Evidence map›Paper›PMID 41378460›Full record

ArticleJournal of the American Heart Association2025

Increasing Left Ventricular Mass and Death in Men and Women Investigated With Echocardiography.

David Playford, Geoff Strange, Majo Joseph, Rebecca Perry, Yih-Kai Chan, Jordan B Strom, Nicholas Spetko, Sarah Ann Harris, Simon Stewart, Joseph B Selvanayagam

Registry-linked trialAbstract 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. It is linked to trial NCT07270367 (Finerenone and Cardiac Remodeling), 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.

NCT07270367 phase3not yet recruitingnot on this map

Finerenone and Cardiac Remodeling: A Randomized, Double- Blind, Placebo-Controlled Study to Evaluate The Effects of Finerenone on Ventricular Remodeling

TypeinterventionalSponsorSubodh VermaRan2025 to 2030Enrolled156ConditionsHeart FailureArmsFinerenone, Placebo
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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.

David PlayfordInstitute for Health Research, University of Notre Dame Australia Fremantle Western Australia Australia.ORCID 0000-0003-4492-1103
Geoff StrangeInstitute for Health Research, University of Notre Dame Australia Fremantle Western Australia Australia.ORCID 0000-0001-6800-7119
Majo JosephFlinders Medical Centre Adelaide South Australia Australia.ORCID 0000-0002-4711-7391
Rebecca PerryFlinders Medical Centre Adelaide South Australia Australia.ORCID 0000-0002-3333-3317
Yih-Kai ChanMary MacKillop Institute for Health Research Australian Catholic University Melbourne Victoria Australia.ORCID 0000-0003-3836-8145
Jordan B StromRichard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Division of Cardiovascular Medicine Beth Israel Deaconess Medical Center Boston MA USA.ORCID 0000-0002-6592-6141
Nicholas SpetkoRichard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Division of Cardiovascular Medicine Beth Israel Deaconess Medical Center Boston MA USA.ORCID 0000-0002-5390-4009
Sarah Ann HarrisInstitute for Health Research, University of Notre Dame Australia Fremantle Western Australia Australia.
Simon StewartInstitute for Health Research, University of Notre Dame Australia Fremantle Western Australia Australia.ORCID 0000-0001-9032-8998
Joseph B SelvanayagamCollege of Medicine and Public Health Flinders University Adelaide South Australia Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft ventricular hypertrophy (LVH) categories are based on left ventricular mass index (LVMi). This study aimed to generate and externally validate sex-stratified LVMi cutoffs according to incremental mortality risk.

methodsLVH information was determined on 155 668 men (aged 61.3±17.3 years) and 147 880 women (61.8±18.3 years) from the National Echocardiography Database of Australia. Sex-specific mild to severe thresholds of the increasing 5-year mortality rate based on LVMi increments were generated. These new thresholds were then validated in a US Medicare-linked echocardiographic database.

resultsIn the National Echocardiography Database, 36198 men (23.3%) and 38 898 women (26.3%) had LVH, with an actual 5-year mortality rate of 38.3% and 31.2%, respectively. The statistical threshold at which LVMi was associated with an increased mortality rate was lower than traditional criteria in both men (≥88 g/m

conclusionsA high proportion of men and women have LVMi levels associated with an elevated mortality risk, despite absence of LVH. Such individuals may benefit from more proactive recognition and clinical management.

Indexed as

EchocardiographyHeart VentriclesHypertrophy, Left VentricularAgedAged, 80 and overAustraliaDatabases, FactualFemaleHumansMaleMiddle AgedRisk AssessmentRisk FactorsSex FactorsUnited StatescohortDeathleft ventricularLV mass index

Identifiers

PMID41378460
PMCPMC12826930

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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.