Evidence map›Paper›PMID 40395265›Full record

ArticleCureus2025

Heart Failure With Preserved Ejection Fraction and Low B-type Natriuretic Peptide: A Diagnostic Dilemma.

Tyler Paul, Amin Ur Rehman Nadeem, Syed M Naqvi, Jason Liu, Khaled A Ali

Abstract readCase Reports
In one paragraph

Article in Cureus, 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. 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

5 authors.

Tyler PaulDepartment of Internal Medicine, Chicago Medical School at Rosalind Franklin University of Medicine and Sciences, North Chicago, USA.
Amin Ur Rehman NadeemDepartment of Critical Care Medicine, James A. Lovell Federal Healthcare Center, North Chicago, USA.
Syed M NaqviDepartment of Pulmonary Disease, Chicago Medical School at Rosalind Franklin University of Medicine and Sciences, North Chicago, USA.
Jason LiuDepartment of Internal Medicine, Chicago Medical School at Rosalind Franklin University of Medicine and Sciences, North Chicago, USA.
Khaled A AliDepartment of Internal Medicine, Chicago Medical School at Rosalind Franklin University of Medicine and Sciences, North Chicago, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure (HF) is referred to as a clinical syndrome caused by an abnormality in the cardiac function/structure of the heart, leading to pulmonary or systemic vascular congestion. B-type natriuretic peptide (BNP) is particularly useful for ruling out heart failure when levels are low due to its high negative predictive value. On the other hand, BNP has reduced specificity for heart failure with preserved ejection fraction (HFpEF) due to increased clearance and enhanced degradation of natriuretic peptides (NP) which contribute to lower BNP levels. In patients with HFpEF, reduced myocardial wall stress is associated with low BNP, as compared to heart failure with reduced ejection fraction (HFrEF). BNP and N-terminal pro-BNP (NT-proBNP) levels may be in the normal range in chronically treated heart failure patients, especially if younger than 75 years. BNP levels can be lower in HFpEF due to factors like obesity and atrial function. NT-proBNP levels vary by ethnicity, with African American patients exhibiting lower levels, potentially linked to salt-sensitive hypertension and left ventricular hypertrophy. In our case report, the patient presented with classic signs and symptoms of HFpEF exacerbation but had a BNP level that was inconsistent with HF. This signifies the importance of over-reliance on BNP in patients with HFpEF.

Indexed as

b-type natriuretic peptidecongestive heart failureheart failure with preserved ejection fractionnatriuretic peptidesshortness of breath

Identifiers

PMID40395265
PMCPMC12089450

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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.