Evidence mapPaperPMID 39314921Full record

ArticleInternational journal of cardiology. Heart & vasculature2024

Blunted increase in plasma BNP during acute coronary syndrome attacks in obese patients.

Toraaki Okuyama, Tomohisa Nagoshi, Nana Hiraki, Toshikazu D Tanaka, Yuhei Oi, Haruka Kimura, Yusuke Kashiwagi, Kazuo Ogawa, Kosuke Minai, Takayuki Ogawa and 2 more

Abstract read
In one paragraph

Article in International journal of cardiology. Heart & vasculature, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Toraaki OkuyamaDivision of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine.
Tomohisa NagoshiDivision of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine.
Nana HirakiDivision of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine.
Toshikazu D TanakaDivision of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine.
Yuhei OiDivision of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine.
Haruka KimuraDivision of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine.
Yusuke KashiwagiDivision of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine.
Kazuo OgawaDivision of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine.
Kosuke MinaiDivision of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine.
Takayuki OgawaDivision of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine.
Makoto KawaiDivision of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine.
Michihiro YoshimuraDivision of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Unexpectedly low natriuretic peptide (NP) levels in proportion to heart failure severity are often observed in obese individuals. However, the magnitude of NP elevation in response to acute cardiac stress in obesity has not yet been extensively studied. This study aimed to determine the impact of obesity on the increase in plasma NP in response to cardiac hemodynamic stress during acute coronary syndrome (ACS) attacks. Methods and Results: The study population included 557 consecutive patients with ACS for whom data were collected during emergency cardiac catheterization. To determine the possible impact of body mass index (BMI) on the relationship between left ventricular ejection fraction (LVEF) and plasma B-type NP (BNP) levels, the study population was divided into two groups (Group 1: BMI <25, Group 2: BMI ≥25 [kg/m Conclusions: Blunted increase in plasma BNP in response to cardiac hemodynamic stress during ACS attacks was observed in obese individuals. In addition to the relatively low plasma BNP levels at baseline in obese individuals, the blunted response of BNP elevation to ACS attacks may have important pathophysiological implications for hemodynamic regulation and myocardial energy metabolism.

Indexed as

Acute coronary syndromeNatriuretic peptidesObesity

Identifiers

PMID39314921
PMCPMC11417597

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.