Evidence map›Paper›PMID 31265832›Full record

ArticleChest2019

Monitoring Pulmonary Arterial Hypertension Using an Implantable Hemodynamic Sensor.

Raymond L Benza, Mark Doyle, David Lasorda, Kishan S Parikh, Priscilla Correa-Jaque, Nima Badie, Greg Ginn, Sophia Airhart, Veronica Franco, Manreet K Kanwar and 6 more

Open access · greenAbstract read
In one paragraph

Article in Chest, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

35 citing papers in PubMed, 57 citations in OpenAlex.

  1. Positioning Imatinib for Pulmonary Arterial Hypertension: A Dose-Finding Phase 2 Study.American journal of respiratory and critical care medicine · 2025
    Trial
  2. Interventional strategies for pulmonary arterial hypertension: Current perspectives and future directions.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Pulmonary Hypertension Care Delivery in the United States: Is It Time to Get with the Guidelines?American journal of respiratory and critical care medicine · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Exploring the patient perspective in pulmonary hypertension.The European respiratory journal · 2024
    Article
  15. Review
  16. Review
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 1 country.

Raymond L BenzaCardiovascular Institute, Allegheny General Hospital, Pittsburgh, PA. Electronic address: rbenza@wpahs.org.
Mark DoyleCardiovascular Institute, Allegheny General Hospital, Pittsburgh, PA.
David LasordaCardiovascular Institute, Allegheny General Hospital, Pittsburgh, PA.
Kishan S ParikhDuke Clinical Research Institute, Durham, NC.
Priscilla Correa-JaqueCardiovascular Institute, Allegheny General Hospital, Pittsburgh, PA.
Nima BadieAbbott, Sylmar, CA.
Greg GinnAbbott, Sylmar, CA.
Sophia AirhartUniversity of Arizona Medical Center, Tucson, AZ.
Veronica FrancoOhio State University, Columbus, OH.
Manreet K KanwarCardiovascular Institute, Allegheny General Hospital, Pittsburgh, PA.
Srinivas MuraliCardiovascular Institute, Allegheny General Hospital, Pittsburgh, PA.
Amresh RainaCardiovascular Institute, Allegheny General Hospital, Pittsburgh, PA.
Rahul AgarwalAbbott, Sylmar, CA.
Sudarshan RajagopalDuke Clinical Research Institute, Durham, NC.
Jason WhiteAbbott, Sylmar, CA.
Robert BiedermanCardiovascular Institute, Allegheny General Hospital, Pittsburgh, PA.
Allegheny General Hospital · USDanaher (United States) · USClinical Research Institute · USBanner - University Medical Center Tucson · USThe Ohio State University · US

Funding

NHLBI NIH HHS HHSN268201400008C
6 · The paper itself

Abstract

backgroundPulmonary arterial hypertension (PAH) is a chronic disease that ultimately progresses to right-sided heart failure (HF) and death. Close monitoring of pulmonary artery pressure (PAP) and right ventricular (RV) function allows clinicians to appropriately guide therapy. However, the burden of commonly used methods to assess RV hemodynamics, such as right heart catheterization, precludes frequent monitoring. The CardioMEMS HF System (Abbott) is an ambulatory implantable hemodynamic monitor, previously only used in patients with New York Heart Association (NYHA) class III HF. In this study, we evaluate the feasibility and early safety of monitoring patients with PAH and right-sided HF using the CardioMEMS HF System.

methodsThe CardioMEMS HF sensors were implanted in 26 patients with PAH with NYHA class III or IV right-sided HF (51.3 ± 18.3 years of age, 92% women, 81% NYHA class III). PAH therapy was tracked using a minimum of weekly reviews of CardioMEMS HF daily hemodynamic measurements. Safety, functional response, and hemodynamic response were tracked up to 4 years with in-clinic follow-ups.

resultsThe CardioMEMS HF System was safely used to monitor PAH therapy, with no device-related serious adverse events observed and a single preimplant serious adverse event. Significant PAP reduction and cardiac output elevation were observed as early as 1 month postimplant using trends of CardioMEMS HF data, coupled with significant NYHA class and quality of life improvements within 1 year.

conclusionsThe CardioMEMS HF System provided useful information to monitor PAH therapy, and demonstrated short- and long-term safety. Larger clinical trials are needed before its widespread use to guide therapy in patients with severe PAH with right-sided HF.

Indexed as

Prostheses and ImplantsAdultAgedBlood Pressure Monitoring, AmbulatoryFeasibility StudiesFemaleHeart FailureHemodynamic MonitoringHumansMaleMiddle AgedPulmonary Arterial HypertensionCardioMEMShemodynamicspulmonary hypertensionride-sided heart failure

Identifiers

PMID31265832
PMCPMC6904858
OpenAlexW2954180981

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.