Evidence map›Paper›PMID 27575303›Full record

ArticleAnnals of vascular surgery2017

Coronary Exercise Hyperemia Is Impaired in Patients with Peripheral Arterial Disease.

Amanda J Ross, Zhaohui Gao, Jonathan Carter Luck, Cheryl A Blaha, Aimee E Cauffman, Faisal Aziz, John F Radtka, David N Proctor, Urs A Leuenberger, Lawrence I Sinoway and 1 more

Open access · greenAbstract read
In one paragraph

Article in Annals of vascular surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

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

17 citing papers in PubMed, 22 citations in OpenAlex.

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  6. Aortic blood pressure and pulse wave indices responses to exercise in peripheral artery disease.American journal of physiology. Regulatory, integrative and comparative physiology · 2023
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  10. Thromboxane AAmerican journal of physiology. Heart and circulatory physiology · 2020
    Article
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  12. Review
  13. The exercise pressor reflex and active OPhysiological reports · 2019
    Article
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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

11 authors at 2 institutions in 1 country.

Amanda J RossPenn State Heart and Vascular Institute, Penn State University College of Medicine, Hershey, PA.
Zhaohui GaoPenn State Heart and Vascular Institute, Penn State University College of Medicine, Hershey, PA.
Jonathan Carter LuckPenn State Heart and Vascular Institute, Penn State University College of Medicine, Hershey, PA.
Cheryl A BlahaPenn State Heart and Vascular Institute, Penn State University College of Medicine, Hershey, PA.
Aimee E CauffmanPenn State Heart and Vascular Institute, Penn State University College of Medicine, Hershey, PA.
Faisal AzizPenn State Heart and Vascular Institute, Penn State University College of Medicine, Hershey, PA.
John F RadtkaPenn State Heart and Vascular Institute, Penn State University College of Medicine, Hershey, PA.
David N ProctorDepartment of Kinesiology, Noll Laboratory, The Pennsylvania State University, State College, PA.
Urs A LeuenbergerPenn State Heart and Vascular Institute, Penn State University College of Medicine, Hershey, PA.
Lawrence I SinowayPenn State Heart and Vascular Institute, Penn State University College of Medicine, Hershey, PA.
Matthew D MullerPenn State Heart and Vascular Institute, Penn State University College of Medicine, Hershey, PA. Electronic address: mmuller1@hmc.psu.edu.
Penn State Milton S. Hershey Medical Center · USPennsylvania State University · US

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
Penn State Clinical and Translational Science InstituteUL1TR000127 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SINOWAY, LAWRENCE I · 2012 to 2015
$17.1M
The Muscle Reflex: Modes of Engagement and Circulatory ConsequencesP01HL096570 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SINOWAY, LAWRENCE I · 2010 to 2014
$9.9M
Penn State Institutional Career Development CoreKL2TR002015 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI VAN SCOY, LAUREN JODI · 2016 to 2025
$7.8M
Penn State Clinical and Translational Science InstituteKL2TR000126 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SINOWAY, LAWRENCE I · 2012 to 2015
$3.2M
NCATS NIH HHS KL2 TR000126NCATS NIH HHS KL2 TR002015NCATS NIH HHS UL1 TR000127NCATS NIH HHS UL1 TR002014NHLBI NIH HHS P01 HL096570
6 · The paper itself

Abstract

backgroundPeripheral arterial disease (PAD) is an atherosclerotic vascular disease that affects over 200 million people worldwide. The hallmark of PAD is ischemic leg pain and this condition is also associated with an augmented blood pressure response to exercise, impaired vascular function, and high risk of myocardial infarction and cardiovascular mortality. In this study, we tested the hypothesis that coronary exercise hyperemia is impaired in PAD.

methodsTwelve patients with PAD and no overt coronary disease (65 ± 2 years, 7 men) and 15 healthy control subjects (64 ± 2 years, 9 men) performed supine plantar flexion exercise (30 contractions/min, increasing workload). A subset of subjects (n = 7 PAD, n = 8 healthy) also performed isometric handgrip exercise (40% of maximum voluntary contraction to fatigue). Coronary blood velocity in the left anterior descending artery was measured by transthoracic Doppler echocardiography; blood pressure and heart rate were monitored continuously.

resultsCoronary blood velocity responses to 4 min of plantar flexion exercise (PAD: Δ2.4 ± 1.2, healthy: Δ6.0 ± 1.6 cm/sec, P = 0.039) and isometric handgrip exercise (PAD: Δ8.3 ± 4.2, healthy: Δ16.9 ± 3.6, P = 0.033) were attenuated in PAD patients.

conclusionThese data indicate that coronary exercise hyperemia is impaired in PAD, which may predispose these patients to myocardial ischemia.

Indexed as

Coronary CirculationExerciseAgedBlood Flow VelocityBlood PressureCase-Control StudiesCoronary VesselsEchocardiography, DopplerExercise TestExercise ToleranceFemaleHeart RateHumansHyperemiaLower ExtremityMale

Identifiers

PMID27575303
PMCPMC5267559
OpenAlexW2514074108

What OpenQuestion holds

Textmetadata
LicenceTDM
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.