Evidence map›Paper›PMID 36065795›Full record

ArticleESC heart failure2022

Dyskalemia in people at increased risk for heart failure: findings from the heart 'OMics' in AGEing (HOMAGE) trial.

Luca Monzo, João Pedro Ferreira, John G F Cleland, Pierpaolo Pellicori, Beatrice Mariottoni, Job A J Verdonschot, Mark R Hazebroek, Tim J Collier, Joe J Cuthbert, Burkert Pieske and 14 more

Open access · goldAbstract 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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. 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

24 authors at 13 institutions in 10 countries.

Luca MonzoUniversité de Lorraine, Inserm, Centre d'Investigations Cliniques-Plurithématique 1433, and Inserm U1116, CHRU, F-CRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists), Nancy, France.ORCID 0000-0003-2958-943X
João Pedro FerreiraUniversité de Lorraine, Inserm, Centre d'Investigations Cliniques-Plurithématique 1433, and Inserm U1116, CHRU, F-CRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists), Nancy, France.
John G F ClelandRobertson Institute of Biostatistics and Clinical Trials Unit, University of Glasgow, Glasgow, UK.
Pierpaolo PellicoriRobertson Institute of Biostatistics and Clinical Trials Unit, University of Glasgow, Glasgow, UK.
Beatrice MariottoniDepartment of Cardiology, Cortona Hospital, Arezzo, Italy.
Job A J VerdonschotDepartment of Cardiology, Maastricht University Medical Center, Maastricht, The Netherlands.
Mark R HazebroekDepartment of Cardiology, Maastricht University Medical Center, Maastricht, The Netherlands.
Tim J CollierDepartment of Medical Statistics, London School of Hygiene and Tropical Medicine, London, UK.
Joe J CuthbertDepartment of Academic Cardiology, Castle Hill Hospital, Hull York Medical School (at University of Hull), Kingston upon Hull, UK.
Burkert PieskeDepartment of Cardiology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Frank EdelmannDepartment of Cardiology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Johannes PetutschniggDepartment of Cardiology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Javed KhanNHS Tayside, Dundee, UK.
Fozia Z AhmedManchester Heart Centre, Manchester University NHS Foundation Trust, Manchester Academic Health Sciences Centre, Manchester, UK.
Nicolas GirerdUniversité de Lorraine, Inserm, Centre d'Investigations Cliniques-Plurithématique 1433, and Inserm U1116, CHRU, F-CRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists), Nancy, France.
Erwan BozecUniversité de Lorraine, Inserm, Centre d'Investigations Cliniques-Plurithématique 1433, and Inserm U1116, CHRU, F-CRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists), Nancy, France.
Javier DíezProgram of Cardiovascular Diseases, CIMA Universidad de Navarra and IdiSNA, Pamplona, Spain.
Arantxa GonzálezProgram of Cardiovascular Diseases, CIMA Universidad de Navarra and IdiSNA, Pamplona, Spain.
Andrew L ClarkDepartment of Academic Cardiology, Castle Hill Hospital, Hull York Medical School (at University of Hull), Kingston upon Hull, UK.
Franco CosmiDepartment of Cardiology, Cortona Hospital, Arezzo, Italy.
Jan A StaessenNon-Profit Research Institute Alliance for the Promotion of Preventive Medicine (APPREMED), Mechelen, Belgium.
Stephane HeymansDepartment of Cardiology, Maastricht University Medical Center, Maastricht, The Netherlands.
Patrick RossignolUniversité de Lorraine, Inserm, Centre d'Investigations Cliniques-Plurithématique 1433, and Inserm U1116, CHRU, F-CRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists), Nancy, France.
Faiez ZannadUniversité de Lorraine, Inserm, Centre d'Investigations Cliniques-Plurithématique 1433, and Inserm U1116, CHRU, F-CRIN INI-CRCT (Cardiovascular and Renal Clinical Trialists), Nancy, France.
Inserm · FRUniversity Medical Center · USAzienda Usl 8 Arezzo · ITCharité - Universitätsmedizin Berlin · DEThe Robertson Trust · GBUniversity of Hull · GBGerman Centre for Cardiovascular Research · DEInstituto de Salud Carlos III · ESLondon School of Hygiene & Tropical Medicine · GBManchester Academic Health Science Centre · GBNavarre Institute of Health Research · ESResearch Institute of Therapy and Preventive Medicine · RUUniversity of Dundee · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsIn people at risk of heart failure (HF) enrolled in the Heart 'OMics' in AGEing (HOMAGE) trial, spironolactone reduced circulating markers of collagen synthesis, natriuretic peptides, and blood pressure and improved cardiac structure and function. In the present report, we explored factors associated with dyskalaemia. METHODS AND

resultsThe HOMAGE trial was an open-label study comparing spironolactone (up to 50 mg/day) versus standard care in people at risk for HF. After randomization, serum potassium was assessed at 1 and 9 months and was defined as low when ≤3.5 mmol/L (hypokalaemia) and high when ≥5.5 mmol/L (hyperkalaemia). Multivariable logistic regression models were constructed to identify clinical predictors of dyskalaemia. A total of 513 participants (median age 74 years, 75% men, median estimated glomerular filtration rate 71 mL/min/1.73 m

conclusionsIn people at risk for developing HF and with relatively normal renal function, spironolactone reduced the risk of hypokalaemia and, at the doses used, was not associated with the occurrence of clinically meaningful hyperkalaemia.

Indexed as

Heart FailureHyperkalemiaHypokalemiaAgedAgingFemaleHumansMaleMineralocorticoid Receptor AntagonistsPotassiumSpironolactoneTreatment OutcomeMineralocorticoid Receptor AntagonistsPotassiumSpironolactoneHeart failure preventionHyperkalaemiaHypokalaemiaSteroidal mineralocorticoid receptor antagonist

Identifiers

PMID36065795
PMCPMC9773649
OpenAlexW4294724227

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.