Evidence mapPaperPMID 40411472Full record

SynthesisESC heart failure2025

Prognostic value of lipid parameters among patients with heart failure: A systematic review and meta-analysis.

Ahmed Sayed, Hesham Afify, Malak Munir, Ibrahim ElGarhy, Omar Shazly, Mohamed ElRefaei, Saeed Ahmed, Ahmed Mazen Amin, Omar Chikh Amine, Islam Y Elgendy

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in ESC heart failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  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.

Ahmed SayedFaculty of Medicine, Ain Shams University, Cairo, Egypt.
Hesham AfifyDivision of Cardiovascular Medicine, University of Louisville School of Medicine, Louisville, Kentucky, USA.
Malak MunirFaculty of Medicine, Ain Shams University, Cairo, Egypt.
Ibrahim ElGarhyFaculty of Medicine, Ain Shams University, Cairo, Egypt.
Omar ShazlyFaculty of Medicine, Ain Shams University, Cairo, Egypt.
Mohamed ElRefaeiFaculty of Medicine, Ain Shams University, Cairo, Egypt.
Saeed AhmedKing Edward Medical University, Lahore, Pakistan.
Ahmed Mazen AminFaculty of Medicine, Mansoura University, Mansoura, Egypt.
Omar Chikh AmineFaculty of Medicine, University of Aleppo, Aleppo, Syria.
Islam Y ElgendyDivision of Cardiovascular Medicine, Gill Heart and Vascular Institute, University of Kentucky, Lexington, Kentucky, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsWe sought to evaluate the prognostic value of different lipid parameters in patients with heart failure (HF). METHODS AND

resultsElectronic databases including MEDLINE, Embase, CENTRAL, and Web of Science were searched to identify studies that reported the association of any of the four lipid parameters [total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) and triglycerides] with mortality among patients with HF. A random-effects model was used to estimate the association per 10 mg/dL increment. The QUIPS tool was used to assess the risk of bias. Fifty-two studies enrolling 93 286 patients were included. On univariable analysis, higher levels of the four lipid parameters were associated with lower mortality: TC [hazard ratio/odds ratio (HR/OR): 0.94; 95% confidence interval (CI): 0.93 to 0.96], HDL-C (HR/OR: 0.89; 95% CI: 0.80 to 0.99), LDL-C (HR/OR: 0.93; 95% CI: 0.90 to 0.97) and triglycerides (HR/OR: 0.95; 95% CI: 0.92 to 0.99). On multivariable analysis, lower levels of TC (HR/OR: 0.95; 95% CI: 0.93 to 0.97) and LDL-C (HR/OR: 0.94; 95% CI: 0.89 to 0.99) were associated with lower mortality.

conclusionsHigher levels of lipids parameters were associated with lower mortality in patients with HF. Lipid parameters may improve prognostication in predictive models for patients with HF. Because of the observational nature of included studies, no claims about the causal effect of changing lipid parameters can be made.

Indexed as

Heart FailureLipidsBiomarkersCholesterol, HDLCholesterol, LDLGlobal HealthHumansPrognosisTriglyceridesBiomarkersCholesterol, HDLCholesterol, LDLLipidsTriglyceridescholesterolheart failurepredictionprognosis

Identifiers

PMID40411472
PMCPMC12287811

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.