Evidence map›Paper›PMID 40794357›Full record

ArticleJournal of cardiovascular translational research2025

The Impact of Obesity on Pressure-Volume Relationship in Ambulatory Heart Failure.

Phuuwadith Wattanachayakul, Veraprapas Kittipibul, Dmitry M Yaranov, Wayne L Miller, Marat Fudim

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of cardiovascular translational research, 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.

Phuuwadith WattanachayakulDepartment of Medicine, Jefferson Einstein Hospital, Philadelphia, PA, USA.
Veraprapas KittipibulDivision of Cardiology, Duke University Medical Center, 2301 Erwin Road, Durham, NC, 27710, USA.
Dmitry M YaranovDivision of Heart Transplant and Mechanical Circulatory Support, Baptist Memorial Hospital, Memphis, TN, USA.
Wayne L MillerDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Marat FudimDivision of Cardiology, Duke University Medical Center, 2301 Erwin Road, Durham, NC, 27710, USA. marat.fudim@gmail.com.ORCID 0000-0002-8671-7007

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Assessment of volume status is essential in heart failure (HF) management, yet the relationship between cardiac filling pressures and true intravascular volume remains unclear, especially in patients with obesity. We analyzed 262 ambulatory HF patients who underwent blood volume analysis (BVA) and same-day right heart catheterization. Patients were stratified by BMI into non-obese (n = 104), obese (n = 121), and morbidly obese (n = 37). Cardiac filling pressures showed modest correlations with directly measured total blood volume (TBV); RAP correlated with TBV %deviation (r = 0.36-0.58), while PCWP correlations were weaker (r = 0.19-0.36) and non-significant in morbidly obese patients. Concordance between pressure and volume was highest in non-obese patients (RAP/TBV 79.8%, PCWP/TBV 69.2%) and lower in obese (66.1%, 55.4%) and morbidly obese individuals (64.9%, 67.6%). Approximately one-third or more of obese patients exhibited discordant pressure-volume profiles. These findings suggest that in obesity, cardiac filling pressures may not reliably reflect volume status.

Indexed as

Blood VolumeHeart FailureObesityObesity, MorbidStroke VolumeVentricular Function, LeftVentricular Function, RightVentricular PressureAgedBody Mass IndexCardiac CatheterizationFemaleHumansMaleMiddle AgedPredictive Value of TestsBlood volume profilesBody mass indexHeart failureHemodynamics

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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.