Evidence map›Paper›PMID 25820391›Full record

ArticleAmerican journal of physiology. Heart and circulatory physiology2015

Coronary vasomotor responses to isometric handgrip exercise are primarily mediated by nitric oxide: a noninvasive MRI test of coronary endothelial function.

Allison G Hays, Micaela Iantorno, Sahar Soleimanifard, Angela Steinberg, Michael Schär, Gary Gerstenblith, Matthias Stuber, Robert G Weiss

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in American journal of physiology. Heart and circulatory physiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05711719 (Vericiguat in Patients With Metabolic Syndrome and Coronary Vascular Dysfunction), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.5field-weighted citation impact, top 8% 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.

NCT05711719 phase2completednot on this mapstarted 2023, after this paper: background citation

Vericiguat in Patients With Metabolic Syndrome and Coronary Vascular Dysfunction

TypeinterventionalSponsorJohns Hopkins UniversityRan2023 to 2025Enrolled45ConditionsMetabolic Syndrome, Coronary Microvascular DysfunctionArmsVericiguat, Placebo
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 42 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Metabolic and redox pathway dysregulation in HIV-associated coronary endothelial dysfunction.American journal of physiology. Heart and circulatory physiology · 2026
    Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Coronary artery endothelial function and aging in people with HIV and HIV-negative individuals.American journal of physiology. Heart and circulatory physiology · 2023
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Exercise cardiovascular magnetic resonance: development, current utility and future applications.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2020
    Review
  19. Coronary Microvascular Dysfunction in HIV: A Review.Journal of the American Heart Association · 2020
    Review
  20. Coronary vasomotion and exercise-induced adaptations in coronary artery disease patients: A systematic review and meta-analysis.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 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 3 institutions in 2 countries.

Allison G HaysDivision of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, Maryland;
Micaela IantornoDivision of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, Maryland; Critical Care Medicine Department, National Institutes of Health, Bethesda, Maryland;
Sahar SoleimanifardDivision of Magnetic Resonance Research, Department of Radiology, Johns Hopkins University, Baltimore, Maryland; Department of Electrical and Computer Engineering, Johns Hopkins University, Baltimore, Maryland; and.
Angela SteinbergDivision of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, Maryland;
Michael SchärDivision of Magnetic Resonance Research, Department of Radiology, Johns Hopkins University, Baltimore, Maryland;
Gary GerstenblithDivision of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, Maryland;
Matthias StuberDivision of Magnetic Resonance Research, Department of Radiology, Johns Hopkins University, Baltimore, Maryland; Department of Radiology, Centre Hospitalier Universitaire Vaudois, Center for Biomedical Imaging and University of Lausanne, Lausanne, Switzerland.
Robert G WeissDivision of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, Maryland; Division of Magnetic Resonance Research, Department of Radiology, Johns Hopkins University, Baltimore, Maryland; rweiss@jhmi.edu.
Johns Hopkins University · USJohns Hopkins Medicine · USUniversity of Lausanne · CH

Funding

Inflammation and Coronary Endothelial FunctionR01HL120905 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WEISS, ROBERT G · 2015 to 2018
$2.4M
Inflammatory Pathogenesis of Coronary Atherosclerosis in HIVR01HL125059 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WEISS, ROBERT G · 2015 to 2017
$2.4M
Inflammatory Pathogenesis of Coronary Atherosclerosis in HIVR56HL125059 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WEISS, ROBERT G · 2014 to 2014
$626k
NHLBI NIH HHS HL120905NHLBI NIH HHS HL125059NHLBI NIH HHS R01 HL120905NHLBI NIH HHS R56 HL125059
6 · The paper itself

Abstract

Endothelial cell release of nitric oxide (NO) is a defining characteristic of nondiseased arteries, and abnormal endothelial NO release is both a marker of early atherosclerosis and a predictor of its progression and future events. Healthy coronaries respond to endothelial-dependent stressors with vasodilatation and increased coronary blood flow (CBF), but those with endothelial dysfunction respond with paradoxical vasoconstriction and reduced CBF. Recently, coronary MRI and isometric handgrip exercise (IHE) were reported to noninvasively quantify coronary endothelial function (CEF). However, it is not known whether the coronary response to IHE is actually mediated by NO and/or whether it is reproducible over weeks. To determine the contribution of NO, we studied the coronary response to IHE before and during infusion of N(G)-monomethyl-l-arginine (l-NMMA, 0.3 mg·kg(-1)·min(-1)), a NO-synthase inhibitor, in healthy volunteers. For reproducibility, we performed two MRI-IHE studies ~8 wk apart in healthy subjects and patients with coronary artery disease (CAD). Changes from rest to IHE in coronary cross-sectional area (%CSA) and diastolic CBF (%CBF) were quantified. l-NMMA completely blocked normal coronary vasodilation during IHE [%CSA, 12.9 ± 2.5 (mean ± SE, placebo) vs. -0.3 ± 1.6% (l-NMMA); P < 0.001] and significantly blunted the increase in flow [%CBF, 47.7 ± 6.4 (placebo) vs. 10.6 ± 4.6% (l-NMMA); P < 0.001]. MRI-IHE measures obtained weeks apart strongly correlated for CSA (P < 0.0001) and CBF (P < 0.01). In conclusion, the normal human coronary vasoactive response to IHE is primarily mediated by NO. This noninvasive, reproducible MRI-IHE exam of NO-mediated CEF promises to be useful for studying CAD pathogenesis in low-risk populations and for evaluating translational strategies designed to alter CAD in patients.

Indexed as

Hand StrengthVasoconstrictionVasodilationAdultAgedCase-Control StudiesCoronary Artery DiseaseCoronary CirculationCoronary VesselsEndothelium, VascularEnzyme InhibitorsExerciseFemaleHeart Function TestsHumansMagnetic Resonance ImagingEnzyme InhibitorsNitric OxideNitric Oxide Synthase Type IIIomega-N-Methylargininecoronary artery diseaseendothelial functionmagnetic resonance imaging

Identifiers

PMID25820391
PMCPMC4451304
OpenAlexW2131298486

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.