Evidence map›Paper›PMID 36004819›Full record

ReviewCardiovascular research2023

Inflammatory pathways in heart failure with preserved left ventricular ejection fraction: implications for future interventions.

Nicola Riccardo Pugliese, Pierpaolo Pellicori, Francesco Filidei, Nicolò De Biase, Pasquale Maffia, Tomasz J Guzik, Stefano Masi, Stefano Taddei, John G F Cleland

Open access · hybridAbstract readReview
In one paragraph

Review in Cardiovascular research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 4 pooled it
18.5field-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

88 citing papers in PubMed, 4 syntheses or guidelines pooled it, 126 citations in OpenAlex.

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  15. D-dimer levels and outcomes in heart failure with mildly reduced ejection fraction.International journal of cardiology. Heart & vasculature · 2026
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28 more citing papers are in PubMed but not listed here.

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

9 authors at 4 institutions in 3 countries.

Nicola Riccardo PuglieseDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa 56126, Italy.ORCID 0000-0002-5473-227X
Pierpaolo PellicoriRobertson Institute of Biostatistics and Clinical Trials Unit, University of Glasgow, Glasgow G12 8QQ, UK.ORCID 0000-0001-7175-0464
Francesco FilideiDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa 56126, Italy.
Nicolò De BiaseDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa 56126, Italy.
Pasquale MaffiaCentre for Immunobiology, Institute of Infection, Immunity and Inflammation, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow G12 8TA, UK.ORCID 0000-0003-3926-4225
Tomasz J GuzikInstitute of Cardiovascular and Medical Sciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow G12 8QQ, UK.
Stefano MasiDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa 56126, Italy.
Stefano TaddeiDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa 56126, Italy.ORCID 0000-0002-5002-3070
John G F ClelandRobertson Institute of Biostatistics and Clinical Trials Unit, University of Glasgow, Glasgow G12 8QQ, UK.
University of Pisa · ITUniversity of Glasgow · GBJagiellonian University · PLUniversity of Naples Federico II · IT

Funding

British Heart Foundation PG/19/84/34771British Heart Foundation PG/21/10541British Heart Foundation PG/21/10634
6 · The paper itself

Abstract

Many patients with symptoms and signs of heart failure have a left ventricular ejection fraction ≥50%, termed heart failure with preserved ejection fraction (HFpEF). HFpEF is a heterogeneous syndrome mainly affecting older people who have many other cardiac and non-cardiac conditions that often cast doubt on the origin of symptoms, such as breathlessness, or signs, such as peripheral oedema, rendering them neither sensitive nor specific to the diagnosis of HFpEF. Currently, management of HFpEF is mainly directed at controlling symptoms and treating comorbid conditions such as hypertension, atrial fibrillation, anaemia, and coronary artery disease. HFpEF is also characterized by a persistent increase in inflammatory biomarkers. Inflammation may be a key driver of the development and progression of HFpEF and many of its associated comorbidities. Detailed characterization of specific inflammatory pathways may provide insights into the pathophysiology of HFpEF and guide its future management. There is growing interest in novel therapies specifically designed to target deregulated inflammation in many therapeutic areas, including cardiovascular disease. However, large-scale clinical trials investigating the effectiveness of anti-inflammatory treatments in HFpEF are still lacking. In this manuscript, we review the role of inflammation in HFpEF and the possible implications for future trials.

Indexed as

Heart FailureAgedForecastingHumansInflammationStroke VolumeVentricular Function, LeftCardiovascularEpidemiologyGlobalHypertensionInternational

Identifiers

PMID36004819
PMCPMC9897694
OpenAlexW4293105430

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.