Evidence map›Paper›PMID 38751456›Full record

ArticleEuropean heart journal open2024

Sex-specific cardiac magnetic resonance pulmonary capillary wedge pressure.

Pankaj Garg, Ciaran Grafton-Clarke, Gareth Matthews, Peter Swoboda, Liang Zhong, Nay Aung, Ross Thomson, Samer Alabed, Ahmet Demirkiran, Vassilios S Vassiliou and 1 more

Abstract read
In one paragraph

Article in European heart journal open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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

11 authors.

Pankaj GargNorwich Medical School, University of East Anglia, Norwich Research Park, Rosalind Franklin Road, Norwich NR4 7UQ, UK.ORCID https://orcid.org/0000-0002-5483-169X
Ciaran Grafton-ClarkeNorwich Medical School, University of East Anglia, Norwich Research Park, Rosalind Franklin Road, Norwich NR4 7UQ, UK.
Gareth MatthewsNorwich Medical School, University of East Anglia, Norwich Research Park, Rosalind Franklin Road, Norwich NR4 7UQ, UK.ORCID https://orcid.org/0000-0001-8353-4806
Peter SwobodaLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Liang ZhongNational Heart Research Institute Singapore, National Heart Centre Singapore, 5 Hospital Drive, Singapore.
Nay AungWilliam Harvey Research Institute, NIHR Barts Biomedical Research Centre, Queen Mary University of London, London, UK.ORCID https://orcid.org/0000-0001-5095-1611
Ross ThomsonWilliam Harvey Research Institute, NIHR Barts Biomedical Research Centre, Queen Mary University of London, London, UK.
Samer AlabedNational Institute for Health and Care Research, Sheffield Biomedical Research Centre, Sheffield, UK.ORCID https://orcid.org/0000-0002-9960-7587
Ahmet DemirkiranDepartment of Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.ORCID https://orcid.org/0000-0001-8104-3296
Vassilios S VassiliouNorwich Medical School, University of East Anglia, Norwich Research Park, Rosalind Franklin Road, Norwich NR4 7UQ, UK.ORCID https://orcid.org/0000-0002-4005-7752
Andrew J SwiftNational Institute for Health and Care Research, Sheffield Biomedical Research Centre, Sheffield, UK.

Funding

Wellcome Trust
6 · The paper itself

Abstract

Aims: Heart failure (HF) with preserved ejection fraction disproportionately affects women. There are no validated sex-specific tools for HF diagnosis despite widely reported differences in cardiac structure. This study investigates whether sex, as assigned at birth, influences cardiac magnetic resonance (CMR) assessment of left ventricular filling pressure (LVFP), a hallmark of HF agnostic to ejection fraction. Methods and results: A derivation cohort of patients with suspected pulmonary hypertension and HF from the Sheffield centre underwent invasive right heart catheterization and CMR within 24 h of each other. A sex-specific CMR model to estimate LVFP, measured as pulmonary capillary wedge pressure (PCWP), was developed using multivariable regression. A validation cohort of patients with confirmed HF from the Leeds centre was used to evaluate for the primary endpoints of HF hospitalization and major adverse cardiovascular events (MACEs). Comparison between generic and sex-specific CMR-derived PCWP was undertaken. A total of 835 (60% female) and 454 (36% female) patients were recruited into the derivation and validation cohorts respectively. A sex-specific model incorporating left atrial volume and left ventricular mass was created. The generic CMR PCWP showed significant differences between males and females (14.7 ± 4 vs. 13 ± 3.0 mmHg, Conclusion: Accounting for sex improves precision and prognostic performance of CMR biomarkers for HF.

Indexed as

CMRHeart failureSex

Identifiers

PMID38751456
PMCPMC11095051

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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.