Evidence map›Paper›PMID 19926746›Full record

Trial reportThe European respiratory journal2010

Exercise stress echocardiography for the study of the pulmonary circulation.

P Argiento, N Chesler, M Mulè, M D'Alto, E Bossone, P Unger, R Naeije

Registry-linked trialOpen access · bronzeAbstract readClinical TrialValidation Study
In one paragraph

Trial report in The European respiratory journal, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02965963 (The Effect of Dopamine on Pulmonary Diffusion and Capillary Blood Volume During Exercise), which is not on this map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
8.6field-weighted citation impact, top 2% of its field
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.

NCT02965963 nacompletednot on this mapstarted 2016, after this paper: background citation

The Effect of Dopamine on Pulmonary Diffusion and Capillary Blood Volume During Exercise

TypeinterventionalSponsorUniversity of AlbertaRan2016 to 2025Enrolled49ConditionsHealthArmsDopamine, Metoclopramide, Placebos, Rest, Exercise - 60%
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 176 citations in OpenAlex.

  1. Normal limits for the right ventricle-pulmonary circulation exercise echocardiography: a meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
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  20. A review of exercise pulmonary hypertension in systemic sclerosis.Journal of scleroderma and related disorders · 2019
    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

7 authors at 2 institutions in 2 countries.

P ArgientoDept of Cardiology, Second University of Naples, Naples, Italy.
N Chesler
M Mulè
M D'Alto
E Bossone
P Unger
R Naeije
Université Libre de Bruxelles · BEUniversity of Campania "Luigi Vanvitelli" · IT

Funding

Vascular collagen accumulation & mechanical mechanisms in pulmonary hypertensionR01HL086939 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI CHESLER, NAOMI C · 2007 to 2016
$3.6M
NHLBI NIH HHS R01 HL086939NHLBI NIH HHS R01HL086939
6 · The paper itself

Abstract

Exercise stress tests have been used for the diagnosis of pulmonary hypertension, but with variable protocols and uncertain limits of normal. The pulmonary haemodynamic response to progressively increased workload and recovery was investigated by Doppler echocardiography in 25 healthy volunteers aged 19-62 yrs (mean 36 yrs). Mean pulmonary artery pressure ((Ppa)) was estimated from the maximum velocity of tricuspid regurgitation. Cardiac output (Q) was calculated from the aortic velocity-time integral. Slopes and extrapolated pressure intercepts of (Ppa)-Q plots were calculated after using the adjustment of Poon for individual variability. A pulmonary vascular distensibility alpha was calculated from each (Ppa)-Q plot to estimate compliance. (Ppa) increased from 14+/-3 mmHg to 30+/-7 mmHg, and decreased to 19+/-4 mmHg after 5 min recovery. The slope of (Ppa)-Q was 1.37+/-0.65 mmHg x min(-1) x L(-1) with an extrapolated pressure intercept of 8.2+/-3.6 mmHg and an alpha of 0.017+/-0.018 mmHg(-1). These results agree with those of previous invasive studies. Multipoint (pa)-Q plots were well described by a linear approximation, from which resistance can be calulated. We conclude that exercise echocardiography of the pulmonary circulation is feasible and provides realistic resistance and compliance estimations. Measurements during recovery are unreliable because of rapid return to baseline.

Indexed as

AdultCardiac OutputEchocardiography, DopplerExercise TestFeasibility StudiesFemaleHumansHypertension, PulmonaryLung ComplianceMaleMiddle AgedModels, BiologicalPulmonary ArteryPulmonary CirculationReference ValuesReproducibility of Results

Identifiers

PMID19926746
PMCPMC2879460
OpenAlexW2128862255

What OpenQuestion holds

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Registered trials

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 OpenQuestion graph.