Evidence map›Paper›PMID 36873767›Full record

ArticleJACC. Asia2023

Midterm Outcomes of Underweight Patients Undergoing Transcatheter Aortic Valve Implantation: Insight From the LAPLACE-TAVR Registry.

Taiyo Tezuka, Ryosuke Higuchi, Kenichi Hagiya, Mike Saji, Itaru Takamisawa, Mamoru Nanasato, Nobuo Iguchi, Atsushi Shimizu, Jun Shimizu, Shinichiro Doi and 8 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JACC. Asia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06503965 (Design and Rationale of the National Multicenter Tunisian Registry of Trans Catheter Aortic Valve Implantation Registry), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.5field-weighted citation impact, top 9% 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.

NCT06503965 unknown statusnot on this map

Design and Rationale of the National Multicenter Tunisian Registry of Trans Catheter Aortic Valve Implantation Registry

Typeobservational_patient_registrySponsorLes Laboratoires des Médicaments StérilesRan2023 to 2025Enrolled300ConditionsTunisian Patients Already Implanted With a TAVI
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Obesity and Transcatheter Aortic Valve Replacement.Journal of cardiovascular development and disease · 2024
    Review
  14. Article
  15. Article
  16. 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

18 authors at 6 institutions in 1 country.

Taiyo TezukaDepartment of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.
Ryosuke HiguchiDepartment of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.
Kenichi HagiyaDepartment of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.
Mike SajiDepartment of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.
Itaru TakamisawaDepartment of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.
Mamoru NanasatoDepartment of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.
Nobuo IguchiDepartment of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.
Atsushi ShimizuDepartment of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo, Japan.
Jun ShimizuDepartment of Anesthesiology, Sakakibara Heart Institute, Tokyo, Japan.
Shinichiro DoiDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Shinya OkazakiDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Kei SatoDepartment of Cardiology, Mie University Hospital, Mie, Japan.
Harutoshi TamuraDepartment of Cardiology, Pulmonology and Nephrology, Yamagata University Hospital, Yamagata, Japan.
Hiroaki YokoyamaDepartment of Cardiology, Hirosaki University Graduate School of Medicine, Aomori, Japan.
Takayuki OnishiDepartment of Cardiology, Kawasaki Saiwai Hospital, Kanagawa, Japan.
Tetsuya TobaruDepartment of Cardiology, Kawasaki Saiwai Hospital, Kanagawa, Japan.
Shuichiro TakanashiDepartment of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo, Japan.
Morimasa TakayamaDepartment of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.
Sakakibara Hospital · JPJuntendo University · JPKawasaki Hospital · JPHirosaki University · JPMie University Hospital · JPYamagata University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Obesity is a major risk factor for cardiovascular disease; however, a paradoxical effect of obesity has been reported in patients with heart failure or myocardial infarction. Although several studies have suggested the same obesity paradox in patients undergoing transcatheter aortic valve replacement (TAVR), they included a limited number of underweight patients. Objectives: This study aimed to clarify the effect of being underweight on TAVR outcomes. Methods: We retrospectively analyzed 1,693 consecutive patients undergoing TAVR between 2010 and 2020. The patients were categorized according to body mass index: underweight (<18.5 kg/m Results: Underweight patients were more likely to be women and have severe heart failure symptoms, peripheral artery disease, anemia, hypoalbuminemia, and pulmonary dysfunction. They also had lower ejection fractions, smaller aortic valve areas, and higher surgical risk scores. Device failure, life-threatening bleeding, major vascular complications, and 30-day mortality occurred more frequently in underweight patients. The midterm survival rate of the underweight group was inferior to those of the other 2 groups ( Conclusions: Underweight patients had a worse midterm prognosis, demonstrating the obesity paradox in this TAVR population. (Outcomes of transcatheter aortic valve implantation in Japanese patients with aortic stenosis: multi-center registry; UMIN000031133).

Indexed as

AS, aortic stenosisBMI, body mass indexbody mass indexCV, cardiovascularobesity paradoxTAVR, transcatheter aortic valve replacementtranscatheter aortic valve replacementVARC, Valve Academic Research Consortium

Identifiers

PMID36873767
PMCPMC9982279
OpenAlexW4311326956

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.