Evidence map›Paper›PMID 41432138›Full record

Observational studyJournal of the American Heart Association2026

Bio-Adrenomedullin Predicts Death and Major Adverse Cardiovascular Events in Cardiac Amyloidosis: A Cross-Continental Multicenter Study.

Maximilian L Müller, Fabian Knebel, Katrin Hahn, Janin Schulte, Birte Arlt, Oliver Hartmann, Kaitlin M S Moore, Seiji Takashio, Yasuhiro Izumiya, Joshua D Mitchell and 3 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2026. 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. 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

13 authors.

Maximilian L MüllerCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität Zu Berlin Berlin Germany.ORCID 0000-0002-6281-9754
Fabian KnebelCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität Zu Berlin Berlin Germany.
Katrin HahnCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität Zu Berlin Berlin Germany.ORCID 0000-0002-6013-0072
Janin SchulteSphingoTec GmbH Hennigsdorf Germany.ORCID 0000-0002-6529-3882
Birte ArltSphingoTec GmbH Hennigsdorf Germany.
Oliver HartmannSphingoTec GmbH Hennigsdorf Germany.
Kaitlin M S MooreCardiovascular Division, John T. Milliken Department of Internal Medicine, Cardio-Oncology Center of Excellence Washington University in St Louis St Louis MO USA.ORCID 0009-0006-3775-9354
Seiji TakashioDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.ORCID 0000-0002-6201-0701
Yasuhiro IzumiyaDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.ORCID 0000-0003-2332-9151
Joshua D MitchellCardiovascular Division, John T. Milliken Department of Internal Medicine, Cardio-Oncology Center of Excellence Washington University in St Louis St Louis MO USA.ORCID 0000-0001-7371-5742
Kenichi TsujitaDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.ORCID 0000-0002-4314-259X
Ulf LandmesserCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität Zu Berlin Berlin Germany.ORCID 0000-0002-0214-3203
Bettina HeideckerCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität Zu Berlin Berlin Germany.ORCID 0000-0002-3811-7920

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBio-ADM (bioactive adrenomedullin) is a vasoactive peptide hormone that predicts clinical outcomes in heart failure-the main driver of adverse outcomes in cardiac amyloidosis (CA). This prospective observational study sought to assess the prognostic role of bio-ADM in CA.

methodsPatients with CA were enrolled from amyloid centers in Germany (observation cohort), Japan, and the United States (combined validation cohort). Bio-ADM was quantified using the sphingotest bio-ADM assay. Associations of bio-ADM with all-cause death and major adverse cardiovascular events over 2 years were assessed using Kaplan-Meier and Cox regression analyses. Likelihood ratio chi-square tests for nested models evaluated whether adding bio-ADM improves validated prognostic staging systems.

resultsIn both the German observation cohort (n=86) and the combined validation cohort from Japan and the United States (n=124), elevated bio-ADM (>29 pg/mL) was associated with more frequent all-cause death and major adverse cardiovascular events. Bio-ADM remained independently associated with impaired overall (

conclusionsBio-ADM is a promising prognostic biomarker, especially in cardiac transthyretin amyloidosis, where it improved risk stratification when added to established staging systems. Further research is needed to clarify its role as part of staging systems for cardiac immunoglobulin light chain amyloidosis.

Indexed as

AdrenomedullinAmyloidosisCardiomyopathiesAgedBiomarkersCause of DeathFemaleGermanyHumansJapanMaleMiddle AgedPredictive Value of TestsPrognosisProspective StudiesRisk AssessmentAdrenomedullinBiomarkersbio‐ADMbiomarkerimmunoglobulin light chain amyloidosis (AL)risk stratificationtransthyretin amyloidosis (ATTR)

Identifiers

PMID41432138
PMCPMC12909065

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.