Evidence map›Paper›PMID 37646214›Full record

Trial reportJournal of the American Heart Association2023

Changes in Left Ventricular Global Longitudinal Strain in Patients With Heart Failure and Secondary Mitral Regurgitation: The COAPT Trial.

Stephan M Pio, Diego Medvedofsky, Jan Stassen, Victoria Delgado, Farnaz Namazi, Neil J Weissman, Paul Grayburn, Saibal Kar, D Scott Lim, Zhipeng Zhou and 9 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.3field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Observational
  5. Echocardiographic Assessment of Patients Undergoing Mitral Valve Repair.Journal of cardiovascular development and disease · 2025
    Review
  6. [Short-term clinical efficacy of transcatheter edge-to-edge repair for moderate to severe mitral regurgitation].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2025
    Article
  7. Review
  8. Article
  9. Review
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

19 authors at 12 institutions in 6 countries.

Stephan M PioDepartment of Cardiology Leiden University Medical Center Leiden the Netherlands.
Diego MedvedofskyMedStar Health Research Institute Washington DC USA.
Jan StassenDepartment of Cardiology Leiden University Medical Center Leiden the Netherlands.ORCID 0000-0001-9745-5498
Victoria DelgadoDepartment of Cardiology Leiden University Medical Center Leiden the Netherlands.ORCID 0000-0002-9841-2737
Farnaz NamaziDepartment of Cardiology Leiden University Medical Center Leiden the Netherlands.
Neil J WeissmanMedStar Health Research Institute Washington DC USA.
Paul GrayburnBaylor Scott & White Health Plano TX.
Saibal KarLos Robles Regional Medical Center Thousand Oaks CA.ORCID 0000-0003-1547-4869
D Scott LimUniversity of Virginia Charlottesville VA.
Zhipeng ZhouCardiovascular Research Foundation New York NY.
Maria C AluCardiovascular Research Foundation New York NY.ORCID 0000-0002-0430-3020
Björn RedforsCardiovascular Research Foundation New York NY.ORCID 0000-0002-4155-4451
Samir KapadiaCleveland Clinic Cleveland OH.ORCID 0000-0002-0026-3391
JoAnn LindenfeldVanderbilt University Medical Center Nashville TN.ORCID 0000-0001-9207-3634
William T AbrahamOhio State University Medical Center Columbus OH.ORCID 0000-0003-4805-1037
Michael J MackBaylor Scott & White Health Plano TX.ORCID 0000-0002-3148-9158
Federico M AschMedStar Health Research Institute Washington DC USA.ORCID 0000-0002-1744-5271
Gregg W StoneThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai New York NY.ORCID 0000-0002-3416-8210
Jeroen J BaxDepartment of Cardiology Leiden University Medical Center Leiden the Netherlands.ORCID 0000-0001-7368-0500
Leiden University Medical Center · NLMedStar Health · USBaylor Scott & White Health · USCardiovascular Research Foundation · USBakersfield Heart Hospital · USCardiovascular Institute of the South · USCleveland Clinic · USSahlgrenska University Hospital · SEThe Ohio State University Wexner Medical Center · USUniversity of Turku · FIUniversity of Virginia · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Left ventricular (LV) global longitudinal strain (GLS) provides incremental prognostic information over LV ejection fraction in patients with heart failure (HF) and secondary mitral regurgitation. We examined the prognostic impact of LV GLS improvement in this population. Methods and Results The COAPT (Cardiovascular Outcomes Assessment of the MitraClip Percutaneous Therapy for Heart Failure Patients With Functional Mitral Regurgitation) trial randomized symptomatic patients with HF with severe (3+/4+) mitral regurgitation to transcatheter edge-to-edge repair with the MitraClip device plus maximally tolerated guideline-directed medical therapy (GDMT) versus GDMT alone. LV GLS was measured at baseline and 6-month follow-up. The relationship between the improvement in LV GLS from baseline to 6 months and the composite of all-cause death or HF hospitalization between 6- and 24-month follow-up were assessed. Among 383 patients, 174 (45.4%) had improved LV GLS at 6-month follow-up (83/195 [42.6%] with transcatheter edge-to-edge repair+GDMT and 91/188 [48.4%] with GDMT alone;

Indexed as

Heart FailureMitral Valve InsufficiencyGlobal Longitudinal StrainHospitalizationHumansOutcome Assessment, Health CareCOAPT trialheart failureleft ventricular global longitudinal strainsecondary mitral regurgitationtranscatheter edge‐to‐edge repair

Identifiers

PMID37646214
PMCPMC10547326
OpenAlexW4386271602

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.