Evidence map›Paper›PMID 38068484›Full record

ArticleJournal of clinical medicine2023

Clinical Implication of Supra-Normal Left Ventricular Ejection Fraction in Patients Undergoing Transcatheter Aortic Valve Replacement.

Teruhiko Imamura, Yuki Hida, Hiroshi Ueno, Koichiro Kinugawa, Fumiaki Yashima, Norio Tada, Masahiro Yamawaki, Shinichi Shirai, Toru Naganuma, Futoshi Yamanaka and 11 more

Open access · goldAbstract read
In one paragraph

Article 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 5 citations in OpenAlex.

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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

21 authors at 15 institutions in 1 country.

Teruhiko ImamuraSecond Department of Internal Medicine, University of Toyama, Toyama 930-0194, Japan.ORCID 0000-0002-7294-7637
Yuki HidaSecond Department of Internal Medicine, University of Toyama, Toyama 930-0194, Japan.
Hiroshi UenoSecond Department of Internal Medicine, University of Toyama, Toyama 930-0194, Japan.ORCID 0000-0001-9747-2511
Koichiro KinugawaSecond Department of Internal Medicine, University of Toyama, Toyama 930-0194, Japan.
Fumiaki YashimaDepartment of Cardiology, Saiseikai Utsunomiya Hospital, Utsunomiya 321-0974, Japan.
Norio TadaDepartment of Cardiology, Sendai Kosei Hospital, Sendai 980-0873, Japan.
Masahiro YamawakiDepartment of Cardiology, Saiseikai Yokohama City Eastern Hospital, Yokohama 230-0012, Japan.
Shinichi ShiraiDepartment of Cardiovascular Medicine, Kokura Memorial Hospital, Kitakyushu 802-8555, Japan.
Toru NaganumaDepartment of Cardiology, New Tokyo Hospital, Matsudo 270-2232, Japan.
Futoshi YamanakaDepartment of Cardiology, Shonan Kamakura General Hospital, Kamakura 247-8533, Japan.
Masahiko NoguchiDepartment of Cardiology, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu 279-0001, Japan.
Kazuki MizutaniDepartment of Cardiology, Faculty of Medicine, Kindai University, Osaka 589-8511, Japan.ORCID 0000-0001-7206-4538
Kensuke TakagiDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Osaka 564-8565, Japan.ORCID 0000-0003-3999-8536
Yusuke WatanabeDepartment of Cardiology, Teikyo University School of Medicine, Tokyo 173-8606, Japan.
Masanori YamamotoDepartment of Cardiology, Toyohashi Heart Center, Toyohashi 441-8071, Japan.
Masahiko AsamiDivision of Cardiology, Mitsui Memorial Hospital, Tokyo 101-8643, Japan.
Masaki IzumoDepartment of Cardiology, St. Marianna University School of Medicine, Kawasaki 216-8511, Japan.
Yohei OhnoDepartment of Cardiology, Tokai University School of Medicine, Isehara 259-1193, Japan.
Hidetaka NishidaDepartment of Cardiology, Tsukuba Medical Center Hospital, Tsukuba 305-8558, Japan.
Kentaro HayashidaDepartment of Cardiology, Keio University School of Medicine, Tokyo 160-8582, Japan.
On Behalf Of The Ocean-Tavi Investigators
University of Toyama · JPKeio University · JPKindai University · JPKokura Memorial Hospital · JPMitsui Memorial Hospital · JPNational Cerebral and Cardiovascular Center · JPNew Tokyo Hospital · JPSaiseikai Utsunomiya hospital · JPSaiseikai Yokohama Eastern Hospital · JPShonan Kamakura General Hospital · JPSt. Marianna University School of Medicine · JPTeikyo University · JPTokai University · JPToyohashi Heart Center · JPTsukuba Medical Center Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals with heart failure displaying supra-normal left ventricular ejection fraction (snLVEF) may exhibit less favorable clinical outcomes in contrast to their counterparts with normal left ventricular ejection fraction (nLVEF). The distinctive characteristics and mid-term prognosis of individuals with severe aortic stenosis and snLVEF following transcatheter aortic valve replacement (TAVR) remain enigmatic.

methodsAmong 7393 patients diagnosed with severe aortic stenosis who underwent TAVR between 2013 and 2019 and were enlisted in the optimized transcatheter valvular intervention (OCEAN-TAVI) multicenter registry (UMIN000020423), we selected patients with left ventricular ejection fraction (LVEF) ≥ 50%. snLVEF was defined as LVEF exceeding 65%. We compared the baseline characteristics and assessed three-year post-TAVR mortality and heart failure readmission rates between the snLVEF (LVEF > 65%) and nLVEF cohorts (LVER 50-65%).

resultsOur study cohort comprised 5989 patients (mean age 84.4 ± 5.1 years and 1783 males). Among these, 2819 patients were categorized within the snLVEF cohort, while the remaining 3170 were allocated to the nLVEF group. Individuals within the snLVEF cohort were more likely to be female and displayed lower levels of natriuretic peptides, as well as smaller left ventricular dimensions in comparison to their nLVEF counterparts (

conclusionssnLVEF was relatively common among candidates for TAVR with preserved ejection fraction. Patients harboring snLVEF appear to manifest a distinctive clinical profile and encounter less favorable clinical outcomes following TAVR in contrast to those characterized by nLVEF.

Indexed as

aortic valve diseaseendovascular interventionheart failure

Identifiers

PMID38068484
PMCPMC10706870
OpenAlexW4389206772

What Socratic holds

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LicenceCC BY
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Registered trials

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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.