Evidence map›Paper›PMID 29926282›Full record

ReviewHeart failure reviews2018

Heart rate during exercise: mechanisms, behavior, and therapeutic and prognostic implications in heart failure patients with reduced ejection fraction.

Stefania Paolillo, Piergiuseppe Agostoni, Fabiana De Martino, Francesca Ferrazzano, Fabio Marsico, Paola Gargiulo, Elisabetta Pirozzi, Caterina Marciano, Santo Dellegrottaglie, Pasquale Perrone Filardi

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Heart failure reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 24% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Cardiac Rehabilitation in Heart Failure.International journal of heart failure · 2021
    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

10 authors at 3 institutions in 2 countries.

Stefania PaolilloIRCCS SDN, Via Gianturco, 113, 80142, Naples, Italy. paolilloste@gmail.com.
Piergiuseppe AgostoniCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Fabiana De MartinoDepartment of Advanced Biomedical Sciences, Section of Cardiology, Federico II University of Naples, Naples, Italy.
Francesca FerrazzanoDepartment of Advanced Biomedical Sciences, Section of Cardiology, Federico II University of Naples, Naples, Italy.
Fabio MarsicoDepartment of Advanced Biomedical Sciences, Section of Cardiology, Federico II University of Naples, Naples, Italy.
Paola GargiuloIRCCS SDN, Via Gianturco, 113, 80142, Naples, Italy.
Elisabetta PirozziDepartment of Advanced Biomedical Sciences, Section of Cardiology, Federico II University of Naples, Naples, Italy.
Caterina MarcianoIstituto Diagnostico Varelli, Naples, Italy.
Santo DellegrottaglieDivision of Cardiology, Ospedale Accreditato Villa dei Fiori, Naples, Acerra, Italy.
Pasquale Perrone FilardiDepartment of Advanced Biomedical Sciences, Section of Cardiology, Federico II University of Naples, Naples, Italy.
SDN Istituto di Ricerca Diagnostica e Nucleare · ITMount Sinai Medical Center · USUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exercise intolerance is a typical manifestation of patients affected by heart failure with reduced ejection fraction (HFrEF); however, the relationship among functional capacity, mortality, and exercise-induced heart rate response during exercise remains unclear in either sinus rhythm or atrial fibrillation subjects. Heart rate increase during incremental load exercise has a typical pattern in normal subjects, whereas it is commonly compromised in HFrEF patients, mainly due to the imbalance of the autonomic nervous system. In the present review, we aim to describe the behavior of heart rate during exercise in normal subjects and in HFrEF patients in sinus rhythm and atrial fibrillation, understanding and explaining the mechanism leading to a different exercise performance and functional limitation. Moreover, the role of chronotropic incompetence and the need of standardizing the cutoff criteria are also discussed in order to clarify the clinical importance, the prognostic relevance, and the potential therapeutic implications of this condition. Looking into the relative contribution and interaction of heart rate response during exercise might represent an important issue to guide individualized therapeutic interventions and prognostic assessment in HFrEF patients.

Indexed as

Exercise TestExercise ToleranceHeart FailureHeart RateHumansOxygen ConsumptionStroke VolumeChronotropic incompetenceExerciseHeart failureHeart rate

Identifiers

PMID29926282
OpenAlexW2808688760

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.