Evidence map›Paper›PMID 38938393›Full record

ReviewJACC. Advances2022

The Utilization and Interpretation of Cardiac Biomarkers During Pregnancy:

Amy A Sarma, Niti R Aggarwal, Joan E Briller, Melinda Davis, Katherine E Economy, Afshan B Hameed, James L Januzzi, Kathryn J Lindley, Deirdre J Mattina, Brandon McBay and 3 more

Abstract readReview
In one paragraph

Review in JACC. Advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Review
  2. Article
  3. Cardiac biomarkers in women with high-risk pregnancies: short-term outcomes from the Heidelberg Cardio-Obstetrics Registry.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. 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

13 authors.

Amy A SarmaMassachusetts General Hospital, Boston, Massachusetts, USA.
Niti R AggarwalDepartment of Cardiovascular diseases, Mayo Clinic, Rochester, Minnesota, USA.
Joan E BrillerDivision of Cardiology, University of Illinois at Chicago, Chicago, Illinois, USA.
Melinda DavisDivision of Cardiovascular Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Katherine E EconomyHarvard Medical School, Boston, Massachusetts, USA.
Afshan B HameedUniversity of California, Irvine, Orange, California, USA.
James L JanuzziMassachusetts General Hospital, Boston, Massachusetts, USA.
Kathryn J LindleyCardiovascular Division, Washington University in St. Louis, St. Louis, Missouri, USA.
Deirdre J MattinaDivision of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Brandon McBayMassachusetts General Hospital, Boston, Massachusetts, USA.
Odayme QuesadaWomen's Heart Center, The Christ Hospital Heart and Vascular Institute, Cincinnati, Ohio, USA.
Nandita S ScottMassachusetts General Hospital, Boston, Massachusetts, USA.
American College of Cardiology Cardiovascular Disease in Women Committee and Cardio-obstetrics Work Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac biomarkers are widely used in the nonpregnant population when acute cardiovascular (CV) pathology is suspected; however, the behavior of these biomarkers in the context of pregnancy is less well understood. Pregnant individuals often have symptoms that mimic those of cardiac dysfunction, and complications of pregnancy may include CV disease. This paper will summarize our current knowledge on the use of cardiac biomarkers in pregnancy and provide suggestions on how to use these tools in clinical practice based on the available evidence. Natriuretic peptides and troponin should not be measured routinely in uncomplicated pregnancy, where values should remain low as in the nonpregnant population. In the context of pre-existing or suspected CV disease, these biomarkers retain their negative predictive value. Elevations of both natriuretic peptides and troponin may occur without clear clinical significance in the immediate postpartum period. Elevations of these markers should always prompt further investigation into possible CV pathology.

Indexed as

biomarkerheart failurenatriuretic peptidepregnancytroponin

Identifiers

PMID38938393
PMCPMC11198183

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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.