Evidence map›Paper›PMID 38843915›Full record

ArticleThe European respiratory journal2024

Poor cardiac output reserve in pulmonary arterial hypertension is associated with right ventricular stiffness and impaired interventricular dependence.

Ilton M Cubero Salazar, Andrew C Lancaster, Vivek P Jani, Margaret J Montovano, Matthew Kauffman, Alexandra Weller, Bharath Ambale-Venkatesh, Stefan L Zimmerman, Catherine E Simpson, Todd M Kolb and 6 more

Abstract read
In one paragraph

Article in The European respiratory journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Trial
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  5. Article
  6. Article
  7. Refining Risk Prediction in Systemic Sclerosis-Associated Pulmonary Arterial Hypertension.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2025
    Article
  8. Evaluation and Management of Sepsis in Pulmonary Hypertension.Journal of intensive care medicine · 2025
    Review
  9. Review
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  12. Review
  13. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Ilton M Cubero SalazarDivision of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID https://orcid.org/0000-0002-1949-1749
Andrew C LancasterDivision of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Vivek P JaniDivision of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Margaret J MontovanoDivision of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Matthew KauffmanDivision of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Alexandra WellerDivision of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Bharath Ambale-VenkateshDivision of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Stefan L ZimmermanDivision of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Catherine E SimpsonDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID https://orcid.org/0000-0002-2388-5660
Todd M KolbDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID https://orcid.org/0000-0003-0524-7400
Rachel L DamicoDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Stephen C MathaiDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID https://orcid.org/0000-0003-3188-7209
Monica MukherjeeDivision of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID https://orcid.org/0000-0001-6088-0773
Ryan J TedfordDivision of Cardiology, Department of Medicine, Medical University of South Carolina, Charleston, SC, USA.
Paul M HassounDivision of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Steven HsuDivision of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA steven.hsu@jhmi.edu.

Funding

PATHOPHYSIOLOGY OF MYOCARDIAL DISEASEST32HL007227 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Chulan Kwon, WENDY S POST · 1985 to 2026
$21.2M
Mechanisms of Right Ventricular Dysfunction in Scleroderma-associated PAHR01HL114910 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI HASSOUN, PAUL M. · 2012 to 2023
$6.2M
Early Detection of Right Ventricular Dysfunction and Emerging Pulmonary Hypertension in Systemic SclerosisR01HL162851 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Monica Mukherjee · 2023 to 2026
$2.5M
Myocyte Mechanics of Right Ventricular Contractile Failure in Pulmonary Hypertension due to Heart Failure with Reduced Ejection FractionR01HL172830 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Steven Hsu · 2024 to 2026
$2.0M
Mechanisms and treatment of right ventricular sarcomere dysfunction in scleroderma-associated pulmonary arterial hypertensionK23HL146889 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI HSU, STEVEN · 2019 to 2023
$886k
The role of xanthine oxidoreductase activity and altered metabolism in scleroderma-associated pulmonary arterial hypertensionK23HL153781 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI SIMPSON, CATHERINE · 2020 to 2024
$883k
NHLBI NIH HHS K23 HL146889NHLBI NIH HHS K23 HL153781NHLBI NIH HHS R01 HL114910NHLBI NIH HHS R01 HL162851NHLBI NIH HHS R01 HL172830NHLBI NIH HHS T32 HL007227
6 · The paper itself

Abstract

backgroundPulmonary arterial hypertension (PAH) is characterised by poor exercise tolerance. The contribution of right ventricular (RV) diastolic function to the augmentation of cardiac output during exercise is not known. This study leverages pressure-volume (

methodsRV

resultsCompared to patients with high CI reserve, those with low reserve exhibited lower exercise stroke volume (36

conclusionsPatients with poor exercise CI reserve exhibit poor exercise RV afterload, stiffness and right-sided filling pressures that depress LV filling and stroke work. High afterload and RV stiffness were the best correlates to low flow reserve in PAH. Exercise unmasked significant pathophysiological PAH differences unapparent at rest.

Indexed as

Cardiac OutputPulmonary Arterial HypertensionAdultAgedDiastoleExerciseExercise TestExercise ToleranceFemaleHeart VentriclesHumansMaleMiddle AgedStroke VolumeVentricular Dysfunction, RightVentricular Function, Right

Identifiers

PMID38843915
PMCPMC11836945

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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.