Evidence map›Paper›PMID 41283192›Full record

ArticleJournal of the American Heart Association2025

Prevalence, Clinical Correlates, and Prognostic Impact of Tricuspid Regurgitation in Older Adults: The ARIC Study.

Khush M Kharidia, Fernando R Giugni, Victoria Lamberson, Yimin Yang, Brian Claggett, Jeremy R Van't Hof, Lynne Wagenknecht, Thomas Mosley, Hicham Skali, Amil M Shah

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

10 authors.

Khush M KharidiaUniversity of Texas Southwestern Medical Center Dallas TX USA.
Fernando R GiugniUniversity of Texas Southwestern Medical Center Dallas TX USA.ORCID 0000-0001-9268-286X
Victoria LambersonUniversity of Texas Southwestern Medical Center Dallas TX USA.ORCID 0000-0003-2760-5053
Yimin YangBrigham and Women's Hospital Boston MA USA.ORCID 0009-0002-6711-6123
Brian ClaggettBrigham and Women's Hospital Boston MA USA.ORCID 0000-0002-4215-9218
Jeremy R Van't HofUniversity of Minnesota Minneapolis MN USA.ORCID 0000-0002-9982-3685
Lynne WagenknechtWake Forest University Winston-Salem NC USA.ORCID 0000-0002-9980-0889
Thomas MosleyUniversity of Mississippi Medical Center Jackson MS USA.ORCID 0000-0003-3343-1352
Hicham SkaliBrigham and Women's Hospital Boston MA USA.ORCID 0000-0002-5629-4138
Amil M ShahUniversity of Texas Southwestern Medical Center Dallas TX USA.ORCID 0000-0003-1056-4451

Funding

Mapping the Progression to HFpEF in the Elderly through Longitudinal Changes in Cardiac FunctionR01HL135008 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI Amil M Shah · 2017 to 2026
$11.5M
Mentoring patient-oriented research in deep phenotyping of cardiac function for heart failure preventionK24HL152008 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI SHAH, AMIL M · 2020 to 2024
$608k
NHLBI NIH HHS K24 HL152008NHLBI NIH HHS R01 HL135008
6 · The paper itself

Abstract

backgroundTricuspid regurgitation (TR) is associated with older age and a heightened mortality rate. Limited data exist on TR prevalence and prognostic significance in community-based older adults.

methodsAmong 3046 participants in the ARIC (Atherosclerosis Risk in Communities) study who underwent echocardiography at the seventh study visit, TR severity was assessed as none/trace, mild, moderate, or severe by a board-certified cardiologist. Multivariable linear and logistic regression models assessed associations of TR severity with clinical characteristics, echocardiographic measures, and self-reported dyspnea. Multivariable Cox proportional hazard models evaluated associations with incident adjudicated heart failure (HF) and death.

resultsMean age was 81±4 years, 58% were women, and 25% reported Black race. TR prevalence was 29% mild, 7% moderate, and 1% severe. Greater TR severity was associated with older age, female sex, prevalent HF, and worse cardiac structure and function. Associations with dyspnea were not statistically different in fully adjusted models. Over a median follow-up of 3.7 (interquartile range, 2.6-4.3) years, there were 154 incident HF events and 412 deaths. Higher TR severity was associated with heightened risk of incident HF after adjusting for demographics, comorbidities, and measures of left ventricular structure and function (hazard ratio, 1.28 [95% CI, 1.01-1.64] per increment in severity category;

conclusionsTR is common in older adults and is associated with worse cardiac structure and function. Greater TR severity is independently associated with a greater risk of developing HF.

Indexed as

Heart FailureTricuspid Valve InsufficiencyAgedAged, 80 and overAge FactorsEchocardiographyFemaleHumansIncidenceMalePrevalencePrognosisProportional Hazards ModelsProspective StudiesRisk FactorsSeverity of Illness Indexdeathechocardiographyheart failuretricuspid regurgitation

Identifiers

PMID41283192
PMCPMC12748530

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.