Evidence map›Paper›PMID 39936502›Full record

Trial reportESC heart failure2025

Training-induced change of diastolic function in heart failure with preserved ejection fraction.

Andreas B Gevaert, Ephraim B Winzer, Stephan Mueller, Stephanie De Schutter, Paul J Beckers, Jennifer Hommel, Axel Linke, Ulrik Wisløff, Volker Adams, Burkert Pieske and 3 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. 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

13 authors.

Andreas B GevaertResearch Group Cardiovascular Diseases, GENCOR Department, University of Antwerp, Antwerp, Belgium.ORCID https://orcid.org/0000-0002-1338-4133
Ephraim B WinzerDepartment of Internal Medicine and Cardiology, Technische Universität Dresden, Heart Centre Dresden, University Hospital, Dresden, Germany.
Stephan MuellerDepartment of Preventive Sports Medicine and Sports Cardiology, University Hospital Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Stephanie De SchutterResearch Group Cardiovascular Diseases, GENCOR Department, University of Antwerp, Antwerp, Belgium.
Paul J BeckersDepartment of Rehabilitation Sciences and Physiotherapy, University of Antwerp, Antwerp, Belgium.
Jennifer HommelDepartment of Internal Medicine and Cardiology, Technische Universität Dresden, Heart Centre Dresden, University Hospital, Dresden, Germany.
Axel LinkeDepartment of Internal Medicine and Cardiology, Technische Universität Dresden, Heart Centre Dresden, University Hospital, Dresden, Germany.
Ulrik WisløffCardiac Exercise Research Group, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Volker AdamsDepartment of Internal Medicine and Cardiology, Technische Universität Dresden, Heart Centre Dresden, University Hospital, Dresden, Germany.
Burkert PieskeDivision of Cardiology, Department of Internal Medicine, University Medicine Rostock, Rostock, Germany.
Martin HalleDepartment of Preventive Sports Medicine and Sports Cardiology, University Hospital Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Emeline M Van CraenenbroeckResearch Group Cardiovascular Diseases, GENCOR Department, University of Antwerp, Antwerp, Belgium.
Caroline M Van De HeyningResearch Group Cardiovascular Diseases, GENCOR Department, University of Antwerp, Antwerp, Belgium.

Funding

Deutsche ForschungsgemeinschaftEuropean Commission, Framework Program 7 602405-2Fonds Wetenschappelijk Onderzoek 1SH5O24NFonds Wetenschappelijk Onderzoek Senior clinical investigator grantUniversity of Antwerp BOF DOCPRO4 51265
6 · The paper itself

Abstract

aimsExercise training improves aerobic capacity (V̇O

methodsThis was a substudy of the multicentre Optimizing Exercise Training in HFpEF (OptimEx-Clin) trial, in which 180 patients with HFpEF were randomized 1:1:1 to guideline control, moderate continuous training or high-intensity interval training. All patients included at two out of five participating sites underwent exercise echocardiography at baseline and 3 months. Patients of both training groups were pooled and compared with guideline control.

resultsA total of 61 patients (mean age 73 ± 7 years, 72% female) were included. At baseline, E/e' increased from 17.0 ± 5.7 to 19.5 ± 6.1 and systolic pulmonary artery pressure from 31 ± 8 to 51 ± 11 mmHg (both P < 0.001). Right ventricular function did not change significantly (maximal tricuspid annular plane systolic excursion 24.7 ± 4.0 mm, P = 0.051 vs. baseline). At 3 months, patients randomized to exercise training improved V̇O

conclusionsIn patients with HFpEF, exercise echocardiography revealed increases in filling pressures as well as a failure to augment right ventricular function during exercise. After 3 months of exercise training, HFpEF patients demonstrated a small improvement in diastolic function (exercise E/e'), but this did not explain the improved aerobic capacity.

Indexed as

Exercise TherapyExercise ToleranceHeart FailureStroke VolumeVentricular Function, LeftVentricular Function, RightAgedDiastoleEchocardiographyFemaleFollow-Up StudiesHumansMaleOxygen Consumptionaerobic capacitydiastolic functionexercise echocardiographyright ventricular functionsystolic function

Identifiers

PMID39936502
PMCPMC12055367

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.