Evidence map›Paper›PMID 28233237›Full record

ReviewCurrent hypertension reports2017

Current Perspectives on Systemic Hypertension in Heart Failure with Preserved Ejection Fraction.

Marty C Tam, Ran Lee, Thomas M Cascino, Matthew C Konerman, Scott L Hummel

Open access · greenAbstract readReview
In one paragraph

Review in Current hypertension reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
1.6field-weighted citation impact, top 15% of its field
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

29 citing papers in PubMed, 56 citations in OpenAlex.

  1. Review
  2. Low and High Pressor Doses of Ang II Lead to Two Distinct Phenotypes of Hypertensive Heart Disease in Mice.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2026
    Article
  3. Atherosclerotic features in patients with heart failure.Archives of medical science : AMS · 2025
    Article
  4. Review
  5. Article
  6. The Efficacy of Risk Factor Modification Compared to NADJACC. Basic to translational science · 2024
    Article
  7. Drug Therapy for Acute and Chronic Heart Failure with Preserved Ejection Fraction with Hypertension: A State-of-the-Art Review.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2024
    Review
  8. Titin: roles in cardiac function and diseases.Frontiers in physiology · 2024
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Blood pressure in heart failure management and prevention.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Review
  16. Sex-specific responses to slow progressive pressure overload in a large animal model of HFpEF.American journal of physiology. Heart and circulatory physiology · 2022
    Article
  17. Observational
  18. Article
  19. Review
  20. 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 at 1 institution in 1 country.

Marty C TamFrankel Cardiovascular Center, University of Michigan Health System, Ann Arbor, MI, USA.
Ran LeeFrankel Cardiovascular Center, University of Michigan Health System, Ann Arbor, MI, USA.
Thomas M CascinoFrankel Cardiovascular Center, University of Michigan Health System, Ann Arbor, MI, USA.
Matthew C KonermanFrankel Cardiovascular Center, University of Michigan Health System, Ann Arbor, MI, USA.
Scott L HummelFrankel Cardiovascular Center, University of Michigan Health System, Ann Arbor, MI, USA. scothumm@med.umich.edu.
Michigan Medicine · US

Funding

Diet and pathophysiology of heart failure with preserved ejection fractionK23HL109176 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HUMMEL, SCOTT L · 2011 to 2015
$795k
DASH-SRD Post Acute Decompensated Heart Failure HospitalizationR21AG047939 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HUMMEL, SCOTT L, MAURER, MATHEW S · 2014 to 2015
$418k
A geofencing based adaptive messaging system to support patient self-management of a low sodium diet in hypertensionR21HS024567 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DORSCH, MICHAEL · 2016 to 2017
$300k
AHRQ HHS R21 HS024567NHLBI NIH HHS K23 HL109176NIA NIH HHS R21 AG047939
6 · The paper itself

Abstract

Heart failure with preserved ejection fraction (HFpEF) is a prevalent but incompletely understood syndrome. Traditional models of HFpEF pathophysiology revolve around systemic HTN and other causes of increased left ventricular afterload leading to left ventricular hypertrophy (LVH) and diastolic dysfunction. However, emerging models attribute the development of HFpEF to systemic proinflammatory changes secondary to common comorbidities which include HTN. Alterations in passive ventricular stiffness, ventricular-arterial coupling, peripheral microvascular function, systolic reserve, and chronotropic response occur. As a result, HFpEF is heterogeneous in nature, making it difficult to prescribe uniform therapies to all patients. Nonetheless, treating systemic HTN remains a cornerstone of HFpEF management. Antihypertensive therapies have been linked to LVH regression and improvement in diastolic dysfunction. However, to date, no therapies have definitive mortality benefit in HFpEF. Non-pharmacologic management for HTN, including dietary modification, exercise, and treating sleep disordered breathing, may provide some morbidity benefit in the HFpEF population. Future research is need to identify effective treatments, perhaps in more specific subgroups, and focus may need to shift from reducing mortality to improving exercise capacity and symptoms. Tailoring antihypertensive therapies to specific phenotypes of HFpEF may be an important component of this strategy.

Indexed as

Heart FailureHeart VentriclesHumansHypertensionHypertrophy, Left VentricularStroke VolumeTreatment OutcomeHeart failure phenotypesHeart failure with preserved ejection fractionHTN

Identifiers

PMID28233237
PMCPMC5503692
OpenAlexW2591551831

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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 Socratic graph.