Evidence map›Paper›PMID 32038268›Full record

ArticleFrontiers in physiology2019

Hypocapnia Alone Fails to Provoke Important Electrocardiogram Changes in Coronary Artery Diseased Patients.

Michael J Parkes, James P Sheppard, Thomas Barker, Aaron M Ranasinghe, Eshan Senanayake, Thomas H Clutton-Brock, Michael P Frenneaux

Open access · goldAbstract read
In one paragraph

Article in Frontiers in physiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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.

Michael J ParkesSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom.
James P SheppardSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom.
Thomas BarkerDepartment of Cardiovascular Medicine, University of Birmingham, Birmingham, United Kingdom.
Aaron M RanasingheDepartment of Cardiovascular Medicine, University of Birmingham, Birmingham, United Kingdom.
Eshan SenanayakeDepartment of Cardiovascular Medicine, University of Birmingham, Birmingham, United Kingdom.
Thomas H Clutton-BrockNational Institute for Health Research/Wellcome Trust Birmingham Clinical Research Facility, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Michael P FrenneauxNational Institute for Health Research/Wellcome Trust Birmingham Clinical Research Facility, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
University of Birmingham · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBWellcome Trust · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundThere is still an urgent clinical need to develop non-invasive diagnostic tests for early ischemic heart disease because, once angina occurs, it is too late. Hypocapnia has long been known to cause coronary artery vasoconstriction. Some new cardiology tests are accompanied by the claim that they must have potential diagnostic value if hypocapnia enhances their cardiac effects in healthy subjects. But no previous study has tested whether hypocapnia produces bigger cardiac effects in patients with angina than in healthy subjects.

methodsSevere hypocapnia (a PetCO

resultsIn the 18 healthy subjects, we confirm that severe hypocapnia (a mean PetCO

conclusionNon-invasive mechanical hyperventilation while awake and unmedicated is safe and acceptable, even to patients with angina. Using it to produce severe and prolonged hypocapnia alone does produce significant ECG changes in angina patients. But its potential diagnostic value for identifying patients with coronary stenosis requires further evaluation.

Indexed as

anginacalciumcoronary artery vasoconstrictionelectrocardiogramhypocapniamechanical hyperventilation

Identifiers

PMID32038268
PMCPMC6983462
OpenAlexW2993578026

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.