Evidence map›Paper›PMID 40707240›Full record

ArticleHeart (British Cardiac Society)2026

Sex differences in the prevalence and prognosis of tricuspid regurgitation among patients with heart failure.

Isabel Mattig, Elena Romero Dorta, David Frumkin, Hannes Kretzschmar, Alexander Sommer, Alva Morgane Redel, Johannes Buchstaller, Osvaldo Jesús Sánchez Gómez, Elisabeth Pieske-Kraigher, Regina Stegherr and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Heart (British Cardiac Society), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04570098 (Prevalence and Prognostic Relevance of Tricuspid Regurgitation in Different Heart Failure Entities), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT04570098 completednot on this map

Prevalence and Prognostic Relevance of Tricuspid Regurgitation in Different Heart Failure Entities

TypeobservationalSponsorCharite University, Berlin, GermanyRan2020 to 2024Enrolled1,016ConditionsTricuspid Regurgitation, Heart Failure
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Isabel MattigDepartment of Cardiology, Angiology and Intensive Care Medicine, Campus Charité Mitte, Deutsches Herzzentrum der Charite, Berlin, Germany.ORCID 0000-0001-8455-3750
Elena Romero DortaDepartment of Cardiology, Angiology and Intensive Care Medicine, Campus Charité Mitte, Deutsches Herzzentrum der Charite, Berlin, Germany.
David FrumkinDepartment of Cardiology, Angiology and Intensive Care Medicine, Campus Charité Mitte, Deutsches Herzzentrum der Charite, Berlin, Germany.
Hannes KretzschmarDepartment of Cardiology, Angiology and Intensive Care Medicine, Campus Charité Mitte, Deutsches Herzzentrum der Charite, Berlin, Germany.
Alexander SommerDepartment of Cardiology, Angiology and Intensive Care Medicine, Campus Charité Mitte, Deutsches Herzzentrum der Charite, Berlin, Germany.
Alva Morgane RedelDepartment of Cardiology, Angiology and Intensive Care Medicine, Campus Charité Mitte, Deutsches Herzzentrum der Charite, Berlin, Germany.
Johannes BuchstallerDepartment of Cardiology, Angiology and Intensive Care Medicine, Campus Charité Mitte, Deutsches Herzzentrum der Charite, Berlin, Germany.
Osvaldo Jesús Sánchez GómezCharite - Universitatsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Elisabeth Pieske-KraigherVivantes Klinikum Am Urban, Berlin, Germany.
Regina StegherrInstitute of Biometry and Clinical Epidemiology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Karl StanglDepartment of Cardiology, Angiology and Intensive Care Medicine, Campus Charité Mitte, Deutsches Herzzentrum der Charite, Berlin, Germany.
Gerhard HindricksDepartment of Cardiology, Angiology and Intensive Care Medicine, Campus Charité Mitte, Deutsches Herzzentrum der Charite, Berlin, Germany.
Henryk DregerCharite - Universitatsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany henryk.dreger@charite.de.ORCID 0000-0003-1909-4329

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTricuspid regurgitation (TR) is a common finding in heart failure (HF) and is associated with adverse outcomes. Data about sex differences in TR prevalence, aetiology and prognosis among patients with HF and their subgroups are still scarce.

methodsPatients with HF with a recent transthoracic echocardiography were enrolled in our registry (NCT04570098). Based on a left ventricular ejection fraction (LVEF) cut-off of 50%, patients were divided into those with reduced (rEF) and preserved ejection fraction (pEF). Follow-ups were conducted after 3, 6 and 12 months. Analysis was performed in the overall cohort and after matching for age and comorbidities.

resultsBetween 2020 and 2022, 1012 patients with HF were prospectively enrolled, including 38% women. pEF was more prevalent among females (60%), whereas rEF was more common among males (60%) (p<0.001). Women presented a higher prevalence of at least moderate TR (42%) compared with men (29%) without significant differences regarding TR aetiology. Severe TR was associated with increased mortality in women with pEF (HR 2.341, 95% CI 1.075 to 5.098, p=0.032) and men with rEF (HR 3.163, 95% CI 1.675 to 5.973, p<0.001), while there was only a non-significant trend in the opposite cohorts. These findings were consistent even after matching. Moreover, severe TR was associated with hospitalisations in both HF cohorts and with cardiovascular hospitalisation in male patients, but not female patients with HF.

conclusionA higher TR prevalence was observed in women compared with men without differences in TR aetiology. Severe TR may predict mortality in female patients with pEF and male patients with rEF, but not vice versa. These results may have an impact on sex-specific follow-up and treatment strategies.

Indexed as

Heart FailureTricuspid Valve InsufficiencyAgedEchocardiographyFemaleHumansMaleMiddle AgedPrevalencePrognosisProspective StudiesRegistriesSex FactorsStroke VolumeVentricular Function, LeftHeart FailurePrevalencePrognosisSexTricuspid Valve Insufficiency

Identifiers

PMID40707240
PMCPMC13018833

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Registered trials

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.