Evidence mapPaperPMID 41609287Full record

ReviewJACC. Advances2026

Heart Failure With Mildly Reduced Ejection Fraction: A Call for a Precision Medicine Approach.

Lingling Wu, Affan Rizwan, Mario Rodriguez, Karim El Hachem, Hafeez Ul Hassan Virk, Muzamil Khawaja, Markus Strauss, Chayakrit Krittanawong

Abstract readReview
In one paragraph

Review in JACC. Advances, 2026. 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. Article
  3. 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

8 authors.

Lingling WuCardiovascular Division, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Affan RizwanBaylor College of Medicine, Houston, Texas, USA.
Mario RodriguezJohn T Milliken Department of Medicine, Division of Cardiovascular Disease, Section of Advanced Heart Failure and Transplant, Barnes-Jewish Hospital, Washington University in St. Louis School of Medicine, St. Louis, USA.
Karim El HachemDivision of Nephrology, Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, New York, New York, USA.
Hafeez Ul Hassan VirkHarrington Heart & Vascular Institute, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio, USA.
Muzamil KhawajaDivision of Cardiology, Emory University School of Medicine, Atlanta, Georgia, USA.
Markus StraussDepartment of Cardiology I, Coronary and Peripheral Vascular Disease, Heart Failure Medicine, University Hospital Muenster, Muenster, Germany. Electronic address: markus.strauss@ukmuenster.de.
Chayakrit KrittanawongHumanX, Wilmington, Delaware, USA. Electronic address: https://twitter.com/KrittanawongMD.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure with mildly reduced ejection fraction (HFmrEF) is increasingly recognized as a distinct yet heterogeneous phenotype within the heart failure spectrum. Advances in diagnostic tools, including strain imaging, cardiac magnetic resonance, and molecular imaging, together with progress in genomics and biomarker profiling, have contributed to a deeper understanding of the complex pathophysiology of HFmrEF. Although direct, high-quality clinical evidence remains limited due to inconsistent definitions and under-representation in major trials, recent studies and subgroup analyses have offered promising therapeutic options for HFmrEF patients. Given the significant heterogeneity of HFmrEF, future management strategies should focus on precision medicine and individualized care. Integrating advanced imaging, biomarker profiling, genomics, and phenotype-specific assessment will be essential for optimizing patient outcomes. Embracing this precision-based approach promises to redefine care pathways and improve prognosis for this under-recognized patient population.

Indexed as

clinical outcomeguideline directed medical therapyHFmrEFimaging and biomarkerphenotypingprecision medicine

Identifiers

PMID41609287
PMCPMC12869878

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.