Evidence map›Paper›PMID 35083480›Full record

Observational studyFamily practice2022

Feasibility of the cardiac output response to stress test in suspected heart failure patients.

Sarah J Charman, Nduka C Okwose, Clare J Taylor, Kristian Bailey, Ahmet Fuat, Arsen Ristic, Jonathan Mant, Christi Deaton, Petar M Seferovic, Andrew J S Coats and 3 more

Registry-linked trialOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in Family practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06377319 (Clinical Validation of an Artificial Intelligence Based Decision Support System for Predicting Risk, Diagnosis, and Progression of Heart Failure), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 32% 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.

NCT06377319 not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Clinical Validation of an Artificial Intelligence Based Decision Support System for Predicting Risk, Diagnosis, and Progression of Heart Failure

TypeobservationalSponsorCoventry UniversityRan2024 to 2027Enrolled1,600ConditionsHeart FailureArmsCardiac Output Response to Stress (CORS) test
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

13 authors at 6 institutions in 3 countries.

Sarah J CharmanTranslational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.ORCID 0000-0002-3029-7672
Nduka C OkwoseTranslational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
Clare J TaylorNuffield Department of Primary Health Care Sciences, University of Oxford, Oxford, United Kingdom.ORCID 0000-0001-8926-2581
Kristian BaileyNewcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom.
Ahmet FuatDarlington Memorial Hospital, County Durham and Darlington NHS Foundation Trust & School of Medicine, Pharmacy and Health, Durham University, Durham, United Kingdom.
Arsen RisticDepartment of Cardiology, Faculty of Medicine, University of Belgrade, Clinical Centre of Serbia, Belgrade, Serbia.
Jonathan MantPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.
Christi DeatonPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0003-3209-0752
Petar M SeferovicDepartment of Cardiology, Faculty of Medicine, University of Belgrade, Clinical Centre of Serbia, Belgrade, Serbia.
Andrew J S CoatsDepartment of Medical Sciences, Centre for Clinical and Basic Research, IRCCS San Raffaele Pisana, Rome, Italy.ORCID 0000-0002-2771-4260
F D Richard HobbsNuffield Department of Primary Health Care Sciences, University of Oxford, Oxford, United Kingdom.
Guy A MacGowanNewcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom.
Djordje G JakovljevicTranslational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom.
Newcastle upon Tyne Hospitals NHS Foundation Trust · GBUniversity of Belgrade · RSUniversity of Cambridge · GBUniversity of Oxford · GBDurham University · GBIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

Department of Health
6 · The paper itself

Abstract

backgroundDiagnostic tools available to support general practitioners diagnose heart failure (HF) are limited.

objectives(i) Determine the feasibility of the novel cardiac output response to stress (CORS) test in suspected HF patients, and (ii) Identify differences in the CORS results between (a) confirmed HF patients from non-HF patients, and (b) HF reduced (HFrEF) vs HF preserved (HFpEF) ejection fraction.

methodsSingle centre, prospective, observational, feasibility study. Consecutive patients with suspected HF (N = 105; mean age: 72 ± 10 years) were recruited from specialized HF diagnostic clinics in secondary care. The consultant cardiologist confirmed or refuted a HF diagnosis. The patient completed the CORS but the researcher administering the test was blinded from the diagnosis. The CORS assessed cardiac function (stroke volume index, SVI) noninvasively using the bioreactance technology at rest-supine, challenge-standing, and stress-step exercise phases.

resultsA total of 38 patients were newly diagnosed with HF (HFrEF, n = 21) with 79% being able to complete all phases of the CORS (91% of non-HF patients). A 17% lower SVI was found in HF compared with non-HF patients at rest-supine (43 ± 15 vs 51 ± 16 mL/beat/m2, P = 0.02) and stress-step exercise phase (49 ± 16 vs 58 ± 17 mL/beat/m2, P = 0.02). HFrEF patients demonstrated a lower SVI at rest (39 ± 15 vs 48 ± 13 mL/beat/m2, P = 0.02) and challenge-standing phase (34 ± 9 vs 42 ± 12 mL/beat/m2, P = 0.03) than HFpEF patients.

conclusionThe CORS is feasible and patients with HF responded differently to non-HF, and HFrEF from HFpEF. These findings provide further evidence for the potential use of the CORS to improve HF diagnostic and referral accuracy in primary care.

Indexed as

Heart FailureAgedAged, 80 and overCardiac OutputExercise TestFeasibility StudiesHumansMiddle AgedPrognosisProspective StudiesStroke Volumecardiac outputfeasibilitygeneral practiceheart failureprimary care

Identifiers

PMID35083480
PMCPMC9508869
OpenAlexW4206577909

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.