Evidence map›Paper›PMID 39135091›Full record

ArticleCardiovascular diabetology2024

Detecting heart stress using NT-proBNP in patients with type 2 diabetes mellitus and hypertension or high-normal blood pressure: a cross-sectional multicentric study.

Matteo Landolfo, Francesco Spannella, Federico Giulietti, Beatrice Ortensi, Lucia Stella, Maria A Carlucci, Roberta Galeazzi, Federica Turchi, Maria P Luconi, Roberto Zampa and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Cardiovascular diabetology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Heart Stress, Frailty and Mortality Risk in two prospective cohorts.medRxiv : the preprint server for health sciences · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. 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

14 authors.

Matteo LandolfoInternal Medicine and Geriatrics, IRCCS INRCA, Ancona, Italy.
Francesco SpannellaInternal Medicine and Geriatrics, IRCCS INRCA, Ancona, Italy. f.spannella@univpm.it.
Federico GiuliettiInternal Medicine and Geriatrics, IRCCS INRCA, Ancona, Italy.
Beatrice OrtensiInternal Medicine and Geriatrics, IRCCS INRCA, Ancona, Italy.
Lucia StellaDepartment of Clinical and Molecular Sciences, Politecnica delle Marche University, Ancona, Italy.
Maria A CarlucciUnit of Diabetology- Endocrinology and Metabolic Diseases, AST Pesaro-Urbino, Urbino, Italy.
Roberta GaleazziClinic of Laboratory and Precision Medicine, IRCCS INRCA, Ancona, Italy.
Federica TurchiMetabolic Diseases and Diabetology, IRCCS INRCA, Ancona, Italy.
Maria P LuconiMetabolic Diseases and Diabetology, IRCCS INRCA, Ancona, Italy.
Roberto ZampaInternal Medicine and Geriatrics, IRCCS INRCA, Ancona, Italy.
Sofia CecchiDepartment of Clinical and Molecular Sciences, Politecnica delle Marche University, Ancona, Italy.
Elena TortatoMetabolic Diseases and Diabetology, IRCCS INRCA, Ancona, Italy.
Massimiliano PetrelliClinic of Endocrinology and Metabolic Diseases, Azienda Ospedaliero Universitaria delle Marche, Ancona, Italy.
Riccardo SarzaniInternal Medicine and Geriatrics, IRCCS INRCA, Ancona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe evaluated the prevalence of "heart stress" (HS) based on NT-proBNP cut-points proposed by the 2023 Consensus of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC) in asymptomatic patients with T2DM and hypertension or high-normal blood pressure (BP) eligible for SGLT2 inhibitors (SGLT2i) and/or GLP-1 receptor agonists (GLP1-RA), drugs with proven benefits on reducing the incidence of HF, hospitalizations, cardiovascular events and mortality.

methodsA cross-sectional multicentric study was conducted on 192 consecutive outpatients, aged ≥ 55 years, with hypertension or high-normal BP, referred to three diabetology units. NT-proBNP was collected before starting new anti-diabetic therapy. Patients with known HF were excluded, and participants were classified based on the age-adjusted NT-proBNP cut-points.

resultsMean age: 70.3 ± 7.8 years (67.5% males). Patients with obesity (BMI ≥ 30 Kg/m

conclusionsAccording to NT-proBNP, over a quarter of T2DM patients with hypertension/high-normal BP, among those eligible for SGLT2i and/or GLP1-RA, were already at risk of cardiac damage, even subclinical. Most would receive an indication to echocardiogram and be referred to a specialist, allowing the early implementation of effective strategies to prevent or delay the progression to advanced stages of cardiac disease and overt HF.

Indexed as

BiomarkersBlood PressureDiabetes Mellitus, Type 2HypertensionNatriuretic Peptide, BrainPeptide FragmentsPredictive Value of TestsAgedAged, 80 and overAsymptomatic DiseasesCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrevalenceBiomarkersNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Sodium-Glucose Transporter 2 InhibitorsGLP1-RAHeart stressHypertensionNT-proBNPSGLT2iType 2 diabetes mellitus

Identifiers

PMID39135091
PMCPMC11321074

What Socratic holds

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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.