Evidence map›Paper›PMID 36994635›Full record

ArticleEuropean journal of heart failure2023

Ventricular stiffening and chamber contracture in heart failure with higher ejection fraction.

Dejana Popovic, Alessio Alogna, Massar Omar, Hidemi Sorimachi, Kazunori Omote, Yogesh N V Reddy, Margaret M Redfield, Daniel Burkhoff, Barry A Borlaug

Open access · bronzeAbstract read
In one paragraph

Article in European journal of heart failure, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
13.4field-weighted citation impact, top 1% 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

29 citing papers in PubMed, 61 citations in OpenAlex.

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  17. 2024 update in heart failure.ESC heart failure · 2025
    Review
  18. Article
  19. Article
  20. Non-invasive estimation of left ventricular chamber stiffness using cardiovascular magnetic resonance and echocardiography.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Dejana PopovicDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Alessio AlognaDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Massar OmarDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Hidemi SorimachiDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Kazunori OmoteDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Yogesh N V ReddyDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Margaret M RedfieldDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Daniel BurkhoffCardiovascular Research Foundation, New York, NY, USA.
Barry A BorlaugDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USCardiovascular Research Foundation · USSteno Diabetes Centers · DK

Funding

HL-Inorganic Nitrite to Enhance Benefits from Exercise Training in Heart Failure with preserved Ejection FractionR01HL128526 · NHLBI · MAYO CLINIC ROCHESTER · PI BORLAUG, BARRY A. · 2016 to 2019
$2.4M
Mayo Clinic HeartShare Clinical CenterU01HL160226 · NHLBI · MAYO CLINIC ROCHESTER · PI Barry A. Borlaug, Margaret M Redfield · 2021 to 2026
$1.8M
NHLBI NIH HHS R01 HL128526NHLBI NIH HHS U01 HL160226
6 · The paper itself

Abstract

aimsAncillary analyses from clinical trials have suggested reduced efficacy for neurohormonal antagonists among patients with heart failure and preserved ejection fraction (HFpEF) and higher ranges of ejection fraction (EF). METHODS AND

resultsA total of 621 patients with HFpEF were grouped into those with low-normal left ventricular EF (LVEF) (HFpEF

conclusionMost pathophysiologic differences in patients with HFpEF and higher EF are related to smaller heart size, increased LV diastolic stiffness, and leftward shift in the EDPVR. These findings may help to explain the absence of efficacy for neurohormonal antagonists in this group and raise a new hypothesis, that interventions to stimulate eccentric LV remodelling and enhance diastolic capacitance may be beneficial for patients with HFpEF and EF in the higher range.

Indexed as

Heart FailureVentricular Dysfunction, LeftHeart VentriclesHumansStroke VolumeVentricular Function, LeftCardiac remodellingHaemodynamicsHeart failureHeart failure with preserved ejection fractionVentricular function

Identifiers

PMID36994635
PMCPMC10330082
OpenAlexW4361272310

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.