Evidence map›Paper›PMID 38970313›Full record

ArticleESC heart failure2024

Effects of baroreflex activation therapy on cardiac function and morphology.

Ann-Kathrin C Schäfer, Manuel Wallbach, Charlotte Schroer, Luca-Yves Lehnig, Stephan Lüders, Gerhard Hasenfuß, Rolf Wachter, Michael J Koziolek

Abstract read
In one paragraph

Article 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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. 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

8 authors.

Ann-Kathrin C SchäferDepartment of Nephrology and Rheumatology, University Medical Centre, Göttingen, Germany.ORCID 0000-0003-2676-9670
Manuel WallbachDepartment of Nephrology and Rheumatology, University Medical Centre, Göttingen, Germany.
Charlotte SchroerDepartment of Nephrology and Rheumatology, University Medical Centre, Göttingen, Germany.
Luca-Yves LehnigDepartment of Nephrology and Rheumatology, University Medical Centre, Göttingen, Germany.
Stephan LüdersDepartment of Nephrology and Rheumatology, University Medical Centre, Göttingen, Germany.
Gerhard HasenfußGerman Center for Cardiovascular Research (DZHK), Partner Site, Göttingen, Germany.
Rolf WachterGerman Center for Cardiovascular Research (DZHK), Partner Site, Göttingen, Germany.
Michael J KoziolekDepartment of Nephrology and Rheumatology, University Medical Centre, Göttingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsArterial hypertension (aHTN) plays a fundamental role in the pathogenesis and prognosis of heart failure with preserved ejection fraction (HFpEF). The risk of heart failure increases with therapy-resistant arterial hypertension (trHTN), defined as inadequate blood pressure (BP) control ≥140/90 mmHg despite taking ≥3 antihypertensive medications including a diuretic. This study investigates the effects of the BP lowering baroreflex activation therapy (BAT) on cardiac function and morphology in patients with trHTN with and without HFpEF.

methodsSixty-four consecutive patients who had been diagnosed with trHTN and received BAT implantation between 2012 and 2016 were prospectively observed. Office BP, electrocardiographic and echocardiographic data were collected before and after BAT implantation.

resultsMean patients' age was 59.1 years, 46.9% were male, and mean body mass index (BMI) was 33.2 kg/m

conclusionsBAT reduced systolic and diastolic BP and was associated with morphological and functional improvement of HFpEF.

Indexed as

BaroreflexHeart FailureHypertensionStroke VolumeAgedBlood PressureEchocardiographyElectric Stimulation TherapyElectrocardiographyFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesTreatment OutcomeBaroreflex activation therapyEchocardiographyElectrocardiogramHFpEFResistant hypertension

Identifiers

PMID38970313
PMCPMC11424325

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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.