Evidence map›Paper›PMID 35679364›Full record

ReviewCirculation research2022

Heart Failure With Preserved Ejection Fraction: Heterogeneous Syndrome, Diverse Preclinical Models.

Jason Roh, Joseph A Hill, Abhilasha Singh, María Valero-Muñoz, Flora Sam

Erratum issuedOpen access · bronzeAbstract readReview
In one paragraph

Review in Circulation research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 105 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed, 7 pooled it
23.8field-weighted citation impact, top 1% 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

105 citing papers in PubMed, 7 syntheses or guidelines pooled it, 154 citations in OpenAlex.

  1. Pooled it
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  12. Observational
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  17. Heart failure with preserved ejection fraction: current insights and emerging therapeutic directions.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2026
    Review
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45 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Jason RohCardiovascular Research Center, Massachusetts General Hospital, Boston (J.R., A.S.).ORCID 0000-0002-6999-6868
Joseph A HillDepartment of Internal Medicine (Cardiology) (J.A.H.), University of Texas Southwestern Medical Center, Dallas.ORCID 0000-0002-5379-1614
Abhilasha SinghCardiovascular Research Center, Massachusetts General Hospital, Boston (J.R., A.S.).ORCID 0000-0003-2274-0862
María Valero-MuñozWhitaker Cardiovascular Institute, Boston University School of Medicine, MA (M.V.-M., F.S.).ORCID 0000-0002-1412-7366
Flora SamWhitaker Cardiovascular Institute, Boston University School of Medicine, MA (M.V.-M., F.S.).ORCID 0000-0001-8442-9362
Boston University · USMassachusetts General Hospital · USThe University of Texas Southwestern Medical Center · US

Funding

Mechanistic underpinnings of increased adipose tissue in HFpEFR01HL145985 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI SAM, FLORA · 2019 to 2022
$2.7M
Cardiomyocyte bromodomain protein 4 (BRD4) in physiology and diseaseR01HL147933 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI HILL, JOSEPH A · 2020 to 2023
$2.5M
Molecular Mechanisms of HFpEF-associated Atrial FibrillationR01HL155765 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI GILLETTE, THOMAS G, HILL, JOSEPH A · 2021 to 2024
$1.6M
Mechanisms of obesity-dependent alterations in cardiomyocyte metabolismR01HL128215 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI HILL, JOSEPH A · 2017 to 2020
$1.6M
FoxO-dependent Control of Cardiovascular RemodelingR01HL126012 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI HILL, JOSEPH A · 2016 to 2019
$1.6M
Activin type II receptor activity in age-related frailty and heart failureK76AG064328 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI ROH, JASON DAVID · 2019 to 2022
$972k
NHLBI NIH HHS R01 HL126012NHLBI NIH HHS R01 HL128215NHLBI NIH HHS R01 HL145985NHLBI NIH HHS R01 HL147933NHLBI NIH HHS R01 HL155765NIA NIH HHS K76 AG064328
6 · The paper itself

Abstract

Heart failure with preserved ejection fraction (HFpEF) represents one of the greatest challenges facing cardiovascular medicine today. Despite being the most common form of heart failure worldwide, there has been limited success in developing therapeutics for this syndrome. This is largely due to our incomplete understanding of the biology driving its systemic pathophysiology and the heterogeneity of clinical phenotypes, which are increasingly being recognized as distinct HFpEF phenogroups. Development of efficacious therapeutics fundamentally relies on robust preclinical models that not only faithfully recapitulate key features of the clinical syndrome but also enable rigorous investigation of putative mechanisms of disease in the context of clinically relevant phenotypes. In this review, we propose a preclinical research strategy that is conceptually grounded in model diversification and aims to better align with our evolving understanding of the heterogeneity of clinical HFpEF. Although heterogeneity is often viewed as a major obstacle in preclinical HFpEF research, we challenge this notion and argue that embracing it may be the key to demystifying its pathobiology. Here, we first provide an overarching guideline for developing HFpEF models through a stepwise approach of comprehensive cardiac and extra-cardiac phenotyping. We then present an overview of currently available models, focused on the 3 leading phenogroups, which are primarily based on aging, cardiometabolic stress, and chronic hypertension. We discuss how well these models reflect their clinically relevant phenogroup and highlight some of the more recent mechanistic insights they are providing into the complex pathophysiology underlying HFpEF.

Indexed as

Cardiovascular AgentsHeart FailureHumansStroke VolumeCardiovascular Agentsaginganimal modelsatrial fibrillationblood pressureedemaheart failureobesity

Identifiers

PMID35679364
PMCPMC10035274
OpenAlexW4281776060

What OpenQuestion holds

Textmetadata
LicenceTDM
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.