Evidence map›Paper›PMID 40839200›Full record

ReviewClinical and experimental medicine2025

From cardiac injury to omics signatures: a narrative review on biomarkers in septic cardiomyopathy.

Matteo Guarino, Francesco Luppi, Giacomo Maroncelli, Paolo Baldin, Anna Costanzini, Martina Maritati, Carlo Contini, Biagio Sassone, Roberto De Giorgio, Michele Domenico Spampinato

Abstract readReview
In one paragraph

Review in Clinical and experimental medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

10 authors.

Matteo GuarinoDepartment of Translational Medicine, St. Anna University Hospital of Ferrara, Via A. Moro, 8, 44124, Cona, Ferrara, Italy.
Francesco LuppiDepartment of Translational Medicine, St. Anna University Hospital of Ferrara, Via A. Moro, 8, 44124, Cona, Ferrara, Italy.
Giacomo MaroncelliDepartment of Translational Medicine, St. Anna University Hospital of Ferrara, Via A. Moro, 8, 44124, Cona, Ferrara, Italy.
Paolo BaldinDepartment of Translational Medicine, St. Anna University Hospital of Ferrara, Via A. Moro, 8, 44124, Cona, Ferrara, Italy.
Anna CostanziniDepartment of Translational Medicine, St. Anna University Hospital of Ferrara, Via A. Moro, 8, 44124, Cona, Ferrara, Italy.
Martina MaritatiInfectious and Dermatology Diseases, St Anna University Hospital of Ferrara, Ferrara, Italy.
Carlo ContiniInfectious and Dermatology Diseases, St Anna University Hospital of Ferrara, Ferrara, Italy.
Biagio SassoneDivision of Provincial Cardiology, Department of Translational Medicine, University of Ferrara, Ferrara, Italy.
Roberto De GiorgioDepartment of Translational Medicine, St. Anna University Hospital of Ferrara, Via A. Moro, 8, 44124, Cona, Ferrara, Italy. dgrrrt@unife.it.
Michele Domenico SpampinatoDepartment of Translational Medicine, St. Anna University Hospital of Ferrara, Via A. Moro, 8, 44124, Cona, Ferrara, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeptic cardiomyopathy (SCM) is a frequent and underdiagnosed complication of sepsis that contributes significantly to patient morbidity and mortality. Its pathophysiology involves myocardial inflammation, mitochondrial dysfunction, and microcirculatory abnormalities. Despite growing recognition, the diagnostic approach to SCM remains inconsistent, and validated biomarkers are lacking.

methodsThis narrative review explores the current landscape of SCM biomarkers. PubMed, Scopus, and EMBASE were searched from inception to June 2025.

resultsTraditional biomarkers are useful, but nonspecific in the septic context. Emerging biomarkers offer promising diagnostic and prognostic information, particularly in combination. Multi-omics strategies revealed transcriptomic and proteomic profiles to be potentially specific for SCM and may facilitate early detection and risk stratification. However, limitations remain in terms of standardization, assay reproducibility, and clinical translation. Composite biomarker panels and longitudinal monitoring appear to be more informative than single-point measurements.

conclusionsSCM remains a diagnostic challenge, although biomarker research is rapidly evolving. Integrating traditional and emerging biomarkers, supported by multi-omics and computational tools, may enable a shift toward precision medicine in sepsis-related cardiac dysfunction. Future efforts should focus on consensus definitions, validation in prospective cohorts, and biomarker-guided interventions to improve patient outcomes.

Indexed as

BiomarkersCardiomyopathiesSepsisHumansPrognosisProteomicsBiomarkersBiomarkersMulti-omicsPrecision medicineSepsisSeptic cardiomyopathy

Identifiers

PMID40839200
PMCPMC12370842

What OpenQuestion holds

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Registered trials

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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.