Evidence map›Paper›PMID 39543932›Full record

ArticleESC heart failure2025

Exercise limitations in amyloid cardiomyopathy assessed by cardiopulmonary exercise testing-A multicentre study.

Robin Willixhofer, Mauro Contini, Michele Emdin, Damiano Magrì, Alice Bonomi, Elisabetta Salvioni, Fabrizio Celeste, Alberico Del Torto, Claudio Passino, Christophe D J Capelle and 16 more

Abstract readMulticenter Study
In one paragraph

Article in ESC heart failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Article
  3. Article
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  5. Review
  6. Review
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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

26 authors.

Robin WillixhoferDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Mauro ContiniCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Michele EmdinHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy and Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Damiano MagrìDepartment of Clinical and Molecular Medicine, Sant'Andrea Hospital, 'Sapienza' University of Rome, Rome, Italy.
Alice BonomiCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Elisabetta SalvioniCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Fabrizio CelesteCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Alberico Del TortoCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Claudio PassinoHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy and Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Christophe D J CapelleDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Chiara ArzilliHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy and Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Emiliano FioriDepartment of Clinical and Molecular Medicine, Sant'Andrea Hospital, 'Sapienza' University of Rome, Rome, Italy.
Nicolò CapraCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Christina KronbergerDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Nikita ErmolaevDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Andreas KammerlanderDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Beatrice MusumeciDepartment of Clinical and Molecular Medicine, Sant'Andrea Hospital, 'Sapienza' University of Rome, Rome, Italy.
Giuseppe VergaroHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy and Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Vincenzo CastiglioneHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy and Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
René RettlDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Giacomo TiniDepartment of Clinical and Molecular Medicine, Sant'Andrea Hospital, 'Sapienza' University of Rome, Rome, Italy.
Andrea BaggianoCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Iacopo FabianiHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy and Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Susanna SciomerDepartment of Clinical, Internal Medicine, Anestesiological and Cardiological Sciences, 'Sapienza' University of Rome, Rome, Italy.
Roza Badr EslamDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Piergiuseppe AgostoniCentro Cardiologico Monzino, IRCCS, Milan, Italy.

Funding

medical scientific fund of the mayor of Vienna 22005
6 · The paper itself

Abstract

aimsAmyloid cardiomyopathy is caused by the deposition of light chain (AL) or transthyretin amyloid (ATTR) fibrils, that leads to a restrictive cardiomyopathy, often resulting in heart failure (HF) with preserved or reduced ejection fraction. This study aimed to determine whether cardiac output reduction or ventilation inefficiency plays a predominant role in limiting exercise in patients with amyloid cardiomyopathy.

methodsWe conducted a multicentre prospective study in patients with AL or ATTR cardiomyopathy who underwent cardiopulmonary exercise testing across four centres. Patients were compared with a propensity-score matched HF cohort based on age, gender, left ventricular ejection fraction (LVEF), and peak oxygen consumption (VO

resultsData from 267 amyloid patients aged 77 (72, 81) years, 86% male, with a median N-terminal pro B-type natriuretic peptide (NT-proBNP) of 2187 (1140, 4383) ng/L, exercise parameters of peak VO

conclusionsA higher VE/VCO

Indexed as

Amyloid Neuropathies, FamilialAmyloidosisCardiomyopathiesExercise TestExercise ToleranceStroke VolumeVentricular Function, LeftAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleOxygen ConsumptionProspective Studiesfunctional capacityheart failurelight chain amyloidosisrestrictive cardiomyopathytransthyretin amyloidosis

Identifiers

PMID39543932
PMCPMC11911614

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.