Evidence map›Paper›PMID 40145278›Full record

ArticleJournal of the American Heart Association2025

Model for End Stage Liver Disease Excluding International Normalized Ratio Predicts Severe Right Ventricular Failure After HeartMate 3 Implantation in a Contemporary Cohort.

David S Lambert, Ana María Picó, Justin D Vincent, Elena Deych, Erin Coglianese, Joel D Schilling, Justin M Vader, Bin Q Yang

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. The Cardiohepatic Axis in Heart Failure.JACC. Basic to translational science · 2025
    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

8 authors.

David S LambertDepartment of Medicine Washington University School of Medicine in St. Louis Saint Louis MO USA.
Ana María PicóDepartment of Cardiac Surgery Massachusetts General Hospital Boston MA USA.
Justin D VincentDepartment of Medicine Washington University School of Medicine in St. Louis Saint Louis MO USA.
Elena DeychCardiovascular Division Washington University School of Medicine in St. Louis Saint Louis MO USA.ORCID 0000-0002-6083-3579
Erin CoglianeseDivision of Cardiology Massachusetts General Hospital/Harvard Medical School Boston MA USA.ORCID 0000-0002-8144-9031
Joel D SchillingCardiovascular Division Washington University School of Medicine in St. Louis Saint Louis MO USA.ORCID 0000-0002-3884-1994
Justin M VaderCardiovascular Division Washington University School of Medicine in St. Louis Saint Louis MO USA.ORCID 0000-0002-8198-3437
Bin Q YangDivision of Cardiology Massachusetts General Hospital/Harvard Medical School Boston MA USA.ORCID 0000-0002-9653-145X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRight ventricular failure (RVF) after left ventricular assist devices is associated with significant morbidity and mortality. Therefore, identifying patients at risk for severe RVF is important for clinical decision-making. Current risk prediction models were not developed in contemporary populations with left ventricular assist devices and have limited clinical applicability. In this study, we sought to evaluate whether the Model for End Stage Liver Disease Excluding International Normalized Ratio (MELD-XI) can predict severe RVF after HeartMate 3 implantation.

methodsWe retrospectively analyzed all adult patients who received HeartMate 3 left ventricular assist devices as initial implantation at 2 academic medical centers. We assessed whether MELD-XI is an independent risk factor for severe RVF in multivariate analysis and compared the predictive accuracy of MELD-XI with previously published risk scores. We also investigated the relationship between MELD-XI and markers of RV function and whether MELD-XI was associated with death or pump exchange at 1-year follow-up.

resultsOur study included a total of 246 patients, of whom 74 (30%) experienced severe RVF. After adjusting for relevant covariables, MELD-XI was independently associated with severe RVF (odds ratio [OR], 1.18 [95% CI, 1.09-1.29];

conclusionsAmong patients undergoing HeartMate 3implantation, MELD-XI is independently associated with an increased risk of RVF and in-hospital mortality.

Indexed as

End Stage Liver DiseaseHeart-Assist DevicesHeart FailureVentricular Dysfunction, RightVentricular Function, RightAdultAgedFemaleHumansInternational Normalized RatioMaleMiddle AgedPredictive Value of TestsRetrospective StudiesRisk AssessmentRisk Factorscardiohepatic interactionsHeartMate 3MELDright ventricular failure

Identifiers

PMID40145278
PMCPMC12132863

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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.