Evidence map›Paper›PMID 29154423›Full record

ArticleESC heart failure2017

The contractile adaption to preload depends on the amount of afterload.

Hanna Schotola, Samuel T Sossalla, André Renner, Jan Gummert, Bernhard C Danner, Peter Schott, Karl Toischer

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.7field-weighted citation impact, top 33% 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

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Hemodynamic Effects of Positive Airway Pressure: A Cardiologist's Overview.Journal of cardiovascular development and disease · 2025
    Review
  3. Article
  4. Review
  5. Work-loop contractions reveal that the afterload-dependent time course of cardiac CaJournal of applied physiology (Bethesda, Md. : 1985) · 2022
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
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

7 authors at 3 institutions in 1 country.

Hanna SchotolaDepartment of Anesthesiology, Georg-August-University, Goettingen, Germany.
Samuel T SossallaDepartment of Cardiology and Pneumology, Georg-August-University, Goettingen, Germany.
André RennerDepartment of Cardiothoracic Surgery, Heart and Diabetes Center NRW, Bad Oeynhausen, Germany.
Jan GummertDepartment of Cardiothoracic Surgery, Heart and Diabetes Center NRW, Bad Oeynhausen, Germany.
Bernhard C DannerDepartment of Thoracic and Cardiovascular Surgery, Georg-August-University, Goettingen, Germany.
Peter SchottDepartment of Cardiology and Pneumology, Georg-August-University, Goettingen, Germany.
Karl ToischerDepartment of Cardiology and Pneumology, Georg-August-University, Goettingen, Germany.
University of Göttingen · DEHeart and Diabetes Center North Rhine-Westphalia · DEGerman Centre for Cardiovascular Research · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe Frank-Starling mechanism (rapid response (RR)) and the secondary slow response (SR) are known to contribute to increases contractile performance. The contractility of the heart muscle is influenced by pre-load and after-load. Because of the effect of pre-load vs. after-load on these mechanisms in not completely understood, we studied the effect in isolated muscle strips. METHODS AND

resultsProgressive stretch lead to an increase in shortening/force development under isotonic (only pre-load) and isometric conditions (pre- and after-load). Muscle length with maximal function was reached earlier under isotonic (L

conclusionsThis work shows that the acute contractile response largely depends on the degree and type of mechanical load. Increased filling of the heart elevates pre-load and prolongs the isotonic part of contraction. The reduction in shortening at higher levels of pre-load is thereby partially compensated by the pre-load-induced SR. After-load shifts the contractile curve to a better 'myofilament function' by probably influencing thin fibers and calcium sensitivity, but has no effect on the SR.

Indexed as

Adaptation, PhysiologicalAgedAnimalsFemaleHeart FailureHumansIsometric ContractionIsotonic ContractionMaleMiddle AgedMyocardial ContractionPapillary MusclesRabbitsAfter-loadContractilityPre-loadShorteningSlow force response

Identifiers

PMID29154423
PMCPMC5695189
OpenAlexW2606643077

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.