Evidence map›Paper›PMID 38314569›Full record

ArticleJournal of the American Heart Association2024

Multiorgan Dysfunction and Associated Prognosis in Transthyretin Cardiac Amyloidosis.

Adam Ioannou, Christian Nitsche, Aldostefano Porcari, Rishi K Patel, Yousuf Razvi, Muhammad U Rauf, Ana Martinez-Naharro, Lucia Venneri, Antonella Accietto, Lucrezia Netti and 11 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

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  15. Observational
  16. Article
  17. Liver stiffness as a prognostic parameter and tool for risk stratification in advanced cardiac transthyretin amyloidosis.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Article
  18. 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

21 authors.

Adam IoannouNational Amyloidosis Centre University College London London United Kingdom.ORCID 0000-0001-5017-8657
Christian NitscheNational Amyloidosis Centre University College London London United Kingdom.ORCID 0000-0002-0141-7639
Aldostefano PorcariNational Amyloidosis Centre University College London London United Kingdom.ORCID 0000-0003-3307-0825
Rishi K PatelNational Amyloidosis Centre University College London London United Kingdom.ORCID 0000-0002-3177-5680
Yousuf RazviNational Amyloidosis Centre University College London London United Kingdom.ORCID 0000-0003-4766-3293
Muhammad U RaufNational Amyloidosis Centre University College London London United Kingdom.ORCID 0000-0001-8793-9333
Ana Martinez-NaharroNational Amyloidosis Centre University College London London United Kingdom.
Lucia VenneriNational Amyloidosis Centre University College London London United Kingdom.
Antonella AcciettoCardiology Unit, Department of Cardiac Thoracic and Vascular Istituto di Ricovero e Cura a Carattere Scientifico Azienda Ospedaliero-Universitaria di Bologna Bologna Italy.ORCID 0009-0004-7995-2916
Lucrezia NettiDepartment of Clinical, Internal, Anesthesiological and Cardiovascular Sciences Sapienza University of Rome Rome Italy.ORCID 0009-0000-0174-8086
Francesco BanderaHeart Failure and Rehabilitation Unit, IRCCS MultiMedica, Sesto San Giovanni Milan Italy.ORCID 0000-0002-5821-7371
Ruta VirsinskaiteNational Amyloidosis Centre University College London London United Kingdom.
Tushar KotechaNational Amyloidosis Centre University College London London United Kingdom.ORCID 0000-0003-0059-4817
Dan KnightNational Amyloidosis Centre University College London London United Kingdom.
Aviva PetrieUniversity College London London United Kingdom.ORCID 0000-0002-5236-4741
Carol WhelanNational Amyloidosis Centre University College London London United Kingdom.
Ashutosh WechalekarNational Amyloidosis Centre University College London London United Kingdom.
Helen LachmannNational Amyloidosis Centre University College London London United Kingdom.
Philip N HawkinsNational Amyloidosis Centre University College London London United Kingdom.ORCID 0000-0002-6983-9598
Julian D GillmoreNational Amyloidosis Centre University College London London United Kingdom.ORCID 0000-0001-6174-9232
Marianna FontanaNational Amyloidosis Centre University College London London United Kingdom.ORCID 0000-0002-9233-9831

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransthyretin cardiac amyloidosis (ATTR-CA) is a progressive and ultimately fatal cardiomyopathy. Biomarkers reflecting multiorgan dysfunction are of increasing importance in patients with heart failure; however, their significance in ATTR-CA remains largely unknown. The aims of this study were to characterize the multifaceted nature of ATTR-CA using blood biomarkers and assess the association between blood biomarkers and prognosis. METHODS AND

resultsThis is a retrospective cohort study of 2566 consecutive patients diagnosed with ATTR-CA between 2007 and 2023. Anemia (39%), high urea (52%), hyperbilirubinemia (18%), increased alkaline phosphatase (16%), increased CRP (C-reactive protein; 27%), and increased troponin (98.2%) were common findings in the overall population, whereas hyponatremia (6%) and hypoalbuminemia (2%) were less common. These abnormalities were most common in patients with p.(V142I) hereditary ATTR-CA, and became more prevalent as the severity of cardiac disease increased. Multivariable Cox regression analysis demonstrated that anemia (hazard ratio [HR], 1.19 [95% CI, 1.04-1.37];

conclusionsCardiac and noncardiac biomarker abnormalities were common and reflect the complex and multifaceted nature of ATTR-CA, with a wide range of biomarkers remaining independently associated with mortality. Clinical trials are needed to investigate whether biomarker abnormalities represent modifiable risk factors that if specifically targeted could improve outcomes.

Indexed as

Amyloid Neuropathies, FamilialAnemiaCardiomyopathiesHyponatremiaAlkaline PhosphataseBiomarkersHumansHyperbilirubinemiaPrealbuminPrognosisRetrospective StudiesStroke VolumeUreaVentricular Function, LeftAlkaline PhosphataseBiomarkersPrealbuminUreablood biomarkersheart failuremortalitytransthyretin cardiac amyloidosis

Identifiers

PMID38314569
PMCPMC11010096

What OpenQuestion holds

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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.