Evidence map›Paper›PMID 41458774›Full record

ReviewCureus2025

Metabolomic Biomarkers in Heart Failure: A Systematic Review of Diagnostic and Prognostic Significance.

Mustafeez Ur Rehman, Hadia Saeed, Zaheer Ud Din Babar, Osman Omer, Shahbaz Tashfeen

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

5 authors.

Mustafeez Ur RehmanInternal Medicine, Manchester University NHS Foundation Trust, Manchester, GBR.
Hadia SaeedEmergency Medicine, King's College Hospital, London, GBR.
Zaheer Ud Din BabarInternal Medicine, Indus Medical College and Hospital, Tando Muhammad Khan, PAK.
Osman OmerIntegrative Medicine, Prince Mohammed Bin Abdulaziz Hospital, Madinah, SAU.
Shahbaz TashfeenInternal Medicine, Nishtar Medical University, Multan, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review evaluates the role of metabolomic biomarkers in the diagnosis, prognosis, and risk stratification of patients with heart failure (HF) across various phenotypes. A comprehensive literature search identified randomized controlled trials, cohort studies, and clinical trials that utilized validated metabolomic platforms, such as liquid chromatography-tandem mass spectrometry (LC-MS), gas chromatography-tandem mass spectrometry (GC-MS), and nuclear magnetic resonance (NMR) spectroscopy. Eligible studies assessed the relationship between metabolite profiles and key clinical outcomes, including NT-proBNP levels, six-minute walk distance (6MWD), hospitalization, and mortality. The included trials consistently identified significant associations between branched-chain amino acids (BCAAs), acylcarnitines, and phenylalanine with markers of HF severity and prognosis. Metabolomic profiling provided insight into altered energy metabolism, amino acid catabolism, and lipid oxidation pathways that underpin HF pathophysiology. Collectively, these findings highlight the potential of metabolomic biomarkers as valuable tools for early diagnosis, disease monitoring, and prognostic assessment in HF. Further large-scale, longitudinal studies are warranted to validate these biomarkers and facilitate their integration into precision cardiology.

Indexed as

acylcarnitinesbiomarkersbranched-chain amino acidsgc-msheart failurelc-msmetabolomicsnmr spectroscopynt-probnpphenylalanine

Identifiers

PMID41458774
PMCPMC12739189

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.