Evidence map›Paper›PMID 36035936›Full record

ArticleFrontiers in cardiovascular medicine2022

Impact of borderline pulmonary hypertension due to left heart failure on mortality in a multicenter registry study: A 3-year survivorship analysis.

Yangyi Lin, Lingpin Pang, Shian Huang, Jieyan Shen, Weifeng Wu, Fangming Tang, Weiqing Su, Xiulong Zhu, Jingzhi Sun, Ruilin Quan and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02164526 (National, Prospective, Multicenter,Observational Registry Study on Pulmonary Hypertension Due to Left Heart Disease in China), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT02164526 unknown statusnot on this map

National, Prospective, Multicenter,Observational Registry Study on Pulmonary Hypertension Due to Left Heart Disease in China

Typeobservational_patient_registrySponsorChinese Academy of Medical Sciences, Fuwai HospitalRan2013 to 2018Enrolled520ConditionsPulmonary Hypertension Due to Left Heart DiseaseArmsRoutine therapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

13 authors.

Yangyi LinDepartment of Pulmonary Vascular Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Lingpin PangCardiovascular Medicine Center, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Shian HuangCardiovascular Medicine Center, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Jieyan ShenDepartment of Cardiology, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Weifeng WuDepartment of Cardiology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Fangming TangDepartment of Cardiology, Nongken Central Hospital of Guangdong Province, Zhanjiang, China.
Weiqing SuDepartment of Cardiology, Lianjiang People's Hospital, Lianjiang, China.
Xiulong ZhuDepartment of Cardiology, People's Hospital of Gaozhou, Gaozhou, China.
Jingzhi SunDepartment of Cardiology, Affiliated Hospital of Jining Medical University, Jining, China.
Ruilin QuanDepartment of Pulmonary Vascular Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Tao YangDepartment of Pulmonary Vascular Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Huijun HanDepartment of Epidemiology and Biostatistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences and School of Basic Medicine, Peking Union Medical College, Beijing, China.
Jianguo HeDepartment of Pulmonary Vascular Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with left heart failure (LHF) are often associated with the development of pulmonary hypertension (PH) which leads to an increased risk of death. Recently, the diagnostic standard for PH has changed from mean pulmonary arterial pressure (mPAP) ≥25 mmHg to >20 mmHg. Nonetheless, the effect of borderline PH (mPAP: 21-24 mmHg) on the prognosis of LHF patients is unclear. This study aimed to investigate the relationship between borderline PH and 3-year clinical outcomes in LHF patients. Methods: A retrospective analysis of a prospective cohort study was done for LHF patients who underwent right heart catheterization (RHC) between January 2013 and November 2016. The primary outcome was all-cause mortality; the secondary outcome was rehospitalization. Results: Among 344 patients, 62.5% were identified with a proportion of PH (mPAP ≥ 25), 10.8% with borderline PH (21-24), and 26.7% with non-PH (≤20), respectively. Multivariable Cox analysis revealed that borderline PH patients had a higher adjusted mortality risk (HR = 3.822; 95% CI: 1.043-13.999; Conclusions: Borderline PH is independently related to increased 3-year mortality in LHF patients. Future research is needed to evaluate whether more close monitoring, and managing with an intensifier improves clinical outcomes in borderline PH caused by LHF. Clinical trials registration: www.clinicaltrials.gov NCT02164526.

Indexed as

borderline pulmonary hypertensionleft heart failuremean pulmonary artery pressure (mPAP)mortalityright heart catheterization (RHC)

Identifiers

PMID36035936
PMCPMC9412236

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