Evidence map›Paper›PMID 36448685›Full record

ReviewCardiovascular research2023

Phenomapping in heart failure with preserved ejection fraction: insights, limitations, and future directions.

Anthony E Peters, Jasper Tromp, Sanjiv J Shah, Carolyn S P Lam, Gregory D Lewis, Barry A Borlaug, Kavita Sharma, Ambarish Pandey, Nancy K Sweitzer, Dalane W Kitzman and 1 more

Erratum issuedAbstract 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. An erratum has been issued. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing 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

52 citing papers in PubMed.

  1. Trial
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  3. Review
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  6. Review
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  8. Observational
  9. Article
  10. Review
  11. Review
  12. Article
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  14. Article
  15. Review
  16. Review
  17. Wnt5a-mediated Adipo-Cardiac Interorgan Communication in HFpEF.bioRxiv : the preprint server for biology · 2025
    Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Anthony E PetersDivision of Cardiology, Duke University School of Medicine, Durham, North Carolina 27708, USA.ORCID 0000-0003-4313-030X
Jasper TrompSaw Swee Hock School of Public Health, National University of Singapore & the National University Health System, Singapore.
Sanjiv J ShahDivision of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Carolyn S P LamDepartment of Cardiology, University Medical Center Groningen, Groningen, The Netherlands.
Gregory D LewisDivision of Cardiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Barry A BorlaugDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-9375-0596
Kavita SharmaDivision of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Ambarish PandeyDivision of Cardiology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Nancy K SweitzerCardiovascular Medicine, Sarver Heart Center, University of Arizona, Tucson, Arizona, USA.
Dalane W KitzmanSection on Cardiovascular Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Robert J MentzDivision of Cardiology, Duke University School of Medicine, Durham, North Carolina 27708, USA.

Funding

REHAB-HF: A Trial of Rehabilitation Therapy in Older Acute Heart Failure PatientsR01AG045551 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KITZMAN, DALANE W · 2014 to 2018
$6.8M
Pepper OAIC Coordinating CenterU24AG059624 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DALANE W KITZMAN · 2018 to 2026
$6.0M
Wake Forest Atrium HeartShare Clinical CenterU01HL160272 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DALANE W KITZMAN · 2021 to 2026
$2.3M
NHLBI NIH HHS U01 HL160272NIA NIH HHS R01 AG045551NIA NIH HHS U24 AG059624
6 · The paper itself

Abstract

Heart failure with preserved ejection fraction (HFpEF) is a heterogeneous entity with complex pathophysiology and manifestations. Phenomapping is the process of applying statistical learning techniques to patient data to identify distinct subgroups based on patterns in the data. Phenomapping has emerged as a technique with potential to improve the understanding of different HFpEF phenotypes. Phenomapping efforts have been increasing in HFpEF over the past several years using a variety of data sources, clinical variables, and statistical techniques. This review summarizes methodologies and key takeaways from these studies, including consistent discriminating factors and conserved HFpEF phenotypes. We argue that phenomapping results to date have had limited implications for clinical care and clinical trials, given that the phenotypes, as currently described, are not reliably identified in each study population and may have significant overlap. We review the inherent limitations of aggregating and utilizing phenomapping results. Lastly, we discuss potential future directions, including using phenomapping to optimize the likelihood of clinical trial success or to drive discovery in mechanisms of the disease process of HFpEF.

Indexed as

Heart FailureHumansPhenotypeStroke VolumeHeart failure with preserved ejection fractionphenomappingphenotypephenotyping

Identifiers

PMID36448685
PMCPMC10144733

What OpenQuestion holds

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Registered trials

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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.