Evidence map›Paper›PMID 40665910›Full record

Observational studyCirculation. Cardiovascular imaging2025

Assessing LV Contractility Identifies Populations With Preserved Ejection Fraction at Risk of Adverse Heart Failure Outcomes.

Sam Straw, Oliver I Brown, Charlotte A Cole, Judith E Lowry, Marcella Conning-Rowland, Stephe Kamalathasan, Sushma Datla, Maria F Paton, Ruth Burgess, Michael Drozd and 7 more

Abstract readObservational Study
In one paragraph

Observational study in Circulation. Cardiovascular imaging, 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

5 · Who and what money

Authors and funding

17 authors.

Sam StrawLeeds Institute of Cardiovascular and Metabolic Medicine (S.S., O.I.B., M.C.-R., M.F.P., M.D., T.A.S., E.L., K.K.W., M.T.K., R.M.C., J.G.), University of Leeds, United Kingdom.ORCID 0000-0002-2942-4574
Oliver I BrownLeeds Institute of Cardiovascular and Metabolic Medicine (S.S., O.I.B., M.C.-R., M.F.P., M.D., T.A.S., E.L., K.K.W., M.T.K., R.M.C., J.G.), University of Leeds, United Kingdom.
Charlotte A ColeLeeds Teaching Hospitals NHS Trust, United Kingdom (C.A.C., J.E.L., S.K., R.B.).
Judith E LowryLeeds Teaching Hospitals NHS Trust, United Kingdom (C.A.C., J.E.L., S.K., R.B.).ORCID 0000-0002-9793-1519
Marcella Conning-RowlandLeeds Institute of Cardiovascular and Metabolic Medicine (S.S., O.I.B., M.C.-R., M.F.P., M.D., T.A.S., E.L., K.K.W., M.T.K., R.M.C., J.G.), University of Leeds, United Kingdom.ORCID 0000-0002-2660-7594
Stephe KamalathasanLeeds Teaching Hospitals NHS Trust, United Kingdom (C.A.C., J.E.L., S.K., R.B.).ORCID 0000-0002-9813-3885
Sushma DatlaYork and Scarborough Teaching Hospitals, United Kingdom (S.D.).
Maria F PatonLeeds Institute of Cardiovascular and Metabolic Medicine (S.S., O.I.B., M.C.-R., M.F.P., M.D., T.A.S., E.L., K.K.W., M.T.K., R.M.C., J.G.), University of Leeds, United Kingdom.ORCID 0000-0001-8517-4621
Ruth BurgessLeeds Teaching Hospitals NHS Trust, United Kingdom (C.A.C., J.E.L., S.K., R.B.).ORCID 0000-0002-3934-2011
Michael DrozdLeeds Institute of Cardiovascular and Metabolic Medicine (S.S., O.I.B., M.C.-R., M.F.P., M.D., T.A.S., E.L., K.K.W., M.T.K., R.M.C., J.G.), University of Leeds, United Kingdom.ORCID 0000-0003-0255-4624
Thomas A SlaterLeeds Institute of Cardiovascular and Metabolic Medicine (S.S., O.I.B., M.C.-R., M.F.P., M.D., T.A.S., E.L., K.K.W., M.T.K., R.M.C., J.G.), University of Leeds, United Kingdom.ORCID 0000-0001-9213-5559
Samuel D ReltonLeeds Institute for Data Analytics (S.D.R.), University of Leeds, United Kingdom.ORCID 0000-0003-0634-4587
Eylem LeveltLeeds Institute of Cardiovascular and Metabolic Medicine (S.S., O.I.B., M.C.-R., M.F.P., M.D., T.A.S., E.L., K.K.W., M.T.K., R.M.C., J.G.), University of Leeds, United Kingdom.ORCID 0000-0002-3799-7102
Klaus K WitteLeeds Institute of Cardiovascular and Metabolic Medicine (S.S., O.I.B., M.C.-R., M.F.P., M.D., T.A.S., E.L., K.K.W., M.T.K., R.M.C., J.G.), University of Leeds, United Kingdom.ORCID 0000-0002-7146-7105
Mark T KearneyLeeds Institute of Cardiovascular and Metabolic Medicine (S.S., O.I.B., M.C.-R., M.F.P., M.D., T.A.S., E.L., K.K.W., M.T.K., R.M.C., J.G.), University of Leeds, United Kingdom.ORCID 0000-0002-9376-8814
Richard M CubbonLeeds Institute of Cardiovascular and Metabolic Medicine (S.S., O.I.B., M.C.-R., M.F.P., M.D., T.A.S., E.L., K.K.W., M.T.K., R.M.C., J.G.), University of Leeds, United Kingdom.ORCID 0000-0001-7844-3600
John GierulaLeeds Institute of Cardiovascular and Metabolic Medicine (S.S., O.I.B., M.C.-R., M.F.P., M.D., T.A.S., E.L., K.K.W., M.T.K., R.M.C., J.G.), University of Leeds, United Kingdom.ORCID 0000-0001-9588-191X

Funding

British Heart Foundation FS/CRTF/20/24071Wellcome Trust
6 · The paper itself

Abstract

backgroundLeft ventricular ejection fraction (LVEF) is an essential tool for heart failure (HF) assessment but is limited by load dependence. Additional tools are needed to risk-stratify normal LVEF populations. We aimed to assess the prognostic value of systolic blood pressure-indexed left ventricular end-systolic volume ratio, or cardiac contractility index (CCI).

methodsIn a prospective observational cohort study of people newly diagnosed with HF, we defined characteristics and outcomes associated with LVEF and CCI, including after stratification into HF with reduced ejection fraction or HF with preserved ejection fraction. We used UK Biobank to assess whether CCI is associated with subclinical myocardial dysfunction and incident HF.

resultsIn people with HF, mortality increased over tertiles of declining CCI (

conclusionsCCI is a simple, noninvasive, relatively afterload-independent method to stratify HF risk in populations with normal LVEF. Its simplicity means CCI could be applied to existing clinical trial data sets or used be as an inclusion criterion in future randomized controlled trials.

Indexed as

Heart FailureMyocardial ContractionStroke VolumeVentricular Function, LeftAgedFemaleHumansMaleMiddle AgedPrognosisProspective StudiesRisk AssessmentRisk FactorsUnited Kingdomblood pressureheart failurehumansprognosisstroke volume

Identifiers

PMID40665910
PMCPMC7617944

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.