Evidence map›Paper›PMID 38454876›Full record

Observational studyESC heart failure2024

Low-density lipoprotein cholesterol, erythrocyte, and platelet in heart failure with preserved ejection fraction.

Masamichi Yano, Masami Nishino, Shodai Kawanami, Kohei Ukita, Akito Kawamura, Koji Yasumoto, Masaki Tsuda, Naotaka Okamoto, Yasuharu Matsunaga-Lee, Yasuyuki Egami and 12 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study 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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. 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

22 authors.

Masamichi YanoDivision of Cardiology, Osaka Rosai Hospital, Osaka, Japan.
Masami NishinoDivision of Cardiology, Osaka Rosai Hospital, Osaka, Japan.ORCID https://orcid.org/0000-0003-0309-7023
Shodai KawanamiDivision of Cardiology, Osaka Rosai Hospital, Osaka, Japan.
Kohei UkitaDivision of Cardiology, Osaka Rosai Hospital, Osaka, Japan.
Akito KawamuraDivision of Cardiology, Osaka Rosai Hospital, Osaka, Japan.
Koji YasumotoDivision of Cardiology, Osaka Rosai Hospital, Osaka, Japan.
Masaki TsudaDivision of Cardiology, Osaka Rosai Hospital, Osaka, Japan.
Naotaka OkamotoDivision of Cardiology, Osaka Rosai Hospital, Osaka, Japan.
Yasuharu Matsunaga-LeeDivision of Cardiology, Osaka Rosai Hospital, Osaka, Japan.
Yasuyuki EgamiDivision of Cardiology, Osaka Rosai Hospital, Osaka, Japan.
Takahisa YamadaDivision of Cardiology, Osaka General Medical Center, Osaka, Japan.
Yoshio YasumuraDivision of Cardiology, Amagasaki Chuo Hospital, Amagasaki, Japan.
Masahiro SeoDivision of Cardiology, Osaka General Medical Center, Osaka, Japan.
Takaharu HayashiDivision of Cardiovascular, Osaka Police Hospital, Osaka, Japan.
Akito NakagawaDivision of Cardiology, Amagasaki Chuo Hospital, Amagasaki, Japan.
Yusuke NakagawaDivision of Cardiology, Kawanishi City Medical Center, Kawanishi, Japan.
Shunsuke TamakiDepartment of Cardiology, Pulmonology, Hypertension, Nephrology, Ehime University Graduate School of Medicine, Toon, Japan.
Yohei SotomiDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Daisaku NakataniDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Shungo HikosoDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Yasushi SakataDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Osaka CardioVascular Conference (OCVC)‐Heart Failure Investigators

Funding

Roche Diagnostics K.K. and Fuji Film Toyama Chemical Co. Ltd.
6 · The paper itself

Abstract

aimsLow-density lipoprotein cholesterol (LDL-C), anaemia and low platelets have been associated with worse clinical outcomes in heart failure patients. We investigated the relationship between the combination of these three components and clinical outcome in patients with heart failure with preserved ejection fraction (HFpEF). METHODS AND

resultsWe examined the data of 1021 patients with HFpEF hospitalized with acute decompensated heart failure (HF) from the PURSUIT-HFpEF registry, a prospective, multicenter observational study. The enrolled patients were classified into four groups by an LEP (LDL-C, Erythrocyte, and Platelet) score of 0 to 3 points, with 1 point each for LDL-C, erythrocyte and platelet values less than the cut-off values as calculated by receiver operating characteristic curve analysis. The endpoint, a composite of all-cause death and HF readmission, was evaluated among the four groups. Median follow-up duration was 579 [300, 978] days. Risk of the composite endpoint significantly differed among the four groups (P < 0.001). Kaplan-Meier analysis showed that the groups with an LEP score of 2 had higher risk of the composite endpoint than those with an LEP score of 0 or 1 (P < 0.001, and P = 0.013, respectively), while those with an LEP score of 3 had higher risk than those with an LEP score of 0, 1 or 2 (P < 0.001, P < 0.001 and P = 0.020, respectively). Cox proportional hazards analysis showed that an LEP score of 3 was significantly associated with the composite endpoint (P = 0.030). Kaplan-Meier analysis showed that risk of the composite of all-cause death and HF readmission was significantly higher in low LDL values (less than the cut-off values as calculated by receiver operating characteristic curve analysis) patients with statin use than in those without statin use (log rank P = 0.002).

conclusionsLEP score, which comprehensively reflects extra-cardiac co-morbidities, is significantly associated with clinical outcomes in HFpEF patients.

Indexed as

Blood PlateletsCholesterol, LDLErythrocytesHeart FailureStroke VolumeAgedBiomarkersFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisProspective StudiesRegistriesSurvival RateBiomarkersCholesterol, LDLErythrocyteHeart failure with preserved ejection fractionLow‐density lipoprotein cholesterolPlateletPrognosis

Identifiers

PMID38454876
PMCPMC11098649

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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.