Evidence map›Paper›PMID 25413133›Full record

Trial reportLung2015

Effects of exercise and vasodilators on cerebral tissue oxygenation in pulmonary hypertension.

Séverine Müller-Mottet, Florian F Hildenbrand, Stephan Keusch, Elisabeth Hasler, Marco Maggiorini, Rudolf Speich, Konrad E Bloch, Silvia Ulrich

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Lung, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01463514 (Noninvasive Determination Of Cerebral Tissue Oxygenation And Cerebral Blood Flow With Near-Infrared Spectroscopy In Patients With Pulmonary Hypertension Undergoing Right Heart Catheterization), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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.

NCT01463514 nacompletednot on this map

Noninvasive Determination Of Cerebral Tissue Oxygenation And Cerebral Blood Flow With Near-Infrared Spectroscopy In Patients With Pulmonary Hypertension Undergoing Right Heart Catheterization

TypeinterventionalSponsorUniversity of ZurichRan2011 to 2014Enrolled20ConditionsPulmonary HypertensionArmsRight heart catheterization, Near-infrared spectroscopy
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Exercise intolerance in pulmonary arterial hypertension: insight into central and peripheral pathophysiological mechanisms.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  7. Article
  8. Article
  9. Article
  10. Beyond the Lungs: Systemic Manifestations of Pulmonary Arterial Hypertension.American journal of respiratory and critical care medicine · 2020
    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

8 authors at 1 institution in 1 country.

Séverine Müller-MottetClinic of Pulmonology, University Hospital of Zurich, Rämistrasse 100, 8091, Zurich, Switzerland, severine.mueller-mottet@usz.ch.
Florian F Hildenbrand
Stephan Keusch
Elisabeth Hasler
Marco Maggiorini
Rudolf Speich
Konrad E Bloch
Silvia Ulrich
University Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArterial and thromboembolic pulmonary hypertension (PH) lead to arterial hypoxaemia.

objectiveTo investigate whether cerebral tissue oxygenation (CTO) in patients with PH is reduced and whether this is associated with reduced exercise tolerance.

methods16 patients with PH (mean pulmonary arterial pressure ≥25 mmHg, 14 arterial, 2 chronic thromboembolic) and 15 controls underwent right heart catheterisation with monitoring of CTO at rest, during maximal bicycle exercise and during inhalation of oxygen and NO. The 6 min walk distance (6MWD) was measured.

resultsMedian CTO in PH-patients at rest was 62 % (quartiles 53; 71), during exercise 60 % (53; 65); corresponding values in controls were 65 % (73; 73) (P = NS) and 68 % (66; 70) (p = .013 vs. PH). Inhalation of NO and oxygen improved CTO in PH. In multivariate regression analysis CTO at maximal exercise predicted the work load achieved when controlled for age, pulmonary vascular resistance and mixed venous oxygen saturation (R (2) = .419, p < .000); in addition, the 6MWD was predicted by CTO (adjusted R (2) = .511, p < .000).

conclusionIn PH-patients but not in controls CTO decreased during exercise. Since CTO was an independent predictor of the work load achieved and the 6MWD cerebral hypoxia may contribute to exercise limitation in PH. Clinicaltrials.gov: NCT01463514.

Indexed as

Oxygen Inhalation TherapyAdministration, InhalationAgedAntihypertensive AgentsBrainCardiac CatheterizationCerebrovascular CirculationExercise TestExercise ToleranceFemaleHumansHypertension, PulmonaryMaleMiddle AgedMultivariate AnalysisNitric OxideAntihypertensive AgentsNitric OxideOxygenVasodilator Agents

Identifiers

PMID25413133
OpenAlexW2032021744

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.