart Lung Institute, Imperial College, London, SW3 6NP, UK.
Martin R CowieCardiovascular Research Centre, Royal Brompton Hospital, Guy's and St Thomas' NHS Trust and National Heart Lung Institute, Imperial College, London, SW3 6NP, UK.
John G F ClelandCardiovascular Research Centre, Royal Brompton Hospital, Guy's and St Thomas' NHS Trust and National Heart Lung Institute, Imperial College, London, SW3 6NP, UK.
Sanjay K PrasadCardiovascular Research Centre, Royal Brompton Hospital, Guy's and St Thomas' NHS Trust and National Heart Lung Institute, Imperial College, London, SW3 6NP, UK.
Royal Brompton Hospital · GBImperial College London · GBLondon School of Hygiene & Tropical Medicine · GB

Funding

British Heart Foundation FS/15/29/31492British Heart Foundation FS/17/21/32712British Heart Foundation FS/ICRF/21/2601British Heart Foundation FS/ICRF/21/26019British Heart Foundation RE/18/6/34217Department of Health
6 · The paper itself

Abstract

aimsThis study aimed to profile the changes in non-invasive clinical, biochemical, and imaging markers during withdrawal of therapy in patients with recovered dilated cardiomyopathy, providing insights into the pathophysiology of relapse. METHODS AND

resultsClinical, biochemical, and imaging data from patients during phased withdrawal of therapy in the randomized or single-arm cross-over phases of TRED-HF were profiled. Clinical variables were measured at each study visit and imaging variables were measured at baseline, 16 weeks, and 6 months. Amongst the 49 patients [35% women, mean age 53.6 years (standard deviation 11.6)] who withdrew therapy, 20 relapsed. Increases in mean heart rate [7.6 beats per minute (95% confidence interval, CI, 4.5, 10.7)], systolic blood pressure [6.6 mmHg (95% CI 2.7, 10.5)], and diastolic blood pressure [5.8 mmHg (95% CI 3.1, 8.5)] were observed within 4-8 weeks of starting to withdraw therapy. A rise in mean left ventricular (LV) mass [5.1 g/m

conclusionsChanges in plasma NT-proBNP are a late feature of relapse, often months after a reduction in LV function. A rise in heart rate and blood pressure is observed soon after withdrawing therapy in recovered dilated cardiomyopathy, typically accompanied or closely followed by early changes in LV structure and function.

Indexed as

Cardiomyopathy, DilatedHeart FailureCardiotonic AgentsDiureticsFemaleHumansMaleMiddle AgedRecurrenceStroke VolumeVentricular Function, LeftCardiotonic AgentsDiureticsDilated cardiomyopathyMyocardial recoveryRemissionRemodelling

Identifiers

PMID35257498
PMCPMC9065828
OpenAlexW4220703855

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.