Evidence map›Paper›PMID 42228078›Full record

ArticleHeart and vessels2026

Clinical course after cardiac resynchronization therapy in transthyretin amyloid cardiomyopathy receiving disease-modifying therapy.

Shuichiro Yamauchi, Hidekazu Kondo, Kazuki Mitarai, Keisuke Yonezu, Shotaro Saito, Tetsuji Shinohara, Akira Fukui, Kei Hirota, Hiroyuki Kodama, Nozomi Kodama and 14 more

Abstract read
PubMed Publisher
In one paragraph

Article in Heart and vessels, 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. 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

24 authors.

Shuichiro YamauchiDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Hidekazu KondoDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan. hkondo@oita-u.ac.jp.ORCID http://orcid.org/0000-0003-2451-5845
Kazuki MitaraiDepartment of Cardiology, Oita Oka Hospital, Oita City, Oita, Japan.
Keisuke YonezuDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Shotaro SaitoDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Tetsuji ShinoharaDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Akira FukuiDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Kei HirotaDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Hiroyuki KodamaDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Nozomi KodamaDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Takuto ZaizenDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Masaki TakahashiDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Hirochika YamasakiDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Masayuki TakanoDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Miho MiyoshiDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Tomoko FukudaDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Kaori EzakiDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Hidefumi AkiokaDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Kumiko AkiyoshiDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Yasushi TeshimaDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.
Teruaki MasudaDepartment of Neurology, Faculty of Medicine, Oita University, Yufu City, Oita, Japan.
Noriyuki KimuraDepartment of Neurology, Faculty of Medicine, Oita University, Yufu City, Oita, Japan.
Kunio YufuDepartment of Cardiology, Oita Red Cross Hospital, Oita City, Oita, Japan.
Naohiko TakahashiDepartment of Cardiology and Clinical Examination, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama, Yufu, 879-5593, Oita, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinical course of patients with transthyretin amyloid cardiomyopathy (ATTR-CM) undergoing cardiac resynchronization therapy (CRT) remains insufficiently characterized, particularly in the era of disease-modifying therapy (DMT). We aimed to describe the clinical, electrocardiographic, echocardiographic, and long-term outcomes of ATTR-CM patients treated with CRT while receiving tafamidis or patisiran. This single-center retrospective study included 12 patients with ATTR-CM who underwent CRT between March 2020 and May 2024. All patients received DMT. After CRT implantation, QRS duration significantly decreased (161.3 ± 18.6 vs. 134.3 ± 16.8 ms, P = 0.0003). Improvement in New York Heart Association functional class was observed, although it did not reach statistical significance (P = 0.063). Marked echocardiographic reverse remodeling, including reductions in end-systolic volume and improvement in left ventricular ejection fraction, was not observed; however, echocardiographic parameters remained largely stable during follow-up. During a mean follow-up of 800 ± 97 days, MACCE occurred in 2 of 12 patients (16.7%), both representing hospitalizations for heart failure. In this contemporary series of ATTR-CM patients receiving DMT, CRT was associated with QRS narrowing, while clinical and echocardiographic status remained largely stable during follow-up, despite limited evidence of reverse remodeling. Because the effects of CRT could not be disentangled from those of concomitant DMT, these findings should be interpreted as descriptive and hypothesis-generating. This study does not qualify as a clinical trial, and it is a retrospective analysis and not classified as an interventional investigation.

Indexed as

Cardiac resynchronization therapyDisease-modifying therapyHeart failureTransthyretin amyloid cardiomyopathy

Identifiers

What Socratic holds

Textmetadata
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.