Evidence map›Paper›PMID 39765439›Full record

SynthesisCardiovascular revascularization medicine : including molecular interventions2025

Impact of pulmonary hypertension on short and long-term outcome after mitral transcatheter edge-to-edge repair: A meta-analysis.

Sivaram Neppala, Himaja Dutt Chigurupati, Ayman Fath, Gowthami Sai Kogilathota Jagirdhar, Harigopal Sandhyavenu, Jeffery Bolte, Abdullah Naveed Muhammad, Yasar Sattar, Rupak Desai, Ralph A Defronzo and 2 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Cardiovascular revascularization medicine : including molecular interventions, 2025. 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. 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

12 authors.

Sivaram NeppalaDepartment of Medicine, University of Texas Health Sciences Center, San Antonio, TX, USA.
Himaja Dutt ChigurupatiDepartment of Medicine, New York Medical College at Saint Michael's Medical Center, Newark, NJ, USA.
Ayman FathDivision of Cardiology, Department of Medicine, University of Texas Health Sciences Center, San Antonio, TX, USA.
Gowthami Sai Kogilathota JagirdharDepartment of Medicine, New York Medical College at Saint Michael's Medical Center, Newark, NJ, USA.
Harigopal SandhyavenuDivision of Cardiology, Department of Medicine, University of Texas Health Sciences Center, San Antonio, TX, USA.
Jeffery BolteDepartment of Medicine, University of Texas Health Sciences Center, San Antonio, TX, USA.
Abdullah Naveed MuhammadDow University of Health Sciences, Karachi, Pakistan.
Yasar SattarDepartment of Internal medicine and Cardiovascular disease, West Virginia University, Morgantown, WV, USA.
Rupak DesaiIndependent Outcomes Researcher, Atlanta, GA, USA.
Ralph A DefronzoDepartment of Medicine, University of Texas Health Sciences Center, San Antonio, TX, USA.
Timir K PaulDepartment of Cardiovascular Sciences, Ascension St. Thomas Hospital/University of Tennessee Health Sciences Center, Nashville, TN, USA.
Anand PrasadDivision of Cardiology, Department of Medicine, University of Texas Health Sciences Center, San Antonio, TX, USA.

Funding

PATHOBIOLOGY OF OCCLUSIVE VASCULAR DISEASET32HL007446 · NHLBI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Jean Chrisostome Bopassa · 1985 to 2026
$8.9M
NHLBI NIH HHS T32 HL007446
6 · The paper itself

Abstract

backgroundPulmonary hypertension (pHTN) has been associated with increased morbidity and mortality after mitral Transcatheter Edge-to-Edge Repair (TEER), but the association remains uncertain. This study aims to evaluate the impact of pHTN on cardiovascular outcomes following TEER.

methodsWe searched PubMed, Scopus, and Medline to identify studies reporting outcomes after TEER in individuals with pHTN. Utilizing a random-effects model, we ascertained a pooled odds ratio (OR) of clinical outcomes in patients with pulmonary artery systolic pressure (PASP >50 mmHg) vs. without (PASP <50 mmHg) severe pHTN.

resultsWe included seven studies with 27,965 patients. The mean age was 79.9 (±5.2) years; 53 % were male, and 75 % were New York Heart Association (NYHA) class-III/IV with a median follow-up of 360 days. Patients with severe pHTN had higher odds of in-hospital all-cause mortality (OR: 1.99, 95 % CI: 1.69-2.34, p < 0.00001) and Major adverse cardiovascular events (MACE) (OR: 1.38, 95 % CI: 1.22-1.56, p < 0.00001) compared to patients without severe pHTN.

conclusionsSevere pHTN is associated with increased risks of all-cause mortality, MACE, and higher heart failure rehospitalizations in patients undergoing mitral TEER. Prospective trials are necessary to validate the findings and determine if early intervention improves clinical outcomes.

Indexed as

Arterial PressureCardiac CatheterizationHeart Valve Prosthesis ImplantationHypertension, PulmonaryMitral ValveMitral Valve InsufficiencyPulmonary ArteryAgedAged, 80 and overFemaleHospital MortalityHumansMaleRisk AssessmentRisk FactorsSeverity of Illness IndexHospitalizationsMitral transcatheter edge-to-edge repairMortalityPulmonary hypertension

Identifiers

PMID39765439
PMCPMC12434791

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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.