Evidence map›Paper›PMID 39980763›Full record

ArticleEuropean heart journal supplements : journal of the European Society of Cardiology2025

Periodic breathing during exercise in heart failure: beyond the classic risk factors.

Marlus Karsten, Elisabetta Salvioni, Pietro Palermo, Irene Mattavelli, Marco Scatigna, Massimo Mapelli, Giulia Grilli, Beatrice Pezzuto, Anna Apostolo, Gustavo Dos Santos Ribeiro and 1 more

Abstract read
In one paragraph

Article in European heart journal supplements : journal of the European Society of Cardiology, 2025. 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
–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

2 citing papers in PubMed.

  1. Review
  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

11 authors.

Marlus KarstenDepartment of Physiotherapy, Research Group on Cardiovascular Health and Exercise (GepCardio), Physiotherapy Graduate Program, Universidade do Estado de Santa Catarina (UDESC), Florianopolis, SC, Brazil.ORCID https://orcid.org/0000-0002-2476-7981
Elisabetta SalvioniCentro Cardiologico Monzino, IRCCs, 20138 Milan, Italy.
Pietro PalermoCentro Cardiologico Monzino, IRCCs, 20138 Milan, Italy.
Irene MattavelliCentro Cardiologico Monzino, IRCCs, 20138 Milan, Italy.ORCID https://orcid.org/0000-0002-7781-1691
Marco ScatignaCentro Cardiologico Monzino, IRCCs, 20138 Milan, Italy.
Massimo MapelliCentro Cardiologico Monzino, IRCCs, 20138 Milan, Italy.ORCID https://orcid.org/0000-0001-9985-7407
Giulia GrilliCentro Cardiologico Monzino, IRCCs, 20138 Milan, Italy.
Beatrice PezzutoCentro Cardiologico Monzino, IRCCs, 20138 Milan, Italy.
Anna ApostoloCentro Cardiologico Monzino, IRCCs, 20138 Milan, Italy.ORCID https://orcid.org/0000-0002-5003-700X
Gustavo Dos Santos RibeiroDepartment of Physiotherapy, Research Group on Cardiovascular Health and Exercise (GepCardio), Physiotherapy Graduate Program, Universidade do Estado de Santa Catarina (UDESC), Florianopolis, SC, Brazil.
Piergiuseppe AgostoniCentro Cardiologico Monzino, IRCCs, 20138 Milan, Italy.ORCID https://orcid.org/0000-0002-8345-6382

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Periodic breathing is a peculiar ventilatory pattern in patients with heart failure (HF), characterized by cyclic oscillations in minute ventilation. This phenomenon has been observed in awake patients, during sleep, and during exercise. Periodic breathing during exercise, also known as exercise oscillatory ventilation (EOV), is an important marker of clinical and functional status, morbidity, and mortality in HF patients. However, a clear understanding of the meaning, causes, and possible occurrence of different forms of EOV is still currently lacking. This review focuses on what is known, likely known, or unknown about EOV in HF, including topics such as the definition of EOV, pathophysiological mechanisms, EOV phenotypes, treatment modalities, and the prognostic role of EOV in patients with HF. Finally, some perspectives on research opportunities and clinical practice are presented, to increase the knowledge of EOV, and the application of tools for its assessment, which may improve the chances of identifying and treating EOV, with a positive impact on patients with HF.

Indexed as

Cardiopulmonary exercise testExercise oscillatory ventilationHeart failurePeriodic breathing

Identifiers

PMID39980763
PMCPMC11836779

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.