Evidence mapPaperPMID 40470649Full record

ArticleJournal of the American Heart Association2025

Ejection Fraction Indexed to Left Ventricular Mass and Its Association With Cardiac Event Risk in a Community Population With Mildly Reduced or Preserved Ejection Fraction.

Zhongying Zhang, Xianghua Fang, Cuicui Liu, Chunxiu Wang, Hongjun Liu, Wenbin Lu, Shaochen Guan, Huihui Li, Chunxiao Liu, Shuai Fan and 1 more

Abstract read
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Article 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. 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

11 authors.

Zhongying ZhangGeriatric Department Xuanwu Hospital, Capital Medical University Beijing China.
Xianghua FangEvidence-Based Medical Center Xuanwu Hospital, Capital Medical University Beijing China.ORCID 0000-0003-3287-969X
Cuicui LiuDepartment of Ultrasound Beijing Fengtai Hospital of Integrated Traditional Chinese and Modern Medicine Beijing China.
Chunxiu WangEvidence-Based Medical Center Xuanwu Hospital, Capital Medical University Beijing China.
Hongjun LiuEvidence-Based Medical Center Xuanwu Hospital, Capital Medical University Beijing China.ORCID 0000-0001-6355-5239
Wenbin LuEchocardiography Laboratory of the Center for Heart Disease Control and Prevention Chuiyangliu Hospital Affiliated to Tsinghua University Beijing China.ORCID 0009-0003-2092-4462
Shaochen GuanEvidence-Based Medical Center Xuanwu Hospital, Capital Medical University Beijing China.
Huihui LiGeriatric Department Beijing Geriatric Hospital Beijing China.
Chunxiao LiuEvidence-Based Medical Center Xuanwu Hospital, Capital Medical University Beijing China.ORCID 0000-0003-4377-9539
Shuai FanDepartment of Ultrasound Beijing Fengtai Hospital of Integrated Traditional Chinese and Modern Medicine Beijing China.
Ya YangEchocardiography Laboratory of the Center for Heart Disease Control and Prevention Chuiyangliu Hospital Affiliated to Tsinghua University Beijing China.ORCID 0009-0005-8457-8049

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough previous studies have suggested that left ventricular ejection fraction (LVEF) adjusted by left ventricular mass (LVM) might improve prognostic risk stratification of cardiac events, few prospective cohort studies have examined its clinical implications. We assessed the predictive ability of LVEF indexed to LVM, body surface area (BSA), and body mass index for the cardiac event risk.

methodsWe conducted a 5.52-year cohort study on the association between LVEF indexed to LVM and cardiac events among 4266 participants with mildly reduced or preserved LVEF. Multivariable Cox regression analysis incorporating restricted cubic spline functions evaluated the predictive ability of LVEF, LVEF/LVM, and other indexed measures.

resultsAfter multivariable Cox regression adjustment, LVEF/LVM, LVEF/LVM/BSA, and LVEF/LVM/body mass index remained significantly associated with cardiac events (all

conclusionsLVEF indexed to LVM provides better cardiac event risk stratification than LVEF alone in individuals with mildly reduced or preserved ejection fraction.

Indexed as

Heart VentriclesStroke VolumeVentricular Dysfunction, LeftVentricular Function, LeftAgedBody Mass IndexBody Surface AreaFemaleHumansMaleMiddle AgedPrognosisProspective StudiesRisk AssessmentRisk Factorscardiac eventscohort studyleft ventricular ejection fractionleft ventricular massprognostic factor

Identifiers

PMID40470649
PMCPMC12229208

What Socratic holds

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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.