Evidence map›Paper›PMID 42037456›Full record

Observational studyJournal of the American Heart Association2026

Comorbidity Clusters in Acute Heart Failure: Insights From the AMERICCAASS Registry.

Juan Pablo Arango-Ibanez, Sebastián Seni-Molina, Juan Andrés Muñoz-Ordoñez, Valeria Azcárate-Rodríguez, Andrea Valencia-Orozco, Mario Miguel Barbosa Rengifo, Luis Eduardo Echeverría Correa, Adrián Lescano, Juan Pablo Allende, Tessa Negrín Valdés and 16 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05295641 (American Registry of Ambulatory or Acutely Decompensated Heart Failure), which is not on this 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.

NCT05295641 completednot on this map

American Registry of Ambulatory or Acutely Decompensated Heart Failure

Typeobservational_patient_registrySponsorFundacion Clinica Valle del LiliRan2022 to 2025Enrolled6,732ConditionsHeart Failure, Acute Heart Failure (AHF), Chronic Heart Failure
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

26 authors.

Juan Pablo Arango-Ibanez *Centro de Investigaciones Clínicas (CIC) Fundación Valle del Lili Cali Colombia.ORCID 0000-0003-3601-3279
Sebastián Seni-Molina *Centro de Investigaciones Clínicas (CIC) Fundación Valle del Lili Cali Colombia.ORCID 0009-0006-2151-0722
Juan Andrés Muñoz-OrdoñezCentro de Investigaciones Clínicas (CIC) Fundación Valle del Lili Cali Colombia.ORCID 0009-0009-1278-8943
Valeria Azcárate-RodríguezCentro de Investigaciones Clínicas (CIC) Fundación Valle del Lili Cali Colombia.ORCID 0009-0007-8219-9285
Andrea Valencia-OrozcoCentro de Investigaciones Clínicas (CIC) Fundación Valle del Lili Cali Colombia.ORCID 0000-0001-6855-207X
Mario Miguel Barbosa RengifoCentro de Investigaciones Clínicas (CIC) Fundación Valle del Lili Cali Colombia.ORCID 0000-0002-1211-3681
Luis Eduardo Echeverría CorreaServicio de Cardiología Fundación Cardiovascular de Colombia Bucaramanga Colombia.ORCID 0000-0001-5784-3859
Adrián LescanoDepartamento de Cardiología Sanatorio Trinidad Quilmes Quilmes Argentina.ORCID 0000-0002-9015-8666
Juan Pablo AllendeServicio de Cardiología Hospital Descentralizado Dr. Guillermo Rawson San Juan Argentina.
Tessa Negrín ValdésDepartamento de Docencia e Investigación Hospital Provincial Camilo Cienfuegos La Habana Cuba.ORCID 0000-0001-5486-1373
Maikel Santos MedinaServicio de Cardiología Hospital General Docente Dr. Ernesto Guevara de la Serna Las Tunas Cuba.ORCID 0000-0002-2123-9577
Miguel Angel Quintana Da SilvaInstituto Cardiovascular, Sanatorio Migone Asunción Paraguay.ORCID 0009-0001-9322-629X
José Jesús MarvalUnidad de Insuficiencia Cardiaca, ATIMED C.A Cumaná Venezuela.ORCID 0009-0003-5879-8246
Paola Oliver RengifoDepartamento de Cardiología Hospital Nacional Arzobispo Loayza Lima Perú.ORCID 0000-0002-9527-1000
Harold Segundo Cedeño MaciasDepartamento de Cardiología Hospital Centro Cardiológico A.C.I Portoviejo Ecuador.ORCID 0009-0009-9063-9062
Luis Pérez-PlataInstituto de Cardiología y Medicina Vascular, TecSalud, Escuela de Medicina y Ciencias de la Salud, Tecnológico de Monterrey San Pedro Garza Garcia Nuevo Leon Mexico.ORCID 0000-0001-6117-1426
Alexander Romero-GuerraServicio de Cardiología Hospital Santo Tomas Ciudad de Panamá Panamá.ORCID 0000-0002-0785-0804
Eduardo R PernaUnidad de Falla Cardíaca e Hipertensión Pulmonar, Instituto De Cardiología J. F. Cabral Corrientes Argentina.ORCID 0000-0002-9977-7623
Víctor RosselServicio de Cardiología Hospital del Salvador e Instituto Nacional del Tórax Santiago Chile.ORCID 0000-0002-4212-1148
Daniel Quesada-ChavesServicio de Cardiología Hospital San Vicente de Paul Heredia Costa Rica.ORCID 0000-0003-4367-549X
Mario SperanzaDepartamento de Cardiología Hospital Clínica Bíblica San José Costa Rica.ORCID 0000-0002-6947-0735
Mark H DraznerDivision of Cardiology, Department of Internal Medicine University of Texas Southwestern Medical Center Dallas TX USA.ORCID 0000-0003-3054-4757
Walter AlarcoServicio de Cardiología Instituto Nacional Cardiovascular INCOR Lima Perú.ORCID 0000-0001-5881-4080
Carolyn S P LamDuke-NUS Medical School Singapore.ORCID 0000-0003-1903-0018
Juan Esteban Gómez-MesaCentro de Investigaciones Clínicas (CIC) Fundación Valle del Lili Cali Colombia.ORCID 0000-0002-6635-6224
AMERICCAASS Research Group ‡

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute heart failure (HF) frequently coexists with multimorbidity. Comorbidity clusters have been associated with distinct clinical outcomes, but data from the Americas remain limited. We aimed to identify comorbidity clusters in patients with acute HF and assess their association with in-hospital outcomes.

methodsThis cohort study applied latent class analysis to patients from the AMERICCAASS Registry (Registro Americano de Insuficiencia Cardiaca Ambulatoria o Agudamente descompensada). Adjusted Poisson regression assessed in-hospital mortality and intensive care unit (ICU) admission, and multivariable analysis identified independent predictors of ICU admission.

resultsAmong 1638 patients, 60.6% were men and the median age was 67.2 years. Hypertension (69.4%), smoking (40.3%), and coronary artery disease (33.8%) were common comorbidities. Cluster 1 (Young, n=828) included the youngest patients (median age 63.2 years) with the fewest comorbidities. Cluster 2 (Cardio-Kidney-Metabolic, n=512) represented the oldest group (median age 71.8 years) with the highest median body mass index (27.7 kg/m

conclusionsPatients with acute HF in the Americas exhibit distinct comorbidity patterns associated with different clinical profiles and ICU admission rates, which may inform risk stratification and management strategies. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique Identifier: NCT05295641.

Indexed as

Heart FailureAcute DiseaseAgedAged, 80 and overComorbidityFemaleHospital MortalityHumansIntensive Care UnitsLatent Class AnalysisMaleMiddle AgedMultimorbidityRegistriesRisk Factorsacute heart failureAmericasclusterscomorbidityheart failuremultimorbidity

Identifiers

PMID42037456
PMCPMC13279540

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.