Evidence map›Paper›PMID 37886836›Full record

ArticleCirculation. Heart failure2023

Obesity Modifies Clinical Outcomes of Right Ventricular Dysfunction.

Janet I Ma, Emily K Zern, Juhi K Parekh, Ndidi Owunna, Nona Jiang, Dongyu Wang, Paula K Rambarat, Eugene Pomerantsev, Michael H Picard, Jennifer E Ho

Open access · greenAbstract read
In one paragraph

Article in Circulation. Heart failure, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.6field-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.

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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Janet I MaDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston (J.I.M., E.P., M.H.P.).
Emily K ZernProvidence Heart Institute, Center for Cardiovascular Analytics, Research, and Data Science (CARDS), Providence St. Joseph Health, Portland, OR (E.K.Z.).ORCID 0000-0001-8334-4199
Juhi K ParekhCardiovascular Institute and Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA (J.K.P., N.O., N.J., D.W., J.E.H.).ORCID 0009-0009-6510-0073
Ndidi OwunnaCardiovascular Institute and Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA (J.K.P., N.O., N.J., D.W., J.E.H.).
Nona JiangCardiovascular Institute and Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA (J.K.P., N.O., N.J., D.W., J.E.H.).
Dongyu WangCardiovascular Institute and Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA (J.K.P., N.O., N.J., D.W., J.E.H.).
Paula K RambaratDivision of Cardiology, Duke University Medical Center, Durham, NC (P.K.R.).
Eugene PomerantsevDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston (J.I.M., E.P., M.H.P.).
Michael H PicardDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston (J.I.M., E.P., M.H.P.).ORCID 0000-0002-9264-3243
Jennifer E HoCardiovascular Institute and Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA (J.K.P., N.O., N.J., D.W., J.E.H.).ORCID 0000-0002-7987-4768
Beth Israel Deaconess Medical Center · USMassachusetts General Hospital · USBoston University · USDuke Medical Center · USSt. Joseph Health System · USTwitter (United States) · US

Funding

Eicosanoid Profiles as Determinants of HFpEFR01HL140224 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HO, JENNIFER E · 2018 to 2021
$3.1M
The Association of Metabolic Disease and Pulmonary HypertensionR01HL134893 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HO, JENNIFER E · 2017 to 2021
$2.9M
Long-Term Endothelial Effects of COVID-19 in ObesityR01HL160003 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI HAMBURG, NAOMI MIRIAM, HO, JENNIFER E · 2022 to 2025
$2.8M
Mentoring in Patient-Oriented and Translational HFpEF ResearchK24HL153669 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Jennifer E Ho · 2020 to 2026
$744k
NHLBI NIH HHS K24 HL153669NHLBI NIH HHS R01 HL134893NHLBI NIH HHS R01 HL140224NHLBI NIH HHS R01 HL160003
6 · The paper itself

Abstract

backgroundRight ventricular (RV) dysfunction is associated with increased mortality across a spectrum of cardiovascular diseases. The role of obesity in RV dysfunction and adverse outcomes is unclear.

methodsWe examined patients undergoing right heart catheterization between 2005 and 2016 in a hospital-based cohort. Linear regression was used to examine the association of obesity with hemodynamic indices of RV dysfunction (pulmonary artery pulsatility index, right atrial pressure:pulmonary capillary wedge pressure ratio, RV stroke work index). Cox models were used to examine the association of RV function measures with clinical outcomes.

resultsAmong 8285 patients (mean age, 63 years; 40% women), higher body mass index was associated with worse indices of RV dysfunction, including lower pulmonary artery pulsatility index (β, -0.23; SE, 0.01;

conclusionsPatients with obesity had worse hemodynamic measured indices of RV function across a broad hospital-based sample. While RV dysfunction was associated with worse clinical outcomes including mortality and heart failure hospitalization, this association was especially pronounced among individuals with higher body mass index.

Indexed as

Heart FailureStrokeVentricular Dysfunction, RightFemaleHumansMaleMiddle AgedObesityPulmonary ArteryRetrospective StudiesVentricular Function, Rightheart failureobesitypulmonary hypertension

Identifiers

PMID37886836
PMCPMC10841712
OpenAlexW4387966088

What OpenQuestion holds

Textmetadata
LicenceTDM
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.