Evidence map›Paper›PMID 39045209›Full record

ArticleEuropean heart journal. Imaging methods and practice2024

A new protocol for a single-stage combined cardiopulmonary and echocardiography exercise test: a pilot study.

Dan M Dorobantu, Curtis A Wadey, Ben Berryman, Nurul H Amir, Lynsey Forsythe, A Graham Stuart, Guido E Pieles, Craig A Williams

Abstract read
In one paragraph

Article in European heart journal. Imaging methods and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Cardiac evaluation of paediatric athletes.European heart journal · 2026
    Guideline
  2. Review
  3. Review
  4. 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

8 authors.

Dan M DorobantuChildren's Health and Exercise Research Centre (CHERC), Public Health and Sports Sciences, Faculty of Life and Health Sciences, University of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter EX1 2LU, UK.ORCID https://orcid.org/0000-0003-2443-1019
Curtis A WadeyChildren's Health and Exercise Research Centre (CHERC), Public Health and Sports Sciences, Faculty of Life and Health Sciences, University of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter EX1 2LU, UK.ORCID https://orcid.org/0000-0003-3275-7975
Ben BerrymanChildren's Health and Exercise Research Centre (CHERC), Public Health and Sports Sciences, Faculty of Life and Health Sciences, University of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter EX1 2LU, UK.
Nurul H AmirPopulation and Translational Health Sciences, University of Bristol, Bristol, Beacon House, Queens Rd, BS8 1QU, UK.ORCID https://orcid.org/0000-0002-8634-938X
Lynsey ForsytheCongenital Heart Unit, Bristol Royal Hospital for Children and Heart Institute, Upper Maudlin St, BS2 8BJ, Bristol, UK.ORCID https://orcid.org/0000-0001-7677-190X
A Graham StuartCongenital Heart Unit, Bristol Royal Hospital for Children and Heart Institute, Upper Maudlin St, BS2 8BJ, Bristol, UK.ORCID https://orcid.org/0000-0003-2789-2216
Guido E PielesSports Cardiology and Screening Department, ASPETAR Qatar Orthopaedic and Sports Medicine Hospital, Sports City Street, Inside Aspire Zone, Al Buwairda St, Doha, Qatar.ORCID https://orcid.org/0000-0003-1203-688X
Craig A WilliamsChildren's Health and Exercise Research Centre (CHERC), Public Health and Sports Sciences, Faculty of Life and Health Sciences, University of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter EX1 2LU, UK.ORCID https://orcid.org/0000-0002-1740-6248

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: The value of cardiopulmonary exercise testing (CPET) and exercise stress echocardiography (ESE) in managing cardiac disease is well known, but no standard CPET-ESE protocol is currently recommended. This pilot study aims to compare feasibility and cardiac function responses between a new high-intensity single-stage combined test (CPET-hiESE) and a standard maximal ESE (smESE). Methods and results: After screening and maximal CPET, all volunteers ( Conclusion: The novel CPET-hiESE protocol allowed for better data completeness, at lower levels of exertion compared with smESE, without systematically different cardiac reserve measurements in healthy participants. This single-stage protocol can be individualized to clinical populations, which would provide practical advantages to standard testing.

Indexed as

advanced cardiac imagingcardiac functionheart failuremultimodal cardiac evaluationstress test

Identifiers

PMID39045209
PMCPMC11195695

What OpenQuestion holds

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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.