Evidence map›Paper›PMID 28975394›Full record

Observational studyHeart and vessels2018

Plasma L-arginine levels distinguish pulmonary arterial hypertension from left ventricular systolic dysfunction.

Anna Sandqvist, Jörn Schneede, David Kylhammar, Dan Henrohn, Jakob Lundgren, Mikael Hedeland, Ulf Bondesson, Göran Rådegran, Gerhard Wikström

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Heart and vessels, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 23 citations in OpenAlex.

  1. Mechanisms Underlying Altitude-Induced and Group 3 Pulmonary Hypertension.International journal of molecular sciences · 2026
    Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Metabolism in Pulmonary Hypertension.Annual review of physiology · 2021
    Review
  8. Proteomic analysis of pulmonary arterial hypertension.Therapeutic advances in chronic disease · 2021
    Review
  9. Pulmonary Hypertension Subtypes and Mortality in CKD.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2020
    Observational
  10. 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

9 authors at 3 institutions in 1 country.

Anna SandqvistDepartment of Pharmacology and Clinical Neuroscience, Clinical Pharmacology, Umeå University, 901 87, Umeå, Sweden. anna.sandqvist@umu.se.ORCID http://orcid.org/0000-0003-4980-8230
Jörn SchneedeDepartment of Pharmacology and Clinical Neuroscience, Clinical Pharmacology, Umeå University, 901 87, Umeå, Sweden.
David KylhammarDepartment of Clinical Sciences Lund, Cardiology, Lund University, Lund, Sweden.
Dan HenrohnDepartment of Medical Sciences, Cardiology, Uppsala University, Uppsala, Sweden.
Jakob LundgrenDepartment of Clinical Sciences Lund, Cardiology, Lund University, Lund, Sweden.
Mikael HedelandDepartment of Chemistry, National Veterinary Institute (SVA), Uppsala, Sweden.
Ulf BondessonDepartment of Chemistry, National Veterinary Institute (SVA), Uppsala, Sweden.
Göran RådegranDepartment of Clinical Sciences Lund, Cardiology, Lund University, Lund, Sweden.
Gerhard WikströmDepartment of Medical Sciences, Cardiology, Uppsala University, Uppsala, Sweden.
Uppsala University · SELund University · SEUmeå University · SE

Funding

County Council of Västerbotten (SE) 130000SEKHeart Foundation of Northern Sweden (SE) 25000SEKSwedish Society of Pulmonary Hypertension (SE) 25000SEK
6 · The paper itself

Abstract

Pulmonary arterial hypertension (PAH) is a life-threatening condition, characterized by an imbalance of vasoactive substances and remodeling of pulmonary vasculature. Nitric oxide, formed from L-arginine, is essential for homeostasis and smooth muscle cell relaxation in PAH. Our aim was to compare plasma concentrations of L-arginine, asymmetric dimethylarginine (ADMA), and symmetric dimethylarginine (SDMA) in PAH compared to left ventricular systolic dysfunction (LVSD) and healthy subjects. This was an observational, multicenter study comparing 21 patients with PAH to 14 patients with LVSD and 27 healthy subjects. Physical examinations were obtained and blood samples were collected. Plasma levels of ADMA, SDMA, L-arginine, L-ornithine, and L-citrulline were analyzed using liquid chromatography-tandem mass spectrometry (LC-MS/MS). Plasma levels of ADMA and SDMA were higher, whereas L-arginine and L-arginine/ADMA ratio were lower in PAH patients compared to healthy subjects (p < 0.001). Patients with PAH also had lower levels of L-arginine than patients with LVSD (p < 0.05). L-Arginine correlated to 6 min walking distance (6MWD) (r

Indexed as

AgedAged, 80 and overArginineBiomarkersChromatography, LiquidDiagnosis, DifferentialFemaleHumansHypertension, PulmonaryMaleMiddle AgedTandem Mass SpectrometryVentricular Dysfunction, LeftVentricular Function, LeftArginineBiomarkersDimethylargininesL-ArginineLeft heart failurePulmonary arterial hypertensionSystolic dysfunction

Identifiers

PMID28975394
PMCPMC5847178
OpenAlexW2763533420

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.