Evidence map›Paper›PMID 36263079›Full record

ReviewInternational journal of heart failure2020

Optimization of Heart Failure Treatment by Heart Rate Reduction.

Michael Böhm, Yvonne Bewarder, Ingrid Kindermann, Jonathan Slawik, Jan Wintrich, Christian Werner

Abstract readReview
In one paragraph

Review in International journal of heart failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. 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

6 authors.

Michael BöhmKlinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Homburg, Germany.ORCID https://orcid.org/0000-0002-2976-2514
Yvonne BewarderKlinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Homburg, Germany.ORCID https://orcid.org/0000-0002-6435-1622
Ingrid KindermannKlinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Homburg, Germany.ORCID https://orcid.org/0000-0002-2009-8813
Jonathan SlawikKlinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Homburg, Germany.ORCID https://orcid.org/0000-0002-6530-828X
Jan WintrichKlinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Homburg, Germany.ORCID https://orcid.org/0000-0001-6518-1453
Christian WernerKlinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Homburg, Germany.ORCID https://orcid.org/0000-0003-0942-761X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure (HF) treatment should be optimized in addition to guideline-directed and recommended drugs to achieve an appropriate heart rate (i.e. 50-60 bpm) by ivabradine in patients with a heart rate >70 bpm in sinus rhythm and with an ejection fraction ≤35%. Heart rate reduction was to reduce cardiovascular death and HF hospitalization dependent on baseline resting heart rate. In particular in patients at a heart rate >75 bpm, a reduction in cardiovascular death, all-cause death, HF death, HF hospitalization and all-cause hospitalization has been observed. The optimal heart rate achieved appears to be between 50-60 bpm, if well tolerated as in these patients the lowest event rate is observed on treatment. Heart rate reduction is, therefore, a treatable risk factor in chronic HF. Observational studies support the concept that it is a risk indicator in other cardiovascular and non-cardiovascular conditions. Whether heart rate reduction is also modifying risk in other conditions than chronic HF should be explored in prospective clinical trials.

Indexed as

Cardiovascular comorbiditiesChronic heart failureHeart rateHeart rhythmIvabradinePatient outcomes

Identifiers

PMID36263079
PMCPMC9536732

What OpenQuestion holds

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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.