Evidence map›Paper›PMID 38030138›Full record

Trial reportESC heart failure2024

Acyl ghrelin increases cardiac output while preserving right ventricular-pulmonary arterial coupling in heart failure.

Mikael Erhardsson, Ulrika L Faxén, Ashwin Venkateshvaran, Camilla Hage, Gianluigi Pironti, Tonje Thorvaldsen, Dominic-Luc Webb, Per M Hellström, Daniel C Andersson, Marcus Ståhlberg and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in ESC heart failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Ghrelin peptide in heart failure: when is showtime?Frontiers in cardiovascular medicine · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Observational
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

11 authors.

Mikael ErhardssonDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.
Ulrika L FaxénDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.
Ashwin VenkateshvaranDepartment of Clinical Physiology, Department of Clinical Sciences, Lund University, Stockholm, Sweden.
Camilla HageDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.
Gianluigi PirontiDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.
Tonje ThorvaldsenDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.
Dominic-Luc WebbDepartment of Medical Sciences, Gastroenterology and Hepatology, Uppsala University, Uppsala, Sweden.
Per M HellströmDepartment of Medical Sciences, Gastroenterology and Hepatology, Uppsala University, Uppsala, Sweden.
Daniel C AnderssonDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.
Marcus StåhlbergDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.
Lars H LundDepartment of Medicine, Unit of Cardiology, Karolinska Institutet, Stockholm, Sweden.

Funding

Karolinska Institutet 2-70/2014Stockholm County Council 20140220Swedish Heart-Lung Foundation 20150557Swedish Heart-Lung Foundation 20190310Swedish Research Council 20180899The Swedish Research Council 523-2014-2336
6 · The paper itself

Abstract

aimAcyl ghrelin increases cardiac output (CO) in heart failure with reduced ejection fraction (HFrEF). This could impair the right ventricular-pulmonary arterial coupling (RVPAC), both through an increased venous return and right ventricular afterload. We aim to investigate if acyl ghrelin increases CO with or without worsening the right-sided haemodynamics in HFrEF assessed by RVPAC. METHODS AND

resultsThe Karolinska Acyl ghrelin Trial was a randomized double-blind placebo-controlled trial of acyl ghrelin versus placebo (120-min intravenous infusion) in HFrEF. RVPAC was assessed echocardiographically at baseline and 120 min. ANOVA was used for difference in change between acyl ghrelin versus placebo, adjusted for baseline values. Of the 30 randomized patients, 22 had available RVPAC (acyl ghrelin n = 12, placebo n = 10). Despite a 15% increase in CO in the acyl ghrelin group (from 4.0 (3.5-4.6) to 4.6 (3.9-6.1) L/min, P = 0.003), RVPAC remained unchanged; 5.9 (5.3-7.6) to 6.3 (4.8-7.5) mm·(m/s)

conclusionTreatment with acyl ghrelin increases CO while preserving or even improving RVPAC in HFrEF, possibly due to increased contractility, reduced PVR and/or reduced left sided filling pressures. These potential effects strengthen the role of acyl ghrelin therapy in HFrEF with right ventricular failure.

Indexed as

Heart FailureHypertension, PulmonaryCardiac OutputGhrelinHumansStroke VolumeGhrelinAcyl ghrelinHeart failureInotrope

Identifiers

PMID38030138
PMCPMC10804189

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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.