Evidence map›Paper›PMID 40080287›Full record

ReviewHeart failure reviews2025

Mechanisms of exercise intolerance in heart failure with preserved ejection fraction (HFpEF).

Brandon Pecchia, Roy Samuel, Vacha Shah, Emily Newman, Gregory T Gibson

Abstract readReview
In one paragraph

Review in Heart failure reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
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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

5 authors.

Brandon PecchiaDepartment of Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.
Roy SamuelSidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.
Vacha ShahSidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.
Emily NewmanDivision of Cardiology, Department of Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA 19107, US, Philadelphia, PA, 19107, USA.
Gregory T GibsonDivision of Cardiology, Department of Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA 19107, US, Philadelphia, PA, 19107, USA. gregory.gibson@jefferson.edu.ORCID 0000-0002-6538-1583

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exercise intolerance is a well-established symptom of heart failure with preserved ejection fraction (HFpEF) and is associated with impaired quality of life and worse clinical outcomes. Historically attributed to diastolic dysfunction of the left ventricle, exercise intolerance in HFpEF is now known to result not only from diastolic dysfunction, but also from impairments in left ventricular systolic function, left atrial pathology, right ventricular dysfunction, and valvular disease. Disorders of heart rate and rhythm such as chronotropic incompetence and atrial fibrillation have also been implicated in exercise intolerance in this population. Pathologic changes to extra-cardiac organ systems including the respiratory, vascular, hormonal, and skeletal muscle systems are also thought to play a role in exercise impairment. Finally, comorbidities such as obesity, inflammation, and anemia are common and likely contributory in many cases. The role of each of these factors is discussed in this review of exercise intolerance in patients with HFpEF.

Indexed as

Exercise ToleranceHeart FailureStroke VolumeVentricular Function, LeftHumansQuality of LifeExerciseHeart failureHFpEFReview

Identifiers

PMID40080287
PMCPMC12166024

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.