Evidence map›Paper›PMID 41407719›Full record

Articlenpj aging2025

Biological aging, left ventricular dysfunction and mortality in patients with heart failure with preserved ejection fraction.

Xinghao Xu, Zihao Huang, Xingfeng Xu, Menghui Liu, Rihua Huang, Zhenyu Xiong, Yue Guo, Shaozhao Zhang, Ziwei Zhou, Ziyue Tang and 2 more

Abstract read
In one paragraph

Article in npj aging, 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

12 authors.

Xinghao Xu *Department of Cardiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Zihao Huang *Department of Rehabilitation Medicine, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Xingfeng Xu *Department of Cardiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Menghui LiuDepartment of Cardiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Rihua HuangDepartment of Cardiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Zhenyu XiongDepartment of Cardiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Yue GuoDepartment of Cardiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Shaozhao ZhangDepartment of Cardiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Ziwei ZhouDepartment of Cardiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Ziyue TangDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Xinxue LiaoDepartment of Cardiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. liaoxinx@mail.sysu.edu.cn.
Xiaodong ZhuangDepartment of Cardiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. zhuangxd3@mail.sysu.edu.cn.

Funding

Basic and Applied Basic Research Foundation of Guangdong Province,China 2023A1515110436Basic and Applied Basic Research Foundation of Guangdong Province,China 2024A1515012356National Natural Science Foundation of China 82370358National Natural Science Foundation of China,China 82400495
6 · The paper itself

Abstract

Accelerated biological aging (BA) is linked to adverse cardiovascular events, but its role in heart failure with preserved ejection fraction (HFpEF) remains unclear. We analyzed 1,727 HFpEF patients from RED-CARPET Study (ChiCTR2000039901), assessing BA using Klemera-Doubal and PhenoAge methods. During a median 4.9-year follow-up, 321 all-cause and 180 cardiovascular deaths occurred. After full adjustment, per 1-SD increase in BA acceleration showed significantly higher risk of all-cause mortality (KDMAge HR 1.55, 95% CI 1.40-1.72; PhenoAge HR 1.24, 95% CI 1.11-1.40) and cardiovascular mortality (KDMAge HR 1.47, 95% CI 1.28-1.69; PhenoAge HR 1.21, 95% CI 1.04-1.41). BA acceleration was also significantly related to increased left ventricular mass index (LVMI), relative wall thickness, and E/e' ratio. Mediation analysis revealed that both LVMI and the E/e' ratio partially mediated the relationship between BA acceleration and mortality. These findings suggest BA acceleration may serve as a key prognostic marker in patients with HFpEF.

Identifiers

PMID41407719
PMCPMC12714845

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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.