Evidence map›Paper›PMID 36470415›Full record

ArticleChest2023

Higher Work of Breathing During Exercise in Heart Failure With Preserved Ejection Fraction.

Nicolas Villarraga, Brit Warner, Eric J Bruhn, Shane M Hammer, Thomas G Bissen, Thomas P Olson, Joshua R Smith

Open access · greenAbstract read
In one paragraph

Article in Chest, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Ventilatory limitations in patients with HFpEF and obesity.Respiratory physiology & neurobiology · 2023
    Article
  8. Review
  9. 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.

Nicolas VillarragaDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Brit WarnerDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Eric J BruhnDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Shane M HammerDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN; School of Kinesiology, Applied Health and Recreation, Oklahoma State University, Stillwater, OK.
Thomas G BissenDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Thomas P OlsonDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Joshua R SmithDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN. Electronic address: smith.joshua1@mayo.edu.
Mayo Clinic in Arizona · USMayo Clinic · USOklahoma State University · US

Funding

CARDIOVASOLOGYT32HL007111 · NHLBI · MAYO CLINIC ROCHESTER · PI Barry A. Borlaug · 1985 to 2026
$8.7M
Mayo Clinic Interdisciplinary Women's Health Research ProgramK12HD065987 · NICHD · MAYO CLINIC ROCHESTER · PI KANTARCI, KEJAL · 2010 to 2023
$6.7M
Peripheral Mechanisms of Cardiopulmonary Control during ExerciseR01HL126638 · NHLBI · MAYO CLINIC ROCHESTER · PI OLSON, THOMAS PATRICK · 2015 to 2019
$2.9M
American Heart Association-American Stroke Association 18POST33990251NHLBI NIH HHS R01 HL126638NHLBI NIH HHS T32 HL007111NICHD NIH HHS K12 HD065987
6 · The paper itself

Abstract

backgroundIt is unknown if pulmonary alterations in heart failure with preserved ejection fraction (HFpEF) impact respiratory mechanics during exercise. RESEARCH QUESTION: Are the operating lung volumes, work of breathing (Wb), and power of breathing (Pb) abnormal in patients with HFpEF during exercise? STUDY DESIGN AND

methodsPatients with HFpEF (n = 8; median age, 71 years [interquartile range (IQR), 66-80 years]) and control participants (n = 9; median age, 68 years [IQR, 64-74 years]) performed incremental cycling to volitional exhaustion. Esophageal pressure, end-expiratory lung volume (EELV), inspiratory lung volume (EILV), and ventilatory variables were compared at similar absolute (30 and 50 L/min) and relative (45% of peak, 70% of peak, and 100% of peak) minute ventilation (V.

resultsDuring exercise, EELVs were not different between patients with HFpEF and control participants (P > .13 for all). EILVs were lower in patients with HFpEF than control participants at 45% and 70% V.

interpretationThese data demonstrate the HFpEF syndrome is associated with pulmonary alterations eliciting a greater Pb during exercise resulting from greater inspiratory and expiratory resistive Pb.

Indexed as

Heart FailureWork of BreathingAgedExercise TestExercise ToleranceHumansLeadRespirationStroke VolumeLeadcost of breathingdiaphragmoperating lung volumesrespiratory mechanicsventilatory constraints

Identifiers

PMID36470415
PMCPMC10258442
OpenAlexW4310750619

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.