Evidence mapPaperPMID 41590844Full record

ArticleJournal of cardiovascular development and disease2025

Vericiguat Therapy Is Associated with Reverse Myocardial Remodeling in Chronic Heart Failure with Reduced Ejection Fraction.

Tine Bajec, Neža Žorž, Sabina Ugovšek, Gregor Zemljič, Andraž Cerar, Sabina Frljak, Renata Okrajšek, Petra Girandon Sušanj, Miran Šebeštjen, Bojan Vrtovec and 1 more

Abstract read
In one paragraph

Article in Journal of cardiovascular development and disease, 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.

Tine BajecAdvanced Heart Failure and Transplantation Center, Department of Cardiology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0009-0003-9927-8079
Neža ŽoržAdvanced Heart Failure and Transplantation Center, Department of Cardiology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Sabina UgovšekAdvanced Heart Failure and Transplantation Center, Department of Cardiology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0000-0002-2056-4781
Gregor ZemljičAdvanced Heart Failure and Transplantation Center, Department of Cardiology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0000-0001-6082-5176
Andraž CerarAdvanced Heart Failure and Transplantation Center, Department of Cardiology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0000-0002-8881-2251
Sabina FrljakAdvanced Heart Failure and Transplantation Center, Department of Cardiology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0000-0003-3691-4982
Renata OkrajšekAdvanced Heart Failure and Transplantation Center, Department of Cardiology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0009-0006-3095-0041
Petra Girandon SušanjAdvanced Heart Failure and Transplantation Center, Department of Cardiology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Miran ŠebeštjenAdvanced Heart Failure and Transplantation Center, Department of Cardiology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Bojan VrtovecAdvanced Heart Failure and Transplantation Center, Department of Cardiology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0000-0002-7383-1281
Gregor PoglajenAdvanced Heart Failure and Transplantation Center, Department of Cardiology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0000-0003-1777-8807

Funding

The Slovenian Research and Innovation Agency P3-0457
6 · The paper itself

Abstract

BACKGROUND AND

aimsVericiguat lowers cardiovascular death or heart-failure hospitalization in recently worsened heart failure with reduced ejection fraction (HFrEF), but its effects on cardiac remodeling are less well characterized. Our aim was to evaluate whether the addition of vericiguat to guideline-directed medical therapy (GDMT) promotes reverse myocardial remodeling in patients with HFrEF and recent worsening.

methodsWe conducted a prospective, non-randomized, single-center study enrolling 34 consecutive patients with HFrEF who had experienced recent worsening and were on stable GDMT for at least 3 months prior to decompensation. Clinical, biochemical, and echocardiographic assessments were performed at baseline and at 6 months.

resultsA total of 24 patients completed the 6-month follow-up (mean age 63 ± 9 years; 92% male), 96% of whom were in New York Heart Association (NYHA) class III or IV. After 6 months of vericiguat therapy, right ventricular systolic function improved significantly, with an increase in tricuspid annular plane systolic excursion (TAPSE) from 18.5 ± 4.3 mm to 21.4 ± 4.8 mm (

conclusionsIn patients with HFrEF and recent worsening, the addition of vericiguat to GDMT may be associated with reverse myocardial remodeling.

Indexed as

heart failuremyocardial reverse remodelingsoluble guanylate cyclase stimulator

Identifiers

PMID41590844
PMCPMC12842208

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.