Evidence map›Paper›PMID 37762757›Full record

ArticleJournal of clinical medicine2023

The Mechanism of Effort Intolerance in Patients with Peripheral Arterial Disease: A Combined Stress Echocardiography and Cardiopulmonary Exercise Test.

Eihab Ghantous, Aviel Shetrit, Yonatan Erez, Natalie Noam, Ryan S Zamanzadeh, David Zahler, Yoav Granot, Erez Levi, Michal Laufer Perl, Shmuel Banai and 2 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Observational
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.

Eihab GhantousCardiology Division, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv 6997801, Israel.ORCID 0000-0002-5029-0232
Aviel ShetritCardiology Division, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv 6997801, Israel.ORCID 0000-0002-2120-0306
Yonatan ErezCardiology Division, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv 6997801, Israel.
Natalie NoamVascular Surgery Department, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv 6997801, Israel.
Ryan S ZamanzadehCardiology Division, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv 6997801, Israel.
David ZahlerCardiology Division, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv 6997801, Israel.ORCID 0000-0002-6887-3348
Yoav GranotCardiology Division, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv 6997801, Israel.ORCID 0000-0002-3863-4493
Erez LeviCardiology Division, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv 6997801, Israel.
Michal Laufer PerlCardiology Division, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv 6997801, Israel.
Shmuel BanaiCardiology Division, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv 6997801, Israel.
Yan TopilskyCardiology Division, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv 6997801, Israel.
Ofer HavakukCardiology Division, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv 6997801, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimWe used a combined stress echocardiography and cardiopulmonary exercise test (CPET) to explore effort intolerance in peripheral arterial disease (PAD) patients.

methodsTwenty-three patients who had both PAD and coronary artery disease (CAD) were compared with twenty-four sex- and age-matched CAD patients and fifteen normal controls using a symptom-limited ramp bicycle CPET on a tilting dedicated ergometer. Echocardiographic images were obtained concurrently with gas exchange measurements along predefined stages of exercise. Oxygen extraction was calculated using the Fick equation at each activity level.

resultsAlong the stages of exercise (unloaded; anaerobic threshold; peak), in PAD + CAD patients compared with CAD or controls, diastolic function worsened (

conclusionsIn PAD patients, exercise limitation is associated with diastolic dysfunction, chronotropic incompetence and peripheral factors.

Indexed as

cardiopulmonary exercise testeffort intoleranceperipheral arterial diseasestress echocardiography

Identifiers

PMID37762757
PMCPMC10531883

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Registered trials

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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.