Evidence map›Paper›PMID 35318819›Full record

ArticleESC heart failure2022

Left ventricular output indices and sacubitril/valsartan titration: role of stroke volume index.

Paolo Tolomeo, Ottavio Zucchetti, Emanuele D'Aniello, Noemi Punzo, Federico Marchini, Luca Di Ienno, Elisabetta Tonet, Rita Pavasini, Claudio Rapezzi, Gianluca Campo and 1 more

Abstract 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

11 authors.

Paolo TolomeoCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy.
Ottavio ZucchettiCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy.
Emanuele D'AnielloCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy.
Noemi PunzoCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy.
Federico MarchiniCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy.
Luca Di IennoCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy.
Elisabetta TonetCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy.
Rita PavasiniCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy.
Claudio RapezziCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy.
Gianluca CampoCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy.
Matteo SerenelliCardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy.ORCID 0000-0002-8947-7176

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis study aims to investigate the role of echocardiographically determined left ventricular output indices on sacubitril/valsartan titration in a cohort of outpatients with heart failure and reduced ejection fraction (HFrEF). METHODS AND

resultsWe analysed 106 HFrEF patients who underwent echocardiography examination up to 1 week before starting treatment with sacubitril/valsartan. For each patient, a comprehensive list of clinical and laboratory parameters was collected, and stroke volume index (SVi), cardiac index, and flow rate were calculated. The primary endpoint was the occurrence of complete titration of sacubitril/valsartan. The secondary endpoint was the incidence of adverse events (hypotension and renal adverse events). Univariate and multivariate logistic regression were used to identify variables associated with the primary and secondary endpoints. Mean age of patients was 73.7 ± 10.4 years, 72 patients (71.7%) had ischaemic aetiology of HF, and mean ejection fraction was 29.4 ± 5.9%. At multivariate analysis, SVi [odds ratio (OR) 1.43 per 5 mL/m

conclusionsStroke volume index is positively associated with complete titration of sacubitril/valsartan. Patients with low SVi are more prone to experience hypotension during titration.

Indexed as

Heart FailureHypotensionVentricular Dysfunction, LeftAgedAged, 80 and overAminobutyratesBiphenyl CompoundsHumansMiddle AgedStroke VolumeValsartanAminobutyratesBiphenyl CompoundssacubitrilValsartanEntrestoHFrEFSacubitrilTitrationValsartan

Identifiers

PMID35318819
PMCPMC9065809

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.