Evidence map›Paper›PMID 34989138›Full record

ArticleESC heart failure2022

Left atrial strain predicts exercise capacity in heart failure independently of left ventricular ejection fraction.

Caterina Maffeis, Andrea Rossi, Lorenzo Cannata, Camilla Zocco, Evgeny Belyavskiy, Aravind Kumar Radhakrishnan, Anna Feuerstein, Daniel Armando Morris, Elisabeth Pieske-Kraigher, Burkert Pieske and 2 more

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
6.7field-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.

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

31 citing papers in PubMed, 42 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Time's imprint on the left atrium: aging and atrial myopathy.The journal of cardiovascular aging · 2025
    Article
  9. Left Atrial Strain-Current Review of Clinical Applications.Diagnostics (Basel, Switzerland) · 2025
    Review
  10. Article
  11. Article
  12. Atrial cardiomyopathy.ESC heart failure · 2025
    Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Atrial cardiomyopathy in endurance athletes.NPJ cardiovascular health · 2024
    Article
  18. Article
  19. Article
  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

12 authors at 5 institutions in 2 countries.

Caterina MaffeisDivision of Cardiology, Department of Medicine, University of Verona, Verona, Italy.
Andrea RossiDivision of Cardiology, Department of Medicine, University of Verona, Verona, Italy.
Lorenzo CannataDivision of Cardiology, Istituti Clinici Scientifici Maugeri, IRCCS, Gattico-Veruno, Italy.
Camilla ZoccoDivision of Cardiology, Istituti Clinici Scientifici Maugeri, IRCCS, Gattico-Veruno, Italy.
Evgeny BelyavskiyDepartment of Internal Medicine and Cardiology, Charité - Universitätsmedizin Berlin, Campus Virchow Klinikum, Berlin, Germany.
Aravind Kumar RadhakrishnanDepartment of Internal Medicine and Cardiology, Charité - Universitätsmedizin Berlin, Campus Virchow Klinikum, Berlin, Germany.
Anna FeuersteinDepartment of Internal Medicine and Cardiology, Charité - Universitätsmedizin Berlin, Campus Virchow Klinikum, Berlin, Germany.
Daniel Armando MorrisDepartment of Internal Medicine and Cardiology, Charité - Universitätsmedizin Berlin, Campus Virchow Klinikum, Berlin, Germany.
Elisabeth Pieske-KraigherDepartment of Internal Medicine and Cardiology, Charité - Universitätsmedizin Berlin, Campus Virchow Klinikum, Berlin, Germany.
Burkert PieskeDepartment of Internal Medicine and Cardiology, Charité - Universitätsmedizin Berlin, Campus Virchow Klinikum, Berlin, Germany.
Frank EdelmannDepartment of Internal Medicine and Cardiology, Charité - Universitätsmedizin Berlin, Campus Virchow Klinikum, Berlin, Germany.
Pier Luigi TemporelliDivision of Cardiology, Istituti Clinici Scientifici Maugeri, IRCCS, Gattico-Veruno, Italy.
Charité - Universitätsmedizin Berlin · DEIstituti Clinici Scientifici Maugeri · ITGerman Centre for Cardiovascular Research · DEUniversity of Verona · ITDeutsches Herzzentrum der Charité · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsWe hypothesized that left atrial (LA) remodelling and function are associated with poor exercise capacity as prognostic marker in chronic heart failure (CHF) across a broad range of left ventricular ejection fraction (LVEF). METHODS AND

resultsOne hundred seventy-one patients with CHF were analysed [age 65 ± 11 years, 136 males (80%); 86 heart failure with reduced ejection fraction (HFrEF), 27 heart failure with mid-range ejection fraction (HFmrEF), 58 heart failure with preserved ejection fraction (HFpEF)]. All patients underwent echocardiography and maximal cardiopulmonary exercise testing and were classified according to a prognostic cut-off of peak VO

conclusionsIn patients with CHF, an impaired LA reservoir function is independently associated with a severely reduced pVO

Indexed as

Heart FailureAgedExercise ToleranceHeart AtriaHumansMaleMiddle AgedStroke VolumeVentricular Function, LeftCardiopulmonary exercise testEjection fractionExercise capacityHeart failureLeft atrial strainPrognosis

Identifiers

PMID34989138
PMCPMC8934969
OpenAlexW4205655998

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.