Evidence map›Paper›PMID 33238740›Full record

ReviewEuropean journal of preventive cardiology2020

Role of comorbidities in heart failure prognosis Part 2: Chronic kidney disease, elevated serum uric acid.

Andrea Tedeschi, Piergiuseppe Agostoni, Beatrice Pezzuto, Ugo Corra', Domenico Scrutinio, Rocco La Gioia, Rosa Raimondo, Andrea Passantino, Massimo F Piepoli

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in European journal of preventive cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07259512 (Comparative Effects of Single Versus Twice-Daily Ramipril Dosing on Renal Function in Patients With Chronic Kidney Disease and Heart Failure With Reduced Ejection Fraction), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 2% 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.

NCT07259512 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Comparative Effects of Single Versus Twice-Daily Ramipril Dosing on Renal Function in Patients With Chronic Kidney Disease and Heart Failure With Reduced Ejection Fraction: Evaluation of Plasma Renin Activity, Malondialdehyde, Interleukin-6, Albuminuria, and Cystatin C

TypeinterventionalSponsorEvi Liliek WulandariRan2025 to 2026Enrolled80ConditionsChronic Kidney Disease, Heart Failure With Reduced Ejection Fraction (HFrEF)ArmsRamipril
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Clinical outcomes in patients with cardiorenal multimorbidity: the role of serum uric acid/serum creatinine ratio.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Effect of severity and etiology of chronic kidney disease in patients with heart failure with mildly reduced ejection fraction.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Article
  16. Observational
  17. Review
  18. Article
  19. Review
  20. Usefulness of the Vall d'Hebron Risk Score to stratify the risk of patients with ischemic cardiomyopathy.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    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

9 authors at 3 institutions in 1 country.

Andrea TedeschiCardiology Dept, Guglielmo da Saliceto Hospital, AUSL Piacenza and University of Parma, Italy.
Piergiuseppe AgostoniClinical Cardiology and Rehabilitation Unit, Università degli Studi di Milano, Centro Cardiologico Monzino IRCCS, Italy.
Beatrice PezzutoClinical Cardiology and Rehabilitation Unit, Università degli Studi di Milano, Centro Cardiologico Monzino IRCCS, Italy.
Ugo Corra'Centro Cardiologico di Veruno, Istituti Clinici Maugeri, Italy.
Domenico ScrutinioIstituti Clinici Scientifici Maugeri-SPA SB. I.R.C.C.S. Institute of Bari, Italy.
Rocco La GioiaIstituti Clinici Scientifici Maugeri-SPA SB. I.R.C.C.S. Institute of Bari, Italy.
Rosa RaimondoIstituti Clinici Scientifici Maugeri-SPA SB. I.R.C.C.S. Institute of Bari, Italy.
Andrea PassantinoIstituti Clinici Scientifici Maugeri-SPA SB. I.R.C.C.S. Institute of Bari, Italy.
Massimo F PiepoliCardiology Dept, Guglielmo da Saliceto Hospital, AUSL Piacenza and University of Parma, Italy.
Istituti Clinici Scientifici Maugeri · ITCentro Cardiologico Monzino · ITGuglielmo da Saliceto Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite improvements in pharmacotherapy, morbidity and mortality rates in community-based populations with chronic heart failure still remain high. The increase in medical complexity among patients with heart failure may be reflected by an increase in concomitant non-cardiovascular comorbidities, which are recognized as independent prognostic factors in this population. Heart failure and chronic kidney disease share many risk factors, and often coexist. The presence of kidney failure is associated with incremented risk of cardiovascular and non-cardiovascular mortality in heart failure patients. Chronic kidney disease is also linked with underutilization of evidence-based heart failure therapy that may reduce morbidity and mortality. More targeted therapies would be important to improve the prognosis of patients with these diseases. In recent years, serum uric acid as a determinant of cardiovascular risk has gained interest. Epidemiological, experimental and clinical data show that patients with hyperuricaemia are at increased risk of cardiac, renal and vascular damage and cardiovascular events. Moreover, elevated serum uric acid predicts worse outcome in both acute and chronic heart failure. While studies have raised the possibility of preventing heart failure through the use of uric acid lowering agents, the literature is still inconclusive on whether the reduction in uric acid will result in a measurable clinical benefit. Available evidences suggest that chronic kidney disease and elevated uric acid could worsen heart failure patients' prognosis. The aim of this review is to analyse a possible utilization of these comorbidities in risk stratification and as a therapeutic target to get a prognostic improvement in heart failure patients.

Indexed as

BiomarkersComorbidityHeart Disease Risk FactorsHeart FailureHumansHyperuricemiaPrognosisRenal Insufficiency, ChronicRisk AssessmentUp-RegulationUric AcidBiomarkersUric AcidcomorbiditiesHeart failurekidneyprognosisrisk stratificationuric acid

Identifiers

PMID33238740
PMCPMC7691631
OpenAlexW3110584489

What Socratic 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 Socratic graph.