Evidence map›Paper›PMID 40244252›Full record

Observational studyInternational journal of molecular sciences2025

Trimethylamine N-Oxide as a Biomarker for Left Ventricular Diastolic Dysfunction and Functional Remodeling After STEMI.

Tsung-Ying Tsai, Ali Aldujeli, Ayman Haq, Paddy Murphy, Ramunas Unikas, Faisal Sharif, Scot Garg, Emmanouil S Brilakis, Yoshinobu Onuma, Patrick W Serruys

Abstract readObservational Study
In one paragraph

Observational study in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
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

10 authors.

Tsung-Ying TsaiCORRIB Research Centre for Advanced Imaging and Core Lab, University of Galway, H91 TK33 Galway, Ireland.ORCID 0000-0002-0426-9360
Ali AldujeliInstitute of Cardiology, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania.ORCID 0000-0002-5567-2221
Ayman HaqAbbott Northwestern Hospital/Minneapolis Heart Institute Foundation, Minneapolis, MN 55407, USA.ORCID 0000-0002-7093-420X
Paddy MurphyCORRIB Research Centre for Advanced Imaging and Core Lab, University of Galway, H91 TK33 Galway, Ireland.
Ramunas UnikasInstitute of Cardiology, Lithuanian University of Health Sciences, 44307 Kaunas, Lithuania.
Faisal SharifDepartment of Cardiology, University Hospital Galway, University of Galway, H91 YR71 Galway, Ireland.ORCID 0000-0003-0086-4864
Scot GargDepartment of Cardiology, Royal Blackburn Hospital, Blackburn BB2 3HH, UK.ORCID 0000-0002-8911-0278
Emmanouil S BrilakisAbbott Northwestern Hospital/Minneapolis Heart Institute Foundation, Minneapolis, MN 55407, USA.
Yoshinobu OnumaCORRIB Research Centre for Advanced Imaging and Core Lab, University of Galway, H91 TK33 Galway, Ireland.
Patrick W SerruysCORRIB Research Centre for Advanced Imaging and Core Lab, University of Galway, H91 TK33 Galway, Ireland.ORCID 0000-0002-9636-1104

Funding

Lithuanian University of Health Sciences TAMIR study
6 · The paper itself

Abstract

Despite successful primary percutaneous coronary intervention (PPCI), the incidence of heart failure (HF) following ST-elevation myocardial infarction (STEMI) remains high. We investigated using Trimethylamine N-oxide (TMAO), a gut microbiota-derived biomarker, to predict adverse functional left ventricular (LV) remodeling (FLVR) and/or diastolic dysfunction (DD), which are precursors of HF post-STEMI. This prospective, observational study enrolled 204 STEMI patients with multivessel coronary artery disease after PPCI. TMAO level was collected at the baseline and 3 months. An echocardiography was performed at the baseline and at 12 months. The primary endpoints were the number of patients developing Group 4 FLVR or ≥Grade II DD at 12 months. The median age was 65 [57.00, 76.00] and 39.7% were women. The primary endpoints occurred in 47 (23.0%) patients. Three months of TMAO can discriminate patients with/without ≥Grade II LV DD and FLVR Grade 4 with areas under the curve (AUC) of the ROC of 0.72 (95% CI: 0.63-0.81;

Indexed as

MethylaminesST Elevation Myocardial InfarctionVentricular Dysfunction, LeftVentricular RemodelingAgedBiomarkersEchocardiographyFemaleHumansMaleMiddle AgedPercutaneous Coronary InterventionProspective StudiesBiomarkersMethylaminestrimethyloxaminegut microbiotaleft ventricular diastolic dysfunctionleft ventricular functional remodelingST-elevation myocardial infarctiontrimethylamine N-oxide (TMAO)

Identifiers

PMID40244252
PMCPMC11989463

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.