Evidence map›Paper›PMID 39817535›Full record

Observational studyJournal of the American Heart Association2025

Prognostic Implications of Sex in Patients With Heart Failure With Mildly Reduced Ejection Fraction: Results From a Large-Scaled Registry.

Marielen Reinhardt, Michael Behnes, Kathrin Weidner, Mohammad Abumayyaleh, Felix Lau, Alexander Schmitt, Noah Abel, Daniel Duerschmied, Christel Weiß, Muharrem Akin and 2 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05603390 (Heart Failure With Mildly Reduced Ejection Fraction Registry), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT05603390 unknown statusnot on this map

Heart Failure With Mildly Reduced Ejection Fraction Registry (HARMER)

TypeobservationalSponsorUniversitätsmedizin MannheimRan2015 to 2023Enrolled2,200ConditionsHeart Failure
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Marielen ReinhardtDepartment of Cardiology, Angiology Haemostaseology and Medical Intensive Care University Medical Centre Mannheim Medical Faculty Mannheim at the University of Heidelberg Mannheim Germany.
Michael BehnesDepartment of Cardiology, Angiology Haemostaseology and Medical Intensive Care University Medical Centre Mannheim Medical Faculty Mannheim at the University of Heidelberg Mannheim Germany.ORCID 0000-0001-5970-0093
Kathrin WeidnerDepartment of Cardiology, Angiology Haemostaseology and Medical Intensive Care University Medical Centre Mannheim Medical Faculty Mannheim at the University of Heidelberg Mannheim Germany.
Mohammad AbumayyalehDepartment of Cardiology, Angiology Haemostaseology and Medical Intensive Care University Medical Centre Mannheim Medical Faculty Mannheim at the University of Heidelberg Mannheim Germany.ORCID 0000-0002-4766-5523
Felix LauDepartment of Cardiology, Angiology Haemostaseology and Medical Intensive Care University Medical Centre Mannheim Medical Faculty Mannheim at the University of Heidelberg Mannheim Germany.ORCID 0009-0009-5114-8973
Alexander SchmittDepartment of Cardiology, Angiology Haemostaseology and Medical Intensive Care University Medical Centre Mannheim Medical Faculty Mannheim at the University of Heidelberg Mannheim Germany.
Noah AbelDepartment of Cardiology, Angiology Haemostaseology and Medical Intensive Care University Medical Centre Mannheim Medical Faculty Mannheim at the University of Heidelberg Mannheim Germany.ORCID 0009-0005-7245-9536
Daniel DuerschmiedDepartment of Cardiology, Angiology Haemostaseology and Medical Intensive Care University Medical Centre Mannheim Medical Faculty Mannheim at the University of Heidelberg Mannheim Germany.ORCID 0000-0001-5249-4012
Christel WeißDepartment of Medical Statistics Biomathematics and Information Processing Medical Faculty Mannheim at the University of Heidelberg Mannheim Germany.
Muharrem AkinDepartment of Cardiology St. Josef-Hospital Ruhr-Universität Bochum Bochum Germany.
Ibrahim AkinDepartment of Cardiology, Angiology Haemostaseology and Medical Intensive Care University Medical Centre Mannheim Medical Faculty Mannheim at the University of Heidelberg Mannheim Germany.ORCID 0000-0003-1974-6147
Tobias SchuppDepartment of Cardiology, Angiology Haemostaseology and Medical Intensive Care University Medical Centre Mannheim Medical Faculty Mannheim at the University of Heidelberg Mannheim Germany.ORCID 0000-0001-8171-7617

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe study investigates the prognostic impact of sex and sex-related differences in patients hospitalized with heart failure with mildly reduced ejection fraction (HFmrEF). More data regarding the characterization of patients and their outcomes in the presence of HFmrEF are needed. METHODS AND

resultsConsecutive patients hospitalized with HFmrEF (ie, left ventricular ejection fraction 41%-49% and signs or symptoms of HF) were retrospectively included at one institution from 2016 to 2022. Female patients were compared with male patients with regard to the primary end point of all-cause mortality at 30 months (median follow-up). Statistical analyses comprised Kaplan-Meier, multivariable Cox proportional regression analyses and propensity score matching. From a total of 2184 patients hospitalized with HFmrEF, 64.6% were male. Female patients with HFmrEF were older than male patients (median age 78 versus 73 years;

conclusionAlthough almost two thirds of patients hospitalized with HFmrEF were male, sex was no predictor for the risk of all-cause mortality at 30 months. However, female sex was associated with a higher risk of HF-related rehospitalization. REGISTRATION: URL: https://clinicaltrials.gov; Unique identifier: NCT05603390.

Indexed as

Heart FailureStroke VolumeVentricular Function, LeftAgedAged, 80 and overCause of DeathFemaleHospitalizationHumansMalePrognosisPropensity ScoreRegistriesRetrospective StudiesRisk AssessmentRisk Factorsheart failure with mildly reduced ejection fractionHFmrEFmortalitysex

Identifiers

PMID39817535
PMCPMC12054520

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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.