Evidence map›Paper›PMID 23918108›Full record

ReviewChest2013

WHO's in second?: A practical review of World Health Organization group 2 pulmonary hypertension.

Sif Hansdottir, Dayna J Groskreutz, Brian K Gehlbach

Open access · bronzeAbstract readReview
In one paragraph

Review in Chest, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.5field-weighted citation impact, top 5% 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.

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

23 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Review
  3. The role of Id genes on pulmonary hypertension development in left heart failure.American heart journal plus : cardiology research and practice · 2026
    Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Pulmonary hypertension: the importance of correctly diagnosing the cause.European respiratory review : an official journal of the European Respiratory Society · 2016
    Review
  13. Review
  14. Right heart catheterisation: best practice and pitfalls in pulmonary hypertension.European respiratory review : an official journal of the European Respiratory Society · 2015
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Presence and outcomes of kidney disease in patients with pulmonary hypertension.Clinical journal of the American Society of Nephrology : CJASN · 2014
    Article
  20. Response.Chest · 2014
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Sif HansdottirUniversity of Iowa Carver College of Medicine, Iowa City, IA. Electronic address: sif-hansdottir@uiowa.edu.
Dayna J GroskreutzUniversity of Iowa Carver College of Medicine, Iowa City, IA.
Brian K GehlbachUniversity of Iowa Carver College of Medicine, Iowa City, IA.
University of Iowa · US

Funding

Improving the Sleep and Circadian Rhythms of Mechanically Ventilated PatientsK23HL088020 · NHLBI · UNIVERSITY OF IOWA · PI GEHLBACH, BRIAN · 2008 to 2012
$649k
RSV Uses Double-Stranded RNA Receptors to Inhibit p53 and Prolong Cell SurvivalK08HL089392 · NHLBI · UNIVERSITY OF IOWA · PI GROSKREUTZ, DAYNA · 2008 to 2011
$507k
NHLBI NIH HHS K08 HL089392NHLBI NIH HHS K08HL089392NHLBI NIH HHS K23 HL088020NHLBI NIH HHS K23HL088020
6 · The paper itself

Abstract

World Health Organization (WHO) group 2 pulmonary hypertension (PH) due to left-side heart disease (ie, heart failure or left-sided valvular heart disease) is the most common form of PH in western countries. Distinguishing patients with WHO group 2 PH, particularly the subset of patients with PH due to heart failure with preserved ejection fraction (HFpEF), from those with WHO group 1 pulmonary arterial hypertension (PAH) is challenging. Separating the two conditions is of vital importance because treatment strategies differ completely. Furthermore, therapies that are indicated for WHO group 1 PAH may be harmful in patients with WHO group 2 PH. We review the somewhat confusing PH nomenclature and the WHO classification system and rationale behind it. We then focus on left-side heart disorders that cause PH. An aging population and advances in the medical management of common cardiovascular disorders have caused the prevalence of heart failure to rise significantly, with more than one-half of patients having HFpEF. We review contemporary studies that focus on clinical and echocardiographic findings that help to distinguish HFpEF from PAH in the patient with PH. We discuss the typical, and sometimes atypical, hemodynamic profiles that characterize these two groups, review challenges in the interpretation of data obtained by right-sided heart catheterization, and highlight special maneuvers that may be required for accurate diagnosis. Finally, we review the largely disappointing studies on the use of PAH-specific therapies in patients with WHO group 2 PH, including the use of prostacyclins, endothelin receptor antagonists, and the more promising phosphodiesterase-5 inhibitors.

Indexed as

Age FactorsAntihypertensive AgentsDiagnosis, DifferentialEchocardiographyHeart FailureHemodynamicsHumansHypertension, PulmonaryRisk FactorsTerminology as TopicVentricular Dysfunction, LeftWorld Health OrganizationAntihypertensive Agents

Identifiers

PMID23918108
PMCPMC3734892
OpenAlexW2164908713

What OpenQuestion 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 OpenQuestion graph.