Evidence map›Paper›PMID 28934596›Full record

ArticleAmerican journal of respiratory and critical care medicine2018

Features and Outcomes of Methamphetamine-associated Pulmonary Arterial Hypertension.

Roham T Zamanian, Haley Hedlin, Paul Greuenwald, David M Wilson, Joshua I Segal, Michelle Jorden, Kristina Kudelko, Juliana Liu, Andrew Hsi, Allyson Rupp and 7 more

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

78 citing papers in PubMed, 124 citations in OpenAlex.

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  13. Journal of preventive medicine and hygiene · 2026
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18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 9 institutions in 2 countries.

Roham T Zamanian1 Division of Pulmonary and Critical Care Medicine.
Haley Hedlin3 Quantitative Sciences Unit, Stanford University School of Medicine, Stanford, California.
Paul Greuenwald4 Pacific Institute for Research and Evaluation, Oakland, California.
David M Wilson5 Swedish Medical Center, Seattle, Washington.
Joshua I Segal6 Department of Pathology, Stanford University School of Medicine, Stanford, California.
Michelle Jorden7 Santa Clara County Medical Examiner, Santa Clara, California.
Kristina Kudelko1 Division of Pulmonary and Critical Care Medicine.
Juliana Liu1 Division of Pulmonary and Critical Care Medicine.
Andrew Hsi1 Division of Pulmonary and Critical Care Medicine.
Allyson Rupp1 Division of Pulmonary and Critical Care Medicine.
Andrew J Sweatt1 Division of Pulmonary and Critical Care Medicine.
Rubin Tuder8 Pulmonary Sciences and Critical Care Medicine, University of Colorado, Denver, Colorado.
Gerald J Berry6 Department of Pathology, Stanford University School of Medicine, Stanford, California.
Marlene Rabinovitch2 Vera Moulton Wall Center for Pulmonary Vascular Disease at Stanford, and.
Ramona L Doyle10 University of California San Francisco, San Francisco, California; and.
Vinicio de Jesus Perez1 Division of Pulmonary and Critical Care Medicine.
Steven M Kawut11 Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Pulmonary Vascular Research Institute · GBStanford Medicine · USInstitute for Research and Evaluation · USSanta Clara County Behavioral Health Services · USStanford University · USSwedish Medical Center · USUniversity of California, San Francisco · USUniversity of Colorado Hospital · USUniversity of Pennsylvania · US

Funding

Transitions and Alcohol Use in the Later Lifespan: Environmental and Individual-level InfluencesP60AA006282 · NIAAA · PACIFIC INSTITUTE FOR RES AND EVALUATION · PI MALLIE J PASCHALL · 2003 to 2026
$41.2M
The Cellular Response to Elafin in PAHP01HL108797 · NHLBI · STANFORD UNIVERSITY · PI RABINOVITCH, MARLENE · 2011 to 2021
$19.7M
Pulmonary Hypertension in Genetically Modified MiceR01HL074186 · NHLBI · STANFORD UNIVERSITY · PI RABINOVITCH, MARLENE · 2004 to 2022
$10.4M
iPSC Derived EC as Surrogates Using Pulmonary Hypertension as a Prototype DiseaseU01HL107393 · NHLBI · STANFORD UNIVERSITY · PI RABINOVITCH, MARLENE, SNYDER, MICHAEL P. · 2011 to 2015
$8.7M
The BMP-PPARy Axis and Pulmonary HypertensionR01HL087118 · NHLBI · STANFORD UNIVERSITY · PI RABINOVITCH, MARLENE · 2008 to 2022
$7.2M
The Wnt7a/ROR2 axis in the pathogenesis of pulmonary arterial hypertensionR01HL134776 · NHLBI · STANFORD UNIVERSITY · PI DE JESUS PEREZ, VINICIO A · 2017 to 2025
$5.0M
Endothelial-pericyte interactions in the pathogenesis of pulmonary arterial hypertensionR01HL139664 · NHLBI · STANFORD UNIVERSITY · PI DE JESUS PEREZ, VINICIO A · 2018 to 2025
$4.7M
Estrogen signaling in portopulmonary hypertensionR01HL113988 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI FALLON, MICHAEL TODD, KAWUT, STEVEN M · 2012 to 2016
$3.8M
Stanford Career Development Program in the Genetics & Genomics of Lun DiseasesK12HL089989 · NHLBI · STANFORD UNIVERSITY · PI KRASNOW, MARK A · 2007 to 2012
$1.6M
Mentored Patient-Oriented Research in Pulmonary Arterial HypertensionK24HL103844 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KAWUT, STEVEN M · 2011 to 2020
$1.6M
Stanford Career Development Program in Omics of Lung DiseasesK12HL120001 · NHLBI · STANFORD UNIVERSITY · PI NICOLLS, MARK ROBERT, RABINOVITCH, MARLENE · 2013 to 2017
$1.3M
The role of the Wnt/planar cell polarity pathway in pulmonary angiogenesisK08HL105884 · NHLBI · STANFORD UNIVERSITY · PI DE JESUS PEREZ, VINICIO A · 2012 to 2016
$701k
NHLBI NIH HHS K08 HL105884NHLBI NIH HHS K12 HL089989NHLBI NIH HHS K12 HL120001NHLBI NIH HHS K24 HL103844NHLBI NIH HHS P01 HL108797NHLBI NIH HHS R01 HL074186NHLBI NIH HHS R01 HL087118NHLBI NIH HHS R01 HL113988NHLBI NIH HHS R01 HL134776NHLBI NIH HHS R01 HL139664NHLBI NIH HHS R03 HL133423NHLBI NIH HHS U01 HL107393NIAAA NIH HHS P60 AA006282
6 · The paper itself

Abstract

rationaleAlthough amphetamines are recognized as "likely" agents to cause drug- and toxin-associated pulmonary arterial hypertension (PAH), (meth)amphetamine-associated PAH (Meth-APAH) has not been well described.

objectivesTo prospectively characterize the clinical presentation, histopathology, and outcomes of Meth-APAH compared with those of idiopathic PAH (iPAH).

methodsWe performed a prospective cohort study of patients with Meth-APAH and iPAH presenting to the Stanford University Pulmonary Hypertension Program between 2003 and 2015. Clinical, pulmonary angiography, histopathology, and outcomes data were compared. We used data from the Healthcare Cost and Utilization Project to estimate the epidemiology of PAH in (meth)amphetamine users hospitalized in California. MEASUREMENTS AND MAIN

resultsThe study sample included 90 patients with Meth-APAH and 97 patients with iPAH. Patients with Meth-APAH were less likely to be female, but similar in age, body mass index, and 6-minute-walk distance to patients with iPAH. Patients with Meth-APAH reported more advanced heart failure symptoms, had significantly higher right atrial pressure (12.7 ± 6.8 vs. 9.8 ± 5.1 mm Hg; P = 0.001), and had lower stroke volume index (22.2 ± 7.1 vs. 25.5 ± 8.7 ml/m

conclusionsMeth-APAH is a severe and progressive form of PAH with poor outcomes. Future studies should focus on mechanisms of disease and potential therapeutic considerations.

Indexed as

AdultCaliforniaCausalityCentral Nervous System StimulantsCohort StudiesComorbidityFemaleHeart DiseasesHumansHypertension, PulmonaryMaleMethamphetamineMiddle AgedProspective StudiesSex DistributionCentral Nervous System StimulantsMethamphetaminemethamphetamineoutcomespulmonary arterial hypertension

Identifiers

PMID28934596
PMCPMC5855067
OpenAlexW2758383306

What OpenQuestion holds

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Registered trials

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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.