Evidence map›Paper›PMID 38733175›Full record

Trial reportEuropean heart journal2024

Pulmonary artery pressure monitoring in chronic heart failure: effects across clinically relevant subgroups in the MONITOR-HF trial.

Pascal R D Clephas, Victor W Zwartkruis, Jishnu Malgie, Marco W F van Gent, Hans-Peter Brunner-La Rocca, Mariusz K Szymanski, Vokko P van Halm, M Louis Handoko, Wouter E M Kok, Folkert W Asselbergs and 24 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in European heart journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
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

34 authors.

Pascal R D ClephasDepartment of Cardiology, Thorax Centre, Cardiovascular Institute, Erasmus University Medical Center, Dr. Molewaterplein 40, 3015GD Rotterdam, Netherlands.ORCID 0000-0001-9752-6962
Victor W ZwartkruisDepartment of Cardiology, University Medical Centre Groningen, Groningen, Netherlands.
Jishnu MalgieDepartment of Cardiology, Thorax Centre, Cardiovascular Institute, Erasmus University Medical Center, Dr. Molewaterplein 40, 3015GD Rotterdam, Netherlands.
Marco W F van GentDepartment of Cardiology, Albert Schweitzer Hospital, Dordrecht, Netherlands.
Hans-Peter Brunner-La RoccaDepartment of Cardiology, Maastricht University Medical Centre, Maastricht, Netherlands.
Mariusz K SzymanskiDepartment of Cardiology, University Medical Center Utrecht, Utrecht, Netherlands.
Vokko P van HalmDepartment of Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, Netherlands.
M Louis HandokoDepartment of Cardiology, University Medical Center Utrecht, Utrecht, Netherlands.
Wouter E M KokDepartment of Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, Netherlands.
Folkert W AsselbergsDepartment of Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, Netherlands.ORCID 0000-0002-1692-8669
Roland R J van KimmenadeDepartment of Cardiology, Radboud University Medical Centre, Nijmegen, Netherlands.
Olivier C ManintveldDepartment of Cardiology, Thorax Centre, Cardiovascular Institute, Erasmus University Medical Center, Dr. Molewaterplein 40, 3015GD Rotterdam, Netherlands.
Nicolas M D A van MieghemDepartment of Cardiology, Thorax Centre, Cardiovascular Institute, Erasmus University Medical Center, Dr. Molewaterplein 40, 3015GD Rotterdam, Netherlands.
Saskia L M A BeeresDepartment of Cardiology, Leiden University Medical Centre, Leiden, Netherlands.ORCID 0000-0002-1916-078X
Marco C PostDepartment of Cardiology, University Medical Center Utrecht, Utrecht, Netherlands.
C Jan Willem BorleffsDepartment of Cardiology, HAGA Hospital, Den Haag, Netherlands.
Raymond TukkieDepartment of Cardiology, Spaarne Hospital, Haarlem, Netherlands.
Arend MosterdDepartment of Cardiology, Meander Medical Centre, Amersfoort, Netherlands.
Gerard C M LinssenDepartment of Cardiology, Hospital Group Twente, Almelo, Netherlands.
Ruud F SpeeDepartment of Cardiology, Maxima Medical Centre, Veldhoven/Eindhoven, Netherlands.
Mireille E EmansDepartment of Cardiology, Ikazia Hospital, Rotterdam, Netherlands.
Tom D J SmildeDepartment of Cardiology, Scheeper Hospital TREANT, Emmen, Netherlands.
Jan van RamshorstDepartment of Cardiology, Noordwest Hospital Group, Alkmaar, Netherlands.
Charles J H J KirchhofDepartment of Cardiology, Alrijne Hospital, Leiderdorp, Netherlands.
Margriet W Feenema-AardemaDepartment of Cardiology, Medical Centre Leeuwarden, Leeuwarden, Netherlands.
Carlos A da FonsecaDepartment of Cardiology, Medical Centre Leeuwarden, Leeuwarden, Netherlands.
Mieke van den HeuvelDepartment of Cardiology, Medisch Spectrum Twente, Enschede, Netherlands.
Ronald HazelegerDepartment of Cardiology, Vie Curi Hospital, Venlo, Netherlands.
Martijn van EckDepartment of Cardiology, Jeroen Bosch Hospital, 's-Hertogenbosch, Netherlands.
Loek van HeerebeekDepartment of Cardiology, OLVG Hospital, Amsterdam, Netherlands.
Eric BoersmaDepartment of Cardiology, Thorax Centre, Cardiovascular Institute, Erasmus University Medical Center, Dr. Molewaterplein 40, 3015GD Rotterdam, Netherlands.
Michiel RienstraDepartment of Cardiology, University Medical Centre Groningen, Groningen, Netherlands.
Rudolf A de BoerDepartment of Cardiology, Thorax Centre, Cardiovascular Institute, Erasmus University Medical Center, Dr. Molewaterplein 40, 3015GD Rotterdam, Netherlands.
Jasper J BrugtsDepartment of Cardiology, Thorax Centre, Cardiovascular Institute, Erasmus University Medical Center, Dr. Molewaterplein 40, 3015GD Rotterdam, Netherlands.

Funding

Abbott LaboratoriesDutch Ministry of Health with the innovationHealth Care Institute for conditional reimbursement
6 · The paper itself

Abstract

BACKGROUND AND

aimsIn patients with chronic heart failure (HF), the MONITOR-HF trial demonstrated the efficacy of pulmonary artery (PA)-guided HF therapy over standard of care in improving quality of life and reducing HF hospitalizations and mean PA pressure. This study aimed to evaluate the consistency of these benefits in relation to clinically relevant subgroups.

methodsThe effect of PA-guided HF therapy was evaluated in the MONITOR-HF trial among predefined subgroups based on age, sex, atrial fibrillation, diabetes mellitus, left ventricular ejection fraction, HF aetiology, cardiac resynchronization therapy, and implantable cardioverter defibrillator. Outcome measures were based upon significance in the main trial and included quality of life-, clinical-, and PA pressure endpoints, and were assessed for each subgroup. Differential effects in relation to the subgroups were assessed with interaction terms. Both unadjusted and multiple testing adjusted interaction terms were presented.

resultsThe effects of PA monitoring on quality of life, clinical events, and PA pressure were consistent in the predefined subgroups, without any clinically relevant heterogeneity within or across all endpoint categories (all adjusted interaction P-values were non-significant). In the unadjusted analysis of the primary endpoint quality-of-life change, weak trends towards a less pronounced effect in older patients (Pinteraction = .03; adjusted Pinteraction = .33) and diabetics (Pinteraction = .01; adjusted Pinteraction = .06) were observed. However, these interaction effects did not persist after adjusting for multiple testing.

conclusionsThis subgroup analysis confirmed the consistent benefits of PA-guided HF therapy observed in the MONITOR-HF trial across clinically relevant subgroups, highlighting its efficacy in improving quality of life, clinical, and PA pressure endpoints in chronic HF patients.

Indexed as

Heart FailurePulmonary ArteryQuality of LifeAgedCardiac Resynchronization TherapyChronic DiseaseDefibrillators, ImplantableFemaleHumansMaleMiddle AgedStroke VolumePulmonary artery pressureQuality of lifeRandomized controlled trialSensorSubgroupsTelemonitoring

Identifiers

PMID38733175
PMCPMC11335373

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.