Evidence mapPaperPMID 31618698Full record

Trial reportJournal of cardiac failure2020

Adverse Renal Response to Decongestion in the Obese Phenotype of Heart Failure With Preserved Ejection Fraction.

Yogesh N V Reddy, Masaru Obokata, Jeffrey M Testani, G Michael Felker, W H Wilson Tang, Omar F Abou-Ezzeddine, Jie-Lena Sun, Hrishikesh Chakrabothy, Steven McNulty, Sanjiv J Shah and 4 more

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of cardiac failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 49 citations in OpenAlex.

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  14. The HScientific reports · 2022
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  20. Range of adiposity and cardiorenal syndrome.World journal of diabetes · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Yogesh N V ReddyThe Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Masaru ObokataThe Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Jeffrey M TestaniSection of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT.
G Michael FelkerDeparment of Cardiovscular Medicine, Duke University, Durham, NC.
W H Wilson TangThe Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN; Deparment of Cardiovscular Medicine, Duke University, Durham, NC; Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT; Deparment of Cardiovscular Medicine, Vanderbilt University, Nashville, TN.
Omar F Abou-EzzeddineThe Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Jie-Lena SunDeparment of Cardiovscular Medicine, Duke University, Durham, NC.
Hrishikesh ChakrabothyDeparment of Cardiovscular Medicine, Duke University, Durham, NC.
Steven McNultyDeparment of Cardiovscular Medicine, Duke University, Durham, NC.
Sanjiv J ShahThe Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN; Deparment of Cardiovscular Medicine, Duke University, Durham, NC; Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT; Deparment of Cardiovscular Medicine, Vanderbilt University, Nashville, TN.
Gregory D LewisThe Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN; Deparment of Cardiovscular Medicine, Duke University, Durham, NC; Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT; Deparment of Cardiovscular Medicine, Vanderbilt University, Nashville, TN.
Lynne W StevensonDeparment of Cardiovscular Medicine, Vanderbilt University, Nashville, TN.
Margaret M RedfieldThe Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Barry A BorlaugThe Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN. Electronic address: borlaug.barry@mayo.edu.
Mayo Clinic in Arizona · USDuke University · USYale University · USVanderbilt University · US

Funding

Yale Clinical and Translational Science AwardUL1TR001863 · YALE UNIVERSITY · 2025 to 2025
$9.9M
CARDIOVASOLOGYT32HL007111 · MAYO CLINIC ROCHESTER · 1985 to 2025
$2.4M
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS R01 HL128526NHLBI NIH HHS T32 HL007111NHLBI NIH HHS U10 HL110262NHLBI NIH HHS U10 HL110337
6 · The paper itself

Abstract

backgroundPatients with heart failure (HF) with preserved ejection fraction (HFpEF) and obesity display a number of pathophysiologic features that may render them more or less vulnerable to negative effects of decongestion on renal function, including greater right ventricular remodeling, plasma volume expansion and pericardial restraint. We aimed to contrast the renal response to decongestion in obese compared to nonobese patients with HFpEF METHODS AND

resultsNational Institutes of Health heart failure network studies that enrolled patients with acute decompensated HFpEF (EF ≥ 50%) were included (DOSE, CARRESS, ROSE, and ATHENA). Obese HFpEF was defined as a body mass index ≥ 30 kg/m

conclusionsDespite being nearly a decade younger, obese patients with HFpEF experience greater deterioration in renal function during decongestion than do nonobese patients with HFpEF. Further study to elucidate the complex relationships between volume distribution, cardiorenal hemodynamics and adiposity in HFpEF is needed.

Indexed as

PhenotypeAgedAged, 80 and overCreatinineFemaleGlomerular Filtration RateHeart FailureHumansKidneyMaleMiddle AgedNatriuretic Peptide, BrainObesityPeptide FragmentsPlasma VolumeProspective StudiesCreatinineNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Heart failureHFpEFhospitalizationobesity

Identifiers

PMID31618698
PMCPMC7036022
OpenAlexW2979864371

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.