Evidence map›Paper›PMID 40220139›Full record

ArticleBasic research in cardiology2025

The ketone body 3-hydroxybutyrate increases cardiac output and cardiac contractility in a porcine model of cardiogenic shock: a randomized, blinded, crossover trial.

Oskar Kjærgaard Hørsdal, Alexander Møller Larsen, Kasper Lykke Wethelund, Frederik Flyvholm Dalsgaard, Jacob Marthinsen Seefeldt, Ole Kristian Lerche Helgestad, Niels Moeslund, Jacob Eifer Møller, Hanne Berg Ravn, Roni Ranghøj Nielsen and 3 more

Abstract read
In one paragraph

Article in Basic research in cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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  5. 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

13 authors.

Oskar Kjærgaard HørsdalDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark. osho@clin.au.dk.ORCID 0000-0003-1009-3768
Alexander Møller LarsenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0009-0000-4459-4291
Kasper Lykke WethelundDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0009-0003-3014-083X
Frederik Flyvholm DalsgaardDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-7287-9793
Jacob Marthinsen SeefeldtDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-0633-5878
Ole Kristian Lerche HelgestadDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0000-0003-3847-8758
Niels MoeslundDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0000-0003-0827-5263
Jacob Eifer MøllerDepartment of Cardiology, Heart Center, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0003-2873-5845
Hanne Berg RavnDepartment of Anesthesiology and Intensive Care, Odense University Hospital, Odense, Denmark.ORCID 0000-0003-4702-5195
Roni Ranghøj NielsenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0000-0001-9228-3869
Henrik WiggersDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-9753-4142
Kristoffer Berg-Hansen *Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-5110-0656
Nigopan Gopalasingam *Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0009-0006-6363-7406

Funding

Novo Nordisk NNF17OC0028230Novo Nordisk NNF21SA0069371
6 · The paper itself

Abstract

Cardiogenic shock (CS) is characterized by reduced cardiac output (CO), reduced end-organ perfusion, and high mortality. Medical therapies have failed to improve survival. The ketone body 3-hydroxybutyrate (3-OHB) enhances cardiac function in heart failure and CS. We aimed to elucidate the cardiovascular and cardiometabolic effects of 3-OHB treatment during CS. In a randomized, assessor-blinded crossover design, we studied 16 female pigs (60 kg, 5 months of age). CS was induced by left main coronary artery microsphere injections. Predefined criteria for CS were a 30% reduction in CO or mixed venous saturation (SvO

Indexed as

3-Hydroxybutyric AcidCardiac OutputMyocardial ContractionShock, CardiogenicVentricular Function, LeftAnimalsCross-Over StudiesDisease Models, AnimalFemaleMitochondria, HeartSus scrofaSwine3-Hydroxybutyric Acid3-Hydroxy butyrateCardiac outputCardiogenic shockCardiometabolicHemodynamicsMitochondrial function

Identifiers

PMID40220139
PMCPMC12159096

What OpenQuestion holds

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LicenceCC BY
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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.