Evidence map›Paper›PMID 37048650›Full record

ReviewJournal of clinical medicine2023

Gut Failure: A Review of the Pathophysiology and Therapeutic Potentials in the Gut-Heart Axis.

Dionysis Matsiras, Sofia Bezati, Ioannis Ventoulis, Christos Verras, John Parissis, Effie Polyzogopoulou

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Gut microbiome dysbiosis in heart failure: Updated evidence, mechanisms, and therapeutic directions.American heart journal plus : cardiology research and practice · 2025
    Review
  10. Article
  11. Review
  12. Article
  13. The Role of Bacteria-Derived Hydrogen Sulfide in Multiple Axes of Disease.International journal of molecular sciences · 2025
    Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

6 authors at 3 institutions in 1 country.

Dionysis MatsirasEmergency Medicine Department, Attikon University Hospital, Rimini 1, 12462 Athens, Greece.
Sofia BezatiEmergency Medicine Department, Attikon University Hospital, Rimini 1, 12462 Athens, Greece.ORCID 0000-0002-2038-844X
Ioannis VentoulisDepartment of Occupational Therapy, University of Western Macedonia, 50200 Ptolemaida, Greece.ORCID 0000-0002-7572-4527
Christos VerrasEmergency Medicine Department, Attikon University Hospital, Rimini 1, 12462 Athens, Greece.
John ParissisEmergency Medicine Department, Attikon University Hospital, Rimini 1, 12462 Athens, Greece.
Effie PolyzogopoulouEmergency Medicine Department, Attikon University Hospital, Rimini 1, 12462 Athens, Greece.ORCID 0000-0001-7585-1203
University General Hospital Attikon · GRNational and Kapodistrian University of Athens · GRUniversity of Western Macedonia · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite considerable advances in the field, heart failure (HF) still poses a significant disease burden among affected individuals since it continues to cause high morbidity and mortality rates. Inflammation is considered to play a key role in disease progression, but the exact underlying pathophysiological mechanisms involved have not yet been fully elucidated. The gut, as a potential source of inflammation, could feasibly explain the state of low-grade inflammation seen in patients with chronic HF. Several derangements in the composition of the microbiota population, coupled with an imbalance between favorable and harmful metabolites and followed by gut barrier disruption and eventually bacterial translocation, could contribute to cardiac dysfunction and aggravate HF. On the other hand, HF-associated congestion and hypoperfusion alters intestinal function, thereby creating a vicious cycle. Based on this evidence, novel pharmaceutical agents have been developed and their potential therapeutic use has been tested in both animal and human subjects. The ultimate goal in these efforts is to reverse the aforementioned intestinal derangements and block the inflammation cascade. This review summarizes the gut-related causative pathways implicated in HF pathophysiology, as well as the associated therapeutic interventions described in the literature.

Indexed as

gutheart failureinflammationintestinal barrier integritymicrobiotaSCFAtherapeutic potentialTMAO

Identifiers

PMID37048650
PMCPMC10095379
OpenAlexW4361282795

What Socratic holds

Textmetadata
LicenceCC BY
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.