Evidence map›Paper›PMID 38639333›Full record

Observational studyJournal of the American Heart Association2024

Longitudinal NT-proBNP: Associations With Echocardiographic Changes and Outcomes in Heart Failure.

Kanako Teramoto, Wan Ting Tay, Jasper Tromp, Wouter Ouwerkerk, Tiew-Hwa Katherine Teng, Chanchal Chandramouli, Oi Wah Liew, Jenny Chong, Katrina K Poppe, Mayanna Lund and 5 more

Open access · goldAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study 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 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  14. Non-Invasive Evaluation by the HEMOTAGCardiovascular science · 2025
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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

15 authors at 10 institutions in 5 countries.

Kanako TeramotoDepartment of Biostatistics National Cerebral and Cardiovascular Center Osaka Japan.ORCID 0000-0002-4217-9497
Wan Ting TayNational Heart Research Institute Singapore, National Heart Centre Singapore Singapore.ORCID 0000-0003-2397-5946
Jasper TrompDuke-NUS Medical School Singapore.ORCID 0000-0001-6043-0713
Wouter OuwerkerkNational Heart Research Institute Singapore, National Heart Centre Singapore Singapore.ORCID 0000-0002-2000-9358
Tiew-Hwa Katherine TengNational Heart Research Institute Singapore, National Heart Centre Singapore Singapore.ORCID 0000-0002-8431-9961
Chanchal ChandramouliNational Heart Research Institute Singapore, National Heart Centre Singapore Singapore.ORCID 0000-0001-8256-902X
Oi Wah LiewDepartment of Medicine Cardiovascular Research Institute, National University of Singapore Singapore.ORCID 0000-0001-5729-2700
Jenny ChongDepartment of Medicine Cardiovascular Research Institute, National University of Singapore Singapore.ORCID 0000-0002-4182-188X
Katrina K PoppeDepartment of Medicine, Heart Health Research Group University of Auckland Auckland New Zealand.ORCID 0000-0002-4418-4476
Mayanna LundDepartment of Cardiology Middlemore Hospital Auckland New Zealand.ORCID 0000-0001-8804-163X
Gerry DevlinHeart Foundation of New Zealand Auckland New Zealand.ORCID 0009-0005-6545-6724
Richard W TroughtonDepartment of Medicine University of Otago Christchurch New Zealand.ORCID 0000-0001-7484-4036
Robert N DoughtyDepartment of Medicine, Heart Health Research Group University of Auckland Auckland New Zealand.ORCID 0000-0002-3503-1689
Arthur Mark RichardsDepartment of Medicine Cardiovascular Research Institute, National University of Singapore Singapore.ORCID 0000-0002-2023-8177
Carolyn S P LamNational Heart Research Institute Singapore, National Heart Centre Singapore Singapore.ORCID 0000-0003-1903-0018
National University of Singapore · SGNational Heart Centre Singapore · SGUniversity of Auckland · NZDuke-NUS Medical School · SGMiddlemore Hospital · NZNational Cerebral and Cardiovascular Center · JPNational Heart Foundation of New Zealand · NZThe University of Western Australia · AUUniversity Medical Center Groningen · NLUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship of serial NT-proBNP (N-terminal pro-B-type natriuretic peptide) measurements with changes in cardiac features and outcomes in heart failure (HF) remains incompletely understood. We determined whether common clinical covariates impact these relationships. METHODS AND

resultsIn 2 nationwide observational populations with HF, the relationship of serial NT-proBNP measurements with serial echocardiographic parameters and outcomes was analyzed, further stratified by HF with reduced versus preserved left ventricular ejection fraction, inpatient versus outpatient enrollment, age, obesity, chronic kidney disease, atrial fibrillation, and attainment of ≥50% guideline-recommended doses of renin-angiotensin system inhibitors and β-blockers. Among 1911 patients (mean±SD age, 65.1±13.4 years; 26.6% women; 62% inpatient and 38% outpatient), NT-proBNP declined overall, with more rapid declines among inpatients, those with obesity, those with atrial fibrillation, and those attaining ≥50% guideline-recommended doses. Each doubling of NT-proBNP was associated with increases in left ventricular volume (by 6.1 mL), E/e' (transmitral to mitral annular early diastolic velocity ratio) (by 1.4 points), left atrial volume (by 3.6 mL), and reduced left ventricular ejection fraction (by -2.1%). The effect sizes of these associations were lower among patients with HF with preserved ejection fraction, atrial fibrillation, or advanced age (

conclusionsThe relationships between NT-proBNP and structural/functional remodeling differed by age, presence of atrial fibrillation, and HF phenotypes. The association of increased NT-proBNP with increased risk of adverse outcomes was consistent in all subgroups.

Indexed as

BiomarkersHeart FailureNatriuretic Peptide, BrainPeptide FragmentsStroke VolumeVentricular Function, LeftAgedAged, 80 and overEchocardiographyFemaleHumansLongitudinal StudiesMaleMiddle AgedPredictive Value of TestsPrognosisBiomarkersNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)heart failureheart failure phenotypemixed‐effect modelsserial NT‐proBNP

Identifiers

PMID38639333
PMCPMC11179931
OpenAlexW4394954632

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.