Evidence map›Paper›PMID 33861689›Full record

ArticleAmerican journal of respiratory and critical care medicine2021

Pulmonary Arterial Hypertension: Diagnosis, Treatment, and Novel Advances.

Bradley A Maron, Steven H Abman, C Greg Elliott, Robert P Frantz, Rachel K Hopper, Evelyn M Horn, Mark R Nicolls, Oksana A Shlobin, Sanjiv J Shah, Gabor Kovacs and 2 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in American journal of respiratory and critical care medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 2 pooled it
24.5field-weighted citation impact, top 1% 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

90 citing papers in PubMed, 2 syntheses or guidelines pooled it, 213 citations in OpenAlex.

  1. Pooled it
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30 more citing papers are in PubMed but not listed here.

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

12 authors at 11 institutions in 2 countries.

Bradley A MaronDivision of Cardiovascular Medicine, Brigham and Women's Hospital and Harvard Medical School, Harvard University, Boston, Massachusetts.
Steven H AbmanSection of Pulmonary Medicine, Children's Hospital Colorado and the University of Colorado Anschutz Medical Center, University of Colorado, Aurora, Colorado.ORCID 0000-0002-7292-2085
C Greg ElliottIntermountain Medical Center and the University of Utah, Salt Lake City, Utah.
Robert P FrantzDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota.
Rachel K HopperDivision of Pediatric Cardiology, Department of Pediatrics, School of Medicine, Stanford University, Palo Alto, California.
Evelyn M HornDivision of Cardiology, Department of Medicine, Weill Cornell Graduate School of Medical Sciences, Cornell University, New York, New York.
Mark R NicollsVeterans Affairs Palo Alto Health Care System and School of Medicine, Stanford University, Stanford, California.
Oksana A ShlobinAdvanced Lung Disease and Transplant Program, Inova Fairfax Hospital, Falls Church, Virginia.
Sanjiv J ShahDivision of Cardiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Gabor KovacsDepartment of Pulmonology, Medical University of Graz and Ludwig Boltzmann Institute for Lung Vascular Research, Graz, Austria; and.
Horst OlschewskiDepartment of Pulmonology, Medical University of Graz and Ludwig Boltzmann Institute for Lung Vascular Research, Graz, Austria; and.ORCID 0000-0002-2834-7466
Erika B RosenzweigDepartment of Pediatrics and.
Medical University of Graz · ATBrigham and Women's Hospital · USChildren's Hospital Colorado · USColumbia University · USCornell University · USInova Fairfax Hospital · USMayo Clinic · USNorthwestern University · USPalo Alto University · USUniversity of Utah · USVA Palo Alto Health Care System · US

Funding

VRAC and Rho in pulmonary EC proliferationP01HL014985 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI STENMARK, KURT R. · 1985 to 2019
$35.1M
Boston Biomedical Innovation CenterU54HL119145 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI GOLAN, DAVID E., LOSCALZO, JOSEPH · 2013 to 2021
$18.8M
Role of VEGF in Perinatal Pulmonary HypertensionR01HL068702 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI ABMAN, STEVEN HERBERT, SHEPHERD, DOUGLAS · 2001 to 2021
$6.7M
Transition from Risk Factors to Early HF: Prevalence, Pathogenesis, and PhenomicsR01HL127028 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BERTONI, ALAIN GERALD, SHAH, SANJIV J · 2015 to 2018
$6.5M
Endothelial Injury, BMPR2 Dysfunction and Macrophage Activation Cause EndMT and PAHR01HL138473 · NHLBI · STANFORD UNIVERSITY · PI Mark Robert Nicolls, Marlene Rabinovitch · 2017 to 2026
$4.9M
Critical Role for Microvasculature in Airway TransplantationR01HL095686 · NHLBI · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI NICOLLS, MARK ROBERT · 2010 to 2022
$4.7M
Study of Cardiac Mechanics in Systemic HypertensionR01HL107577 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SHAH, SANJIV J · 2011 to 2019
$4.1M
Targeting FAK-NEDD9 protein-protein interaction to prevent focal adhesion assembly and vascular proliferation in pulmonary arterial hypertensionR01HL139613 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI Sirano Dhe-Paganon, Bradley Maron · 2018 to 2026
$4.1M
Integrative Omics as a Discovery Tool for Pulmonary HypertensionR01HL122887 · NHLBI · STANFORD UNIVERSITY · PI NICOLLS, MARK ROBERT, RABINOVITCH, MARLENE · 2015 to 2018
$4.1M
Physiological Phenotyping of Respiratory Outcomes in Infants Born PrematureR01HL145679 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI ABMAN, STEVEN HERBERT, TEPPER, ROBERT S. · 2019 to 2022
$3.1M
Machine learning for the automated identification and tracking of rare myocardial diseasesR01HL140731 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MACRAE, CALUM A., SHAH, SANJIV J · 2018 to 2021
$2.8M
Regulatory T Cells and Pulmonary HypertensionR01HL158714 · NHLBI · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI NICOLLS, MARK ROBERT · 2021 to 2024
$2.5M
BLRD VA I01 BX005628NHLBI NIH HHS P01 HL014985NHLBI NIH HHS R01 HL068702NHLBI NIH HHS R01 HL095686NHLBI NIH HHS R01 HL107577NHLBI NIH HHS R01 HL122887NHLBI NIH HHS R01 HL127028NHLBI NIH HHS R01 HL138473NHLBI NIH HHS R01 HL139613NHLBI NIH HHS R01 HL140731NHLBI NIH HHS R01 HL141105NHLBI NIH HHS R01 HL145679NHLBI NIH HHS R01 HL149423NHLBI NIH HHS R01 HL153502NHLBI NIH HHS R01 HL155096NHLBI NIH HHS R01 HL158714NHLBI NIH HHS R21 HL145420NHLBI NIH HHS R56 HL131787NHLBI NIH HHS U54 HL119145
6 · The paper itself

Abstract

The diagnosis and management of pulmonary arterial hypertension (PAH) includes several advances, such as a broader recognition of extrapulmonary vascular organ system involvement, validated point-of-care clinical assessment tools, and focus on the early initiation of multiple pharmacotherapeutics in appropriate patients. Indeed, a principal goal in PAH today is an early diagnosis for prompt initiation of treatment to achieve a minimal symptom burden; optimize the patient's biochemical, hemodynamic, and functional profile; and limit adverse events. To accomplish this end, clinicians must be familiar with novel risk factors and the revised hemodynamic definition for PAH. Fresh insights into the role of developmental biology (i.e., perinatal health) may also be useful for predicting incident PAH in early adulthood. Emergent or underused approaches to PAH management include a novel TGF-β ligand trap pharmacotherapy, remote pulmonary arterial pressure monitoring, next-generation imaging using inert gas-based magnetic resonance and other technologies, right atrial pacing, and pulmonary arterial denervation. These and other PAH state of the art advances are summarized here for the wider pulmonary medicine community.

Indexed as

Early DiagnosisAdultAgedAged, 80 and overCardiac CatheterizationCardiac Surgical ProceduresFemaleHumansMaleMiddle AgedPulmonary Arterial HypertensionRisk FactorsTherapies, Investigationalpulmonary arterial hypertensionpulmonary hypertensionrisk stratificationtreatment

Identifiers

PMID33861689
PMCPMC8483220
OpenAlexW3155667389

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.