Evidence map›Paper›PMID 41065256›Full record

ArticleJournal of the American Heart Association2025

Competing Risks of Cardiac and Noncardiac Mortality in Patients With Secondary Mitral Regurgitation Undergoing Transcatheter Edge-to-Edge Repair.

Luca Esposito, Marco Di Maio, Cesare Baldi, Emilio Di Lorenzo, Michele Bellino, Angelo Silverio, Marianna Adamo, Arturo Giordano, Francesco De Felice, Carmelo Grasso and 17 more

Abstract read
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 2 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  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

27 authors.

Luca EspositoDepartment of Advanced Biomedical Sciences University Federico II Naples Italy.ORCID 0000-0003-0515-639X
Marco Di MaioDepartment of Medicine, Surgery and Dentistry University of Salerno Salerno Italy.ORCID 0000-0001-8665-9890
Cesare BaldiInterventional Cardiology Unit University Hospital San Giovanni di Dio e Ruggi d'Aragona Salerno Italy.
Emilio Di LorenzoAORN Ospedali dei Colli, Monaldi Hospital Naples Italy.
Michele BellinoDepartment of Medicine, Surgery and Dentistry University of Salerno Salerno Italy.ORCID 0000-0001-9792-7782
Angelo SilverioDepartment of Medicine, Surgery and Dentistry University of Salerno Salerno Italy.ORCID 0000-0001-9749-8092
Marianna AdamoCardiology and Cardiac catheterization laboratory, ASST Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health University of Brescia Italy.ORCID 0000-0002-3855-1815
Arturo GiordanoInvasive Cardiology Unit Pineta Grande Hospital Caserta Italy.ORCID 0000-0002-5467-8736
Francesco De FeliceDivision of Interventional Cardiology Azienda Ospedaliera S. Camillo Forlanini Rome Italy.ORCID 0000-0002-6369-3006
Carmelo GrassoDivision of Cardiology Centro Alte Specialità e Trapianti (CAST), Azienda Ospedaliero-Universitaria Policlinico Vittorio Emanuele, University of Catania Catania Italy.
Antonio Popolo RubbioDepartment of Cardiology IRCCS Policlinico San Donato Milan Italy.ORCID 0000-0002-2451-4626
Paolo DentiCardiac Surgery Department San Raffaele University Hospital Milan Italy.ORCID 0000-0002-3075-0203
Cosmo GodinoCardio-Thoracic-Vascular Department San Raffaele University Hospital Milan Italy.ORCID 0000-0003-1319-0010
Federico De MarcoCentro Cardiologico Monzino, IRCCS Milan Italy.ORCID 0000-0003-3554-6938
Fausto CastriotaInterventional Cardiology Unit Maria Cecilia Hospital GVM Care and Research Cotignola Italy.
Ida MonteforteAORN Ospedali dei Colli, Monaldi Hospital Naples Italy.ORCID 0000-0001-9575-1613
Annalisa MongiardoDivision of Cardiology University Magna Graecia Catanzaro Italy.ORCID 0009-0001-5364-7479
Anna Sonia PetronioCardiac Catheterization Laboratory, Cardiothoracic and Vascular Department Azienda Ospedaliero Universitaria Pisana Pisa Italy.ORCID 0000-0003-4098-4553
Gabriele CrimiInterventional Cardiology Unit, Cardiothoracic and Vascular Department (DICATOV) IRCCS Ospedale Policlinico San Martino Genoa Genoa Italy.ORCID 0000-0002-2852-061X
Diego MaffeoInterventional Cardiology Unit Poliambulanza Foundation Hospital Brescia Italy.ORCID 0000-0002-6320-2959
Antonio L BartorelliIRCCS Ospedale Galeazzi - Sant'Ambrogio and Department of Biomedical and Clinical Sciences University of Milan Milan Italy.
Rodolfo CitroDepartment of Medicine and Health Science. Clinical Cardiology Unit Research Responsible Hospital University of Molise Campobasso Italy.ORCID 0000-0002-7796-6298
Gennaro GalassoDepartment of Medicine, Surgery and Dentistry University of Salerno Salerno Italy.ORCID 0000-0002-7265-7613
Giuseppe TarantiniDepartment of Cardiac, Thoracic and Vascular Science, Interventional Cardiology Unit University of Padua Italy.ORCID 0000-0002-8177-2269
Giovanni EspositoDepartment of Advanced Biomedical Sciences University Federico II Naples Italy.ORCID 0000-0003-0565-7127
Corrado TamburinoDivision of Cardiology Centro Alte Specialità e Trapianti (CAST), Azienda Ospedaliero-Universitaria Policlinico Vittorio Emanuele, University of Catania Catania Italy.ORCID 0000-0002-4940-9742
Francesco BedogniDepartment of Cardiology IRCCS Policlinico San Donato Milan Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relative impact of cardiac and noncardiac mortality in patients with secondary mitral regurgitation undergoing mitral transcatheter edge-to-edge repair (M-TEER) has been poorly investigated. We aimed to assess the competing risks and independent predictors of cardiac and noncardiac mortality in a real-world secondary mitral regurgitation population treated with M-TEER and included in the GIOTTO (Italian Society of Interventional Cardiology [GIse] Registry Of Transcatheter Treatment of Mitral Valve Regurgitation) registry.

methodsCompeting risks analysis was used to assess the cumulative incidence of cardiac and noncardiac mortality. Cox regression identified independent predictors of each outcome. Co-primary outcomes were cardiac and noncardiac death at 2 years.

resultsThe analysis included 1185 consecutive patients with secondary mitral regurgitation treated with M-TEER between January 2016 and March 2020 (median age 74 years). Two-year cumulative incidences of cardiac and noncardiac mortality were 19% and 12%, respectively. At multivariable analysis, predictors of cardiac mortality were age (hazard ratio [HR], 1.03;

conclusionsPatients with secondary mitral regurgitation treated with M-TEER show a high 2-year incidence of both cardiac and noncardiac mortality. Understanding competing risks of mortality may improve patient selection for M-TEER.

Indexed as

Cardiac CatheterizationHeart Valve Prosthesis ImplantationMitral ValveMitral Valve InsufficiencyAgedAged, 80 and overFemaleHumansIncidenceItalyMaleMiddle AgedRegistriesRetrospective StudiesRisk AssessmentRisk Factorscardiac mortalitycompeting risksnoncardiac mortalitysecondary mitral regurgitationtranscatheter edge‐to‐edge repair

Identifiers

PMID41065256
PMCPMC12684616

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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.