ArticleESC heart failure2026
Paroxysmal hypotension and hypoxaemia caused by severe dynamic secondary mitral and tricuspid regurgitation after acute myocardial infarction.
Article in ESC heart failure, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07762521 (Impact of Serial Point-of-Care NT-proBNP Monitoring on Decongestion in Acute Decompensated Heart Failure), which is not on this map. Not yet cited in PubMed.
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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.
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.
Impact of Serial Point-of-Care NT-proBNP Monitoring on Decongestion in Acute Decompensated Heart Failure: A Prospective Controlled Study
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Authors and funding
5 authors.
Funding
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Abstract
A 57-year-old male patient developed paroxysmal hypotension and hypoxaemia during endotracheal extubation post-acute myocardial infarction revascularization. The underlying cause was severe dynamic mitral regurgitation (MR) and secondary tricuspid regurgitation. After successful extubation and weaning, the patient's MR nearly resolved. Discharged in improved condition with guideline-directed medical therapy, the patient was soon readmitted for heart failure with pulmonary oedema. The transthoracic echocardiogram confirmed recurrent, worsening MR. Transcatheter edge-to-edge repair was successfully performed, reducing the patient's severe MR to trivial and resolving tricuspid regurgitation completely. At 1-year follow-up, the patient remained stable with improved cardiac function and no readmissions for cardiac causes.
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