Evidence map›Paper›PMID 26686372›Full record

ArticleHeart and vessels2016

Effect of a cardiac rehabilitation program on exercise oscillatory ventilation in Japanese patients with heart failure.

Fumitake Yamauchi, Hitoshi Adachi, Jun-Ichi Tomono, Shigeru Toyoda, Koichi Iwamatsu, Masashi Sakuma, Toshiaki Nakajima, Shigeru Oshima, Teruo Inoue

Abstract read
PubMed Publisher
In one paragraph

Article in Heart and vessels, 2016. 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
2.9field-weighted citation impact, top 9% 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

1 citing paper in PubMed, 13 citations in OpenAlex.

  1. Trial
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

9 authors at 2 institutions in 1 country.

Fumitake YamauchiDepartment of Cardiovascular Medicine, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan.
Hitoshi AdachiDepartment of Cardiovascular Medicine, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan.
Jun-Ichi TomonoDepartment of Cardiovascular Medicine, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan.
Shigeru ToyodaDepartment of Cardiovascular Medicine, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Tochigi, 321-0293, Japan. s-toyoda@dokkyomed.ac.jp.
Koichi IwamatsuDepartment of Cardiovascular Medicine, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan.
Masashi SakumaDepartment of Cardiovascular Medicine, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Tochigi, 321-0293, Japan.
Toshiaki NakajimaDepartment of Cardiovascular Medicine, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Tochigi, 321-0293, Japan.
Shigeru OshimaDepartment of Cardiovascular Medicine, Gunma Prefectural Cardiovascular Center, Maebashi, Gunma, Japan.
Teruo InoueDepartment of Cardiovascular Medicine, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Tochigi, 321-0293, Japan.
Gunma Prefectural Cardiovascular Center · JPDokkyo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although exercise oscillatory ventilation has emerged as a potent independent risk factor for adverse prognosis in heart failure, it is not well known whether cardiac rehabilitation can improve oscillatory ventilation. In this study, we investigated the magnitude of oscillations in ventilation before and after cardiac rehabilitation in chronic heart failure patients with exercise oscillatory ventilation. Cardiac rehabilitation (5-month program) was performed in 26 patients with chronic heart failure who showed an oscillatory ventilation pattern during cardiopulmonary exercise testing (CPX). After the 5-month rehabilitation program was completed, the patients again underwent CPX. To determine the magnitude of oscillations in ventilation, the amplitude and cycle length of the oscillations were calculated and compared with several other parameters, including biomarkers that have established prognostic value in heart failure. At baseline before cardiac rehabilitation, both oscillation amplitude (R = 0.625, P < 0.01) and cycle length (R = 0.469, P < 0.05) were positively correlated with the slope of minute ventilation vs. carbon dioxide production. Plasma BNP levels were positively correlated with amplitude (R = 0.615, P < 0.01) but not cycle length (R = 0.371). Cardiac rehabilitation decreased oscillation amplitude (P < 0.01) but failed to change cycle length. The change in amplitude was positively correlated with the change in BNP levels (R = 0.760, P < 0.01). Multiple regression analysis showed that only the change in amplitude was an independent predictor of the change in BNP levels (R = 0.717, P < 0.01). A 5-month cardiac rehabilitation program improves exercise oscillatory ventilation in chronic heart failure patients by reducing the oscillation amplitude. This effect is associated with a reduction of plasma BNP levels, potentially contributing to an improvement of heart failure.

Indexed as

Exercise ToleranceRespirationAgedCardiac RehabilitationEchocardiographyExercise TestFemaleHeart FailureHematologic TestsHumansLinear ModelsMaleMiddle AgedNatriuretic Peptide, BrainPrognosisRisk FactorsNatriuretic Peptide, BrainBrain natriuretic peptideCardiopulmonary exercise testingChronic heart failureExercise oscillatory ventilationOscillation amplitude

Identifiers

PMID26686372
OpenAlexW2211723920

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.