Evidence map›Paper›PMID 39600082›Full record

ArticleClinical cardiology2024

Insulin-Like Growth Factor Binding Protein 2 Predicts Right Ventricular Reverse Remodeling and Improvement of Concomitant Tricuspid Regurgitation After Transcatheter Edge-to-Edge Mitral Valve Repair.

Matthias Gröger, Dominik Felbel, Michael Paukovitsch, Leonhard Moritz Schneider, Sinisa Markovic, Wolfgang Rottbauer, Mirjam Keßler

Abstract read
In one paragraph

Article in Clinical cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Matthias GrögerDepartment of Internal Medicine II, Ulm University Heart Center, Ulm, Baden-Württemberg, Germany.ORCID http://orcid.org/0000-0003-4082-3901
Dominik FelbelDepartment of Internal Medicine II, Ulm University Heart Center, Ulm, Baden-Württemberg, Germany.ORCID http://orcid.org/0000-0003-0649-7364
Michael PaukovitschDepartment of Internal Medicine II, Ulm University Heart Center, Ulm, Baden-Württemberg, Germany.
Leonhard Moritz SchneiderDepartment of Internal Medicine II, Ulm University Heart Center, Ulm, Baden-Württemberg, Germany.
Sinisa MarkovicDepartment of Internal Medicine II, Ulm University Heart Center, Ulm, Baden-Württemberg, Germany.ORCID http://orcid.org/0000-0001-9708-0702
Wolfgang RottbauerDepartment of Internal Medicine II, Ulm University Heart Center, Ulm, Baden-Württemberg, Germany.ORCID http://orcid.org/0000-0003-4725-6217
Mirjam KeßlerDepartment of Internal Medicine II, Ulm University Heart Center, Ulm, Baden-Württemberg, Germany.

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

backgroundConcomitant right ventricular (RV) failure and tricuspid regurgitation (TR) are common comorbidities in patients undergoing mitral valve transcatheter edge-to-edge repair (M-TEER) and are associated with worse prognosis. Improvement of TR after M-TEER occurs frequently, however determinants of this course are poorly understood. This study aimed to analyze serum biomarkers that are differentially regulated in patients with TR and to identify biomarkers predictive of the course of TR after M-TEER. METHODS AND

resultsBiomarker expression was analyzed in 242 prospectively included patients undergoing M-TEER. Patients with moderate-to-severe TR had significant comorbidities (median EuroSCORE II 5.2 in patients with severe TR, 4.9 in moderate TR, 3.2 in no/mild TR; p = 0.002) and a large number of biomarkers was upregulated including IGFBP-2 (1.4-fold in severe TR compared to no/mild TR, p = 0.005). Echocardiographic follow-up 3 months after M-TEER was carried out in 99 patients. RV reverse remodeling (RVRR) as defined by improvement of concomitant TR by at least one grade and/or RV diameter downsizing of at least 10% compared to baseline was seen in 50 patients (50.5%). IGFBP-2 (Odds Ratio 2.078) and presence of chronic pulmonary disease (Odds Ratio 15.341) proved independent predictors of non-development of RVRR within 3 months after M-TEER.

conclusionsIn patients undergoing M-TEER with concomitant moderate or severe TR, numerous cardiometabolic biomarkers including IGFBP-2 are upregulated. Higher levels of IGFBP-2 at baseline are independently associated with persistent TR and/or RV dilation after M-TEER.

Indexed as

BiomarkersCardiac CatheterizationInsulin-Like Growth Factor Binding Protein 2Mitral Valve InsufficiencyTricuspid Valve InsufficiencyVentricular Function, RightVentricular RemodelingAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMitral ValveProspective StudiesRecovery of FunctionBiomarkersIGFBP2 protein, humanInsulin-Like Growth Factor Binding Protein 2biomarkermitral valve repairprognosisTEERtricuspid regurgitation

Identifiers

PMID39600082
PMCPMC11599423

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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.