Evidence map›Paper›PMID 38392086›Full record

ArticleJournal of imaging2024

Identifying the Causes of Unexplained Dyspnea at High Altitude Using Normobaric Hypoxia with Echocardiography.

Jan Stepanek, Juan M Farina, Ahmed K Mahmoud, Chieh-Ju Chao, Said Alsidawi, Chadi Ayoub, Timothy Barry, Milagros Pereyra, Isabel G Scalia, Mohammed Tiseer Abbas and 13 more

Open access · goldAbstract read
In one paragraph

Article in Journal of imaging, 2024. 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
2.2field-weighted citation impact, top 13% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
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

23 authors at 1 institution in 1 country.

Jan StepanekAerospace Medicine Program, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.ORCID 0000-0001-5748-6150
Juan M FarinaDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.ORCID 0000-0002-5824-8485
Ahmed K MahmoudDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.
Chieh-Ju ChaoDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Said AlsidawiDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.ORCID 0000-0001-8750-7880
Chadi AyoubDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.
Timothy BarryDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.ORCID 0000-0002-0576-2990
Milagros PereyraDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.ORCID 0000-0003-4695-8436
Isabel G ScaliaDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.ORCID 0000-0002-6459-9767
Mohammed Tiseer AbbasDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.ORCID 0009-0004-7212-435X
Rachel E WraithDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.
Lisa S BrownDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.
Michael S RadavichDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.
Pamela J CurtisiDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.
Patricia C HartzendorfDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.
Elizabeth M LasotaDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.
Kyley N UmetsuDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.
Jill M PetersonDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.
Kristin E KarlsonDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.
Karen BreznakAerospace Medicine Program, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.
David F FortuinDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.
Steven J LesterDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.
Reza ArsanjaniDepartment of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ 85054, USA.ORCID 0000-0001-7081-4286
Mayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exposure to high altitude results in hypobaric hypoxia, leading to physiological changes in the cardiovascular system that may result in limiting symptoms, including dyspnea, fatigue, and exercise intolerance. However, it is still unclear why some patients are more susceptible to high-altitude symptoms than others. Hypoxic simulation testing (HST) simulates changes in physiology that occur at a specific altitude by asking the patients to breathe a mixture of gases with decreased oxygen content. This study aimed to determine whether the use of transthoracic echocardiography (TTE) during HST can detect the rise in right-sided pressures and the impact of hypoxia on right ventricle (RV) hemodynamics and right to left shunts, thus revealing the underlying causes of high-altitude signs and symptoms. A retrospective study was performed including consecutive patients with unexplained dyspnea at high altitude. HSTs were performed by administrating reduced FiO

Indexed as

dyspneaechocardiographyhigh altitudehypoxic simulation testingstress test

Identifiers

PMID38392086
PMCPMC10889907
OpenAlexW4391404781

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.