Evidence map›Paper›PMID 39673583›Full record

SynthesisCardiovascular drugs and therapy2026

Gastroprotection in Heart Failure and Outcomes: A Systematic Review of Proton Pump Inhibitors and Histamine-2 Receptor Antagonists.

Mustafa Eray Kilic, Mehmet Birhan Yilmaz

Abstract readSystematic ReviewReview
PubMed Publisher
In one paragraph

Synthesis in Cardiovascular drugs and therapy, 2026. 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

2 authors.

Mustafa Eray KilicDepartment of Cardiology, Faculty of Medicine, Dokuz Eylül University, 15th July Medicine and Art Campus, 35340, İzmir, Türkiye.ORCID 0000-0002-0894-8790
Mehmet Birhan YilmazDepartment of Cardiology, Faculty of Medicine, Dokuz Eylül University, 15th July Medicine and Art Campus, 35340, İzmir, Türkiye. birhan.yilmaz@deu.edu.tr.ORCID 0000-0002-8169-8628

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe management of heart failure (HF) frequently includes gastroprotection via proton pump inhibitors (PPIs) or histamine-2 receptor antagonists (H2RAs). This systematic review evaluates their impact on HF outcomes, including exacerbation, hospitalization, mortality, and major adverse cardiac events (MACE).

methodsIn accordance with PRISMA guidelines, a complete search across databases such as PubMed/Medline, Scopus, and Web of Science was conducted until December 10, 2023. The inclusion criteria covered research on adult patients with HF that focused on the effects of PPI and H2RA usage. The risk of bias was determined via the Newcastle-Ottawa Scale (NOS), and data were synthesized quantitatively.

resultsEleven studies encompassing 996,498 participants were analyzed. The data is not consistent across all research; however, some have suggested that PPI use may be linked to an increased risk of cardiovascular illnesses and heart failure aggravation. Conversely, H2RAs appeared to offer potential benefits in certain high-risk groups, potentially reducing all-cause and cardiovascular mortality. However, the limitations of the available studies should be taken into consideration when interpreting these findings.

conclusionThe review suggests that there may be differences in the impact of PPIs and H2RAs on HF outcomes. While some evidence indicates that PPIs may be linked to increased risks in HF patients, and H2RAs may offer potential benefits, these findings are not definitive and should be interpreted with caution. Further research is necessary to clarify these associations and guide clinical practice. REGISTRATION: PROSPERO CRD42023491752.

Indexed as

Heart FailureHistamine H2 AntagonistsProton Pump InhibitorsHumansRisk AssessmentRisk FactorsTreatment OutcomeHistamine H2 AntagonistsProton Pump InhibitorsHeart failureHistamine-2 receptor antagonistsHospitalizationProton pump inhibitorsSystematic review

Identifiers

What OpenQuestion holds

Textmetadata
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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.