Evidence map›Paper›PMID 29167119›Full record

ReviewAmerican journal of physiology. Heart and circulatory physiology2018

Revisiting the physiological effects of exercise training on autonomic regulation and chemoreflex control in heart failure: does ejection fraction matter?

David C Andrade, Alexis Arce-Alvarez, Camilo Toledo, Hugo S Díaz, Claudia Lucero, Rodrigo A Quintanilla, Harold D Schultz, Noah J Marcus, Markus Amann, Rodrigo Del Rio

Open access · bronzeAbstract readReview
In one paragraph

Review in American journal of physiology. Heart and circulatory physiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% 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, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Obligatory neural feedback control of exercise cardiorespiratory function and performance.Journal of applied physiology (Bethesda, Md. : 1985) · 2025
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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

10 authors at 6 institutions in 2 countries.

David C AndradeLaboratory of Cardiorespiratory Control, Department of Physiology, Pontificia Universidad Católica de Chile , Santiago , Chile.
Alexis Arce-AlvarezLaboratory of Cardiorespiratory Control, Department of Physiology, Pontificia Universidad Católica de Chile , Santiago , Chile.
Camilo ToledoLaboratory of Cardiorespiratory Control, Department of Physiology, Pontificia Universidad Católica de Chile , Santiago , Chile.
Hugo S DíazLaboratory of Cardiorespiratory Control, Department of Physiology, Pontificia Universidad Católica de Chile , Santiago , Chile.
Claudia LuceroLaboratory of Cardiorespiratory Control, Department of Physiology, Pontificia Universidad Católica de Chile , Santiago , Chile.
Rodrigo A QuintanillaCentro de Investigación Biomédica, Universidad Autónoma de Chile , Santiago , Chile.
Harold D SchultzDepartment of Cellular and Integrative Physiology, University of Nebraska Medical Center , Omaha, Nebraska.
Noah J MarcusDepartment of Physiology and Pharmacology, Des Moines University , Des Moines, Iowa.
Markus AmannDepartment of Internal Medicine, University of Utah , Salt Lake City, Utah.
Rodrigo Del RioLaboratory of Cardiorespiratory Control, Department of Physiology, Pontificia Universidad Católica de Chile , Santiago , Chile.
Pontificia Universidad Católica de Chile · CLUniversidad Autónoma de Chile · CLDes Moines University · USUniversidad de Magallanes · CLUniversity of Nebraska Medical Center · USUniversity of Utah · US

Funding

Role of Sensory Neurons in Human Cardiovascular DiseaseR01HL116579 · NHLBI · UNIVERSITY OF UTAH · PI AMANN, MARKUS · 2013 to 2021
$3.4M
The Role of the Carotid Body Chemoreflex in the Development of Renal Dysfunction in Chronic Heart FailureR15HL138600 · NHLBI · DES MOINES UNIV OSTEOPATHIC MEDICAL CTR · PI MARCUS, NOAH JUSTIN · 2017 to 2017
$380k
NHLBI NIH HHS R01 HL116579NHLBI NIH HHS R15 HL138600
6 · The paper itself

Abstract

Heart failure (HF) is a global public health problem that, independent of its etiology [reduced (HFrEF) or preserved ejection fraction (HFpEF)], is characterized by functional impairments of cardiac function, chemoreflex hypersensitivity, baroreflex sensitivity (BRS) impairment, and abnormal autonomic regulation, all of which contribute to increased morbidity and mortality. Exercise training (ExT) has been identified as a nonpharmacological therapy capable of restoring normal autonomic function and improving survival in patients with HFrEF. Improvements in autonomic function after ExT are correlated with restoration of normal peripheral chemoreflex sensitivity and BRS in HFrEF. To date, few studies have addressed the effects of ExT on chemoreflex control, BRS, and cardiac autonomic control in HFpEF; however, there are some studies that have suggested that ExT has a beneficial effect on cardiac autonomic control. The beneficial effects of ExT on cardiac function and autonomic control in HF may have important implications for functional capacity in addition to their obvious importance to survival. Recent studies have suggested that the peripheral chemoreflex may also play an important role in attenuating exercise intolerance in HFrEF patients. The role of the central/peripheral chemoreflex, if any, in mediating exercise intolerance in HFpEF has not been investigated. The present review focuses on recent studies that address primary pathophysiological mechanisms of HF (HFrEF and HFpEF) and the potential avenues by which ExT exerts its beneficial effects.

Indexed as

Exercise ToleranceReflexStroke VolumeAnimalsAutonomic Nervous SystemChemoreceptor CellsEnergy MetabolismExercise TherapyHeartHeart FailureHumansMuscle ContractionMuscle, SkeletalRecovery of FunctionTreatment Outcomeautonomic controlchemoreflex driveexercise trainingheart failure

Identifiers

PMID29167119
PMCPMC6048457
OpenAlexW2770480508

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.