Evidence map›Paper›PMID 30956528›Full record

ArticleClinical medicine insights. Circulatory, respiratory and pulmonary medicine2019

Cystic Fibrosis Transmembrane Conductance Regulator Genotype, Not Circulating Catecholamines, Influences Cardiovascular Function in Patients with Cystic Fibrosis.

Alexander L Bisch, Courtney M Wheatley, Sarah E Baker, Elizabeth R Peitzman, Erik H Van Iterson, Theresa A Laguna, Wayne J Morgan, Eric M Snyder

Open access · goldAbstract read
In one paragraph

Article in Clinical medicine insights. Circulatory, respiratory and pulmonary medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. 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

8 authors at 5 institutions in 1 country.

Alexander L BischDepartment of Kinesiology, University of Minnesota, Minneapolis, MN, USA.
Courtney M WheatleyDivision of Cardiovascular Diseases, Mayo Clinic Arizona, Scottsdale, AZ, USA.
Sarah E BakerDepartment of Anesthesiology, Mayo Clinic, Rochester, MN, USA.
Elizabeth R PeitzmanDepartment of Biology, Health Science Center, University of Wisconsin La Crosse, La Crosse, WI, USA.ORCID https://orcid.org/0000-0002-6198-1020
Erik H Van ItersonDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA.
Theresa A LagunaDivision of Pediatric Pulmonary and Sleep Medicine, Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA.
Wayne J MorganArizona Respiratory Center, The University of Arizona, Tucson, AZ, USA.
Eric M SnyderDepartment of Kinesiology, University of Minnesota, Minneapolis, MN, USA.
University of Minnesota · USMayo Clinic in Arizona · USMayo Clinic · USUniversity of Arizona · USUniversity of Wisconsin–La Crosse · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
Gene-by-Gene Interactions and Lung Fluid Balance in Patients with Heart FailureR01HL108962 · NHLBI · UNIVERSITY OF MINNESOTA · PI SNYDER, ERIC M · 2011 to 2016
$2.2M
NCATS NIH HHS UL1 TR002494NHLBI NIH HHS R01 HL108962
6 · The paper itself

Abstract

backgroundCystic fibrosis (CF) is a genetic disease affecting multiple organ systems of the body and is characterized by mutation in the gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR). Previous work has shown that a single dose of aβ-agonist increases cardiac output (Q) and stroke volume (SV) and decreases systemic vascular resistance (SVR) in healthy subjects. This effect is attenuated in patients with CF; however, the mechanism is unknown. Potential explanations for this decreased cardiovascular response to a β-agonist in CF include inherent cardiovascular deficits secondary to the CFTR mutation, receptor desensitization from prolonged β-agonist use as part of clinical care, or inhibited drug delivery to the bloodstream due to mucus buildup in the lungs. This study sought to determine the effects of endogenous epinephrine (EPI) and norepinephrine (NE) on cardiovascular function in CF and to evaluate the relationship between cardiovascular function and CFTR F508del mutation.

methodsA total of 19 patients with CF and 31 healthy control subjects completed an assessment of Q (C

resultsCystic fibrosis patients demonstrated significantly lower BSA (CF = 1.71 ± 0.05 m

conclusionsIndividuals with CF have lower cardiac and peripheral hemodynamic function parameters at rest. Furthermore, these results suggest that impairment in cardiovascular function is likely the result of F508del CFTR genotype, rather than receptor desensitization or inhibited drug delivery.

Indexed as

cardiovascular functioncatecholaminescystic fibrosis transmembrane conductance regulatorF508del

Identifiers

PMID30956528
PMCPMC6442074
OpenAlexW2929052789

What OpenQuestion holds

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LicenceCC BY-NC
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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.