Evidence map›Paper›PMID 33585998›Full record

Trial reportPediatric cardiology2021

Carvedilol Does Not Improve Exercise Performance in Fontan Patients: Results of a Crossover Trial.

Ryan Butts, Andrew M Atz, Nathanya BaezHernandez, David Sutcliffe, Joan Reisch, Lynn Mahony

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pediatric cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Pharmacokinetics in the Fontan circulation: a multi-organ puzzle.European heart journal. Cardiovascular pharmacotherapy · 2026
    Review
  2. Article
  3. Article
  4. Cardiac Drugs in ACHD Cardiovascular Medicine.Journal of cardiovascular development and disease · 2023
    Review
  5. Review
  6. Article
  7. 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

6 authors at 3 institutions in 1 country.

Ryan ButtsDivision of Cardiology, Department of Pediatrics, University of Texas Southwestern, Dallas, TX, USA. rjh3001@med.cornell.edu.ORCID http://orcid.org/0000-0002-7130-7056
Andrew M AtzDivision of Cardiology, Department of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.
Nathanya BaezHernandezDivision of Cardiology, Department of Pediatrics, University of Texas Southwestern, Dallas, TX, USA.
David SutcliffeDivision of Cardiology, Department of Pediatrics, University of Texas Southwestern, Dallas, TX, USA.
Joan ReischDivision of Biostatistics, Department of Population and Data Sciences, University of Texas Southwestern, Dallas, TX, USA.
Lynn MahonyDivision of Cardiology, Department of Pediatrics, University of Texas Southwestern, Dallas, TX, USA.
The University of Texas Southwestern Medical Center · USChildren's Medical Center · USMedical University of South Carolina · US

Funding

American Heart Association (US) 16MCPRP31350009
6 · The paper itself

Abstract

Increased circulating catecholamines are associated with worse exercise performance in adult heart failure patients. Patients with Fontan physiology have increased circulating catecholamines and theoretically could benefit from beta blockade. We hypothesized that carvedilol would improve exercise performance in Fontan patients. A double-blind, placebo-controlled, crossover trial of carvedilol was performed. Single ventricle patients between the ages of 10 and 35 years with a previous Fontan operation who were able to complete a maximal exercise test (respiratory exchange ratio > 1.0) were included. Two 12-week treatment arms were separated by a 6-week washout period. Exercise testing was performed at beginning and end of each treatment arm. Primary endpoint was improvement in peak oxygen consumption/kg (pVO

Indexed as

ExerciseAdolescentAdrenergic beta-AntagonistsAdultCarvedilolChildCross-Over StudiesDouble-Blind MethodExercise TestFemaleFontan ProcedureHeart FailureHeart RateHumansMaleNatriuretic Peptide, BrainAdrenergic beta-AntagonistsCarvedilolNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)CarvedilolExercise performanceFontanSingle ventricle

Identifiers

PMID33585998
OpenAlexW3130797869

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.