Evidence map›Paper›PMID 35846272›Full record

Observational studyFrontiers in endocrinology2022

Treatment of Primary Aldosteronism and Reversal of Renin Suppression Improves Left Ventricular Systolic Function.

Troy H Puar, Chin Kai Cheong, Roger S Y Foo, Seyed Ehsan Saffari, Tian Ming Tu, Min Ru Chee, Meifen Zhang, Keng Sin Ng, Kang Min Wong, Andrew Wong and 16 more

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Frontiers in endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03174847 (Prospective Study Assessing Blood Pressure, Cardiovascular, Endothelial and Other Outcomes poSt-surgical and Medical Treatment in Patients With Primary Aldosteronism), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.6field-weighted citation impact, top 6% 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.

NCT03174847 completednot on this map

Prospective Study Assessing Blood Pressure, Cardiovascular, Endothelial and Other Outcomes poSt-surgical and Medical Treatment in Patients With Primary Aldosteronism

TypeobservationalSponsorChangi General HospitalRan2017 to 2020Enrolled57ConditionsPrimary Aldosteronism, Primary Aldosteronism Due to Aldosterone Producing Adenoma, Primary Aldosteronism Due to Adrenal Hyperplasia (Bilateral)ArmsAdrenalectomy, Mineralocorticoid Receptor Antagonists
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 29 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

26 authors at 5 institutions in 1 country.

Troy H PuarDepartment of Endocrinology, Changi General Hospital, Singapore, Singapore.
Chin Kai CheongYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Roger S Y FooGenome Institute of Singapore, Singapore, Singapore.
Seyed Ehsan SaffariCentre for Quantitative Medicine, Duke-National University of Singapore (NUS) Medical School, National University of Singapore, Singapore, Singapore.
Tian Ming TuDepartment of Neurology, National Neuroscience Institute, Singapore, Singapore.
Min Ru CheeMinistry of Health Holdings, Singapore, Singapore.
Meifen ZhangDepartment of Endocrinology, Changi General Hospital, Singapore, Singapore.
Keng Sin NgDepartment of Diagnostic Radiology, Changi General Hospital, Singapore, Singapore.
Kang Min WongDepartment of Diagnostic Radiology, Changi General Hospital, Singapore, Singapore.
Andrew WongDepartment of Surgery, Changi General Hospital, Singapore, Singapore.
Foo Cheong NgDepartment of Urology, Changi General Hospital, Singapore, Singapore.
Tar Choon AwDepartment of Laboratory Medicine, Changi General Hospital, Singapore, Singapore.
Joan KhooDepartment of Endocrinology, Changi General Hospital, Singapore, Singapore.
Linsey GaniDepartment of Endocrinology, Changi General Hospital, Singapore, Singapore.
Thomas KingDepartment of Endocrinology, Changi General Hospital, Singapore, Singapore.
Wann Jia LohDepartment of Endocrinology, Changi General Hospital, Singapore, Singapore.
Shui Boon SohDepartment of Endocrinology, Changi General Hospital, Singapore, Singapore.
Vanessa AuDepartment of Endocrinology, Changi General Hospital, Singapore, Singapore.
Tunn Lin TayDepartment of Endocrinology, Changi General Hospital, Singapore, Singapore.
Eberta TanDepartment of Endocrinology, Changi General Hospital, Singapore, Singapore.
Lily MaeDepartment of Endocrinology, Changi General Hospital, Singapore, Singapore.
Jielin YewDepartment of Endocrinology, Changi General Hospital, Singapore, Singapore.
Yen Kheng TanDuke-National University of Singapore (NUS) Medical School, Singapore, Singapore.
Khim Leng TongDepartment of Cardiology, Changi General Hospital, Singapore, Singapore.
Sheldon LeeDepartment of Cardiology, Changi General Hospital, Singapore, Singapore.
Siang Chew ChaiDepartment of Cardiology, Changi General Hospital, Singapore, Singapore.
Changi General Hospital · SGNational University of Singapore · SGMinistry of Health · SGNational Neuroscience Institute · SGNational University Health System · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Primary aldosteronism (PA) is associated with increased risk of cardiovascular events. However, treatment of PA has not been shown to improve left ventricular (LV) systolic function using the conventional assessment with LV ejection fraction (LVEF). We aim to use speckle-tracking echocardiography to assess for improvement in subclinical systolic function after treatment of PA. Methods: We prospectively recruited 57 patients with PA, who underwent 24-h ambulatory blood pressure (BP) measurements and echocardiography, including global longitudinal strain (GLS) assessment of left ventricle, at baseline and 12 months post-treatment. Results: At baseline, GLS was low in 14 of 50 (28.0%) patients. On multivariable analysis, GLS was associated with diastolic BP ( Conclusion: Treatment of hyperaldosteronism is effective in improving subclinical LV systolic dysfunction. Elevation of renin levels after treatment, which reflects adequate reversal of sodium overload state, is associated with better systolic function after treatment. Clinical Trial Registration: www.ClinicalTrials.gov, identifier: NCT03174847.

Indexed as

HyperaldosteronismReninBlood Pressure Monitoring, AmbulatoryHumansSystoleVentricular Function, LeftReninadrenalectomyadrenal vein sampling (AVS)ejection fraction (EF)hyperaldosteronismmyocardial strain analysissecondary hypertension

Identifiers

PMID35846272
PMCPMC9279860
OpenAlexW4283724711

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.