Evidence map›Paper›PMID 40673557›Full record

ArticleJournal of the American Heart Association2025

Clinical Impact of Early Changes in Serum Albumin on Patient Prognosis After Mitral-Transcatheter Edge-to-Edge Repair.

Kenichi Shibata, Masanori Yamamoto, Ai Kagase, Takahiro Tokuda, Hiroshi Tsunamoto, Tetsuro Shimura, Azusa Kurita, Ryo Yamaguchi, Mike Saji, Yuki Izumi and 20 more

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 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

30 authors.

Kenichi ShibataDepartment of Rehabilitation Nagoya Heart Center Nagoya Japan.ORCID 0009-0000-8171-9268
Masanori YamamotoDepartment of Cardiology Nagoya Heart Center Nagoya Japan.ORCID 0000-0001-5210-6382
Ai KagaseDepartment of Cardiology Nagoya Heart Center Nagoya Japan.ORCID 0000-0002-2328-630X
Takahiro TokudaDepartment of Cardiology Nagoya Heart Center Nagoya Japan.ORCID 0000-0003-1402-062X
Hiroshi TsunamotoDepartment of Cardiology Nagoya Heart Center Nagoya Japan.
Tetsuro ShimuraDepartment of Cardiology Gifu Heart Center Gifu Japan.
Azusa KuritaDepartment of Cardiology Gifu Heart Center Gifu Japan.ORCID 0000-0001-6597-2730
Ryo YamaguchiDepartment of Cardiology Toyohashi Heart Center Toyohashi Japan.ORCID 0000-0002-9356-7051
Mike SajiDepartment of Cardiology Sakakibara Heart Institute Tokyo Japan.ORCID 0000-0003-2057-109X
Yuki IzumiDepartment of Cardiology Sakakibara Heart Institute Tokyo Japan.ORCID 0000-0002-4542-5809
Masahiko AsamiDivision of Cardiology Mitsui Memorial Hospital Tokyo Japan.ORCID 0000-0002-2102-033X
Yusuke EntaDepartment of Cardiology Sendai Kosei Hospital Sendai Japan.ORCID 0000-0003-1931-1012
Shinichi ShiraiDivision of Cardiology Kokura Memorial Hospital Kitakyushu Japan.ORCID 0000-0002-4764-8205
Masaki IzumoDivision of Cardiology St. Marianna University School of Medicine Hospital Kawasaki Japan.ORCID 0000-0001-8597-1479
Shingo MizunoDepartment of Cardiology Shonan Kamakura General Hospital Kanagawa Japan.
Yusuke WatanabeDepartment of Cardiology Teikyo University School of Medicine Tokyo Japan.ORCID 0000-0003-2297-5303
Makoto AmakiDepartment of Cardiology National Cerebral and Cardiovascular Center Suita Japan.ORCID 0000-0001-5132-5129
Kazuhisa KodamaDivision of Cardiology Saiseikai Kumamoto Hospital Cardiovascular Center Kumamoto Japan.
Junichi YamaguchiDepartment of Cardiology Tokyo Woman's Medical University Tokyo Japan.ORCID 0000-0003-0967-0978
Toru NaganumaDepartment of Cardiology New Tokyo Hospital Chiba Japan.
Hiroki BotaDepartment of Cardiology Sapporo Higashi Tokushukai Hospital Sapporo Japan.
Yohei OhnoDepartment of Cardiology Tokai University School of Medicine Isehara Japan.ORCID 0000-0003-4203-7613
Masahiro YamawakiDepartment of Cardiology Saiseikai Yokohama City Eastern Hospital Kanagawa Japan.
Daisuke HachinoheDepartment of Cardiology Sapporo Heart Center, Sapporo Cardio Vascular Clinic Sapporo Japan.ORCID 0000-0003-4828-1836
Hiroshi UenoSecond Department of Internal Medicine Toyama University Hospital Toyama Japan.ORCID 0000-0001-9747-2511
Gaku NakazawaDivision of Cardiology, Department of Medicine Kinki University Faculty of Medicine Osaka Japan.ORCID 0000-0002-6721-1342
Toshiaki OtsukaDepartment of Hygiene and Public Health Nippon Medical School Tokyo Japan.ORCID 0009-0004-7994-7594
Shunsuke KuboDepartment of Cardiology Kurashiki Central Hospital Kurashiki Japan.ORCID 0000-0003-4794-7843
Kentaro HayashidaDepartment of Cardiology Keio University School of Medicine Tokyo Japan.ORCID 0000-0002-1750-1982
OCEAN‐Mitral Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow serum albumin levels indicate frailty and are strong predictors of poor prognosis after mitral transcatheter edge-to-edge repair (M-TEER); however, albumin levels are expected to improve in response to treatment for mitral regurgitation. No reports have elucidated the clinical effects of albumin changes after M-TEER. Thus, we aimed to explore the association between early albumin changes and clinical outcomes after M-TEER and to identify the associated factors.

methodsData from 2695 patients enrolled in a Japanese multicenter registry whose serum albumin levels were measured before and 1 month after undergoing M-TEER were retrospectively reviewed. Changes in albumin (Δ-albumin) were calculated and divided into 2 groups, namely improved albumin (Δ-albumin >0) and worsening albumin (Δ-albumin ≤0) groups. The incidence, predictors, and clinical outcomes associated with early albumin changes were investigated.

resultsAfter M-TEER, albumin levels improved in 56.1% of the patients (n=1512). The independent predictors of worsening Δ-albumin comprised old age, acute procedure success not achieved, higher Clinical Frailty Scale, higher hemoglobin, impaired renal function, and preprocedural higher albumin levels (all

conclusionsEarly improvement in Δ-albumin may serve as a measure of procedural benefits and a surrogate marker for predicting clinical outcomes after M-TEER.

Indexed as

Cardiac CatheterizationMitral ValveMitral Valve InsufficiencySerum AlbuminSerum Albumin, HumanAgedAged, 80 and overBiomarkersFemaleHumansJapanMalePrognosisRegistriesRetrospective StudiesRisk FactorsBiomarkersSerum AlbuminSerum Albumin, Humanalbuminall‐cause mortalitydynamic changemitral regurgitationmitral‐transcatheter edge‐to‐edge repair

Identifiers

PMID40673557
PMCPMC12449999

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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.