Evidence map›Paper›PMID 40463758›Full record

ReviewJournal of cardiovascular echography

Stress Echo 2030 Study: A Flagship Project of the Italian Society of Echocardiography and Cardiovascular Imaging.

Eugenio Picano, Quirino Ciampi, Rosina Arbucci, Angela Zagatina, Elena Kalinina, Ratnasari Padang, Garvan C Kane, Hector R Villarraga, Adelaide M Arruda-Olson, Jesus Peteiro Vazquez and 54 more

Abstract readReview
In one paragraph

Review in Journal of cardiovascular echography. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

64 authors.

Eugenio PicanoCardiology Clinic, University Clinical Center of Serbia, Medical School, University of Belgrade, Belgrade, Serbia.
Quirino CiampiDivision of Cardiology, Fatebenefratelli Hospital, Benevento, Italy.
Rosina ArbucciCardiodiagnosticos, Investigaciones Medicas, and Bioimagenes Medical Center, Buenos Aires, Argentina.
Angela ZagatinaDepartment of Cardiosurgery, St. Petersburg State University Hospital, St. Petersburg, Russia.
Elena KalininaDepartment of Cardiosurgery, St. Petersburg State University Hospital, St. Petersburg, Russia.
Ratnasari PadangDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Garvan C KaneDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Hector R VillarragaDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Adelaide M Arruda-OlsonDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Jesus Peteiro VazquezCHUAC-Complexo Hospitalario Universitario A Coruna-University of A Coruna, La Coruna, Spain.
Alla BoshchenkoDepartment of Cardiology, Cardiology Research Institute, Tomsk National Research Medical Centre of the Russian Academy of Sciences, Tomsk, Russia.
Olga ZhuravlevaDepartment of Cardiology, Cardiology Research Institute, Tomsk National Research Medical Centre of the Russian Academy of Sciences, Tomsk, Russia.
Tamara RyabovaDepartment of Cardiology, Cardiology Research Institute, Tomsk National Research Medical Centre of the Russian Academy of Sciences, Tomsk, Russia.
Natalia SviazovaDepartment of Cardiology, Cardiology Research Institute, Tomsk National Research Medical Centre of the Russian Academy of Sciences, Tomsk, Russia.
Jelena CelutkienéCentre of Cardiology and Angiology, Clinic of Cardiac and Vascular Diseases, Faculty of Medicine, Institute of Clinical Medicine, Vilnius University, State Research Institute Center for Innovative Medicine, Vilnius, Lithuania, Israel.
Laura BalkevičienėCentre of Cardiology and Angiology, Clinic of Cardiac and Vascular Diseases, Faculty of Medicine, Institute of Clinical Medicine, Vilnius University, State Research Institute Center for Innovative Medicine, Vilnius, Lithuania, Israel.
Ariel SaadDivisión de Cardiología, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina.
Francesca BursiDepartment of Health Sciences, University of Milan, Cardiology Division, ASST Santi Paolo e Carlo, Italy.
Ana Djordjevic-DikicCardiology Clinic, University Clinical Center of Serbia, Medical School, University of Belgrade, Belgrade, Serbia.
Sergio KobalEchocardiography Division, Soroka University Medical Center, Beer Sheva, Israel.
Matteo LisiCardiology Unit, Ospedale per gli Infermi, Faenza, Italy.
Elisa MerliCardiology Unit, Ospedale per gli Infermi, Faenza, Italy.
Fiore ManganelliCardiology Division, Moscati Hospital, Avellino, Italy.
Clarissa Borguezan-DarosCardiology Division, San José Hospital, Criciuma, Brazil.
Hugo Rodriguez-ZanellaNational Institute of Cardiology Ignacio Chavez, Mexico City, Mexico.
Maria Grazia D'AlfonsoDepartment of Cardiology, Careggi University Hospital, Florence, Italy.
Fabio MoriDepartment of Cardiology, Careggi University Hospital, Florence, Italy.
Nicola GaibazziDepartment of Cardiology, University of Parma, Parma, Italy.
Jaroslaw D KasprzakI Department of Cardiology, Bieganski Hospital, Medical University of Lodz, Lodz, Poland.
Ayten SafarovaDepartment of Internal Medicine with a Course in Cardiology and Functional Diagnostics at the Medical Institute of the Peoples' Friendship University of Russia, Moscow, Russia.
Tatiana TimofeevaDepartment of Internal Medicine with a Course in Cardiology and Functional Diagnostics at the Medical Institute of the Peoples' Friendship University of Russia, Moscow, Russia.
Hugo MostoEchocardiography Laboratory Division, Ramos Mejia Hospital, Buenos Aires, Argentina.
Karina Wierzbowska-DrabikDepartment of Internal Diseases and Clinical Pharmacology, Medical University, Lodz, Poland.
Nithima Chaowalit RatanasitDepartment of Medicine, Division of Cardiology, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Marco Fabio CostantinoCardiology Division, San Carlo Hospital, Potenza, Italy.
Paolo ColonnaDepartment of Cardiology, Policlinico University Hospital of Bari, Bari, Italy.
Tamara Kovačević PreradovićClinic of Cardiovascular Diseases, University of Banja Luka, University Clinical Centre of the Republic of Srpska, Banja Luka, Bosnia and Herzegovina.
Miodrag OstojicClinic of Cardiovascular Diseases, University of Banja Luka, University Clinical Centre of the Republic of Srpska, Banja Luka, Bosnia and Herzegovina.
Lauro CortigianiDepartment of Cardiology, San Luca Hospital, Lucca, Italy.
Albert VargaDepartment of Family Medicine, University of Szeged, Szeged.
Aleksandra NikolicDepartment of Noninvasive Cardiology, Institute for Cardiovascular Diseases, School of Medicine, Belgrade, Serbia.
Rosangela CocchiaDepartment of Cardiology, Cardarelli Hospital, Naples, Italy.
Attila PalinkasDepartment of Internal Medicine, Elisabeth Hospital, Hódmezővásárhely, Hungary.
Eszter Dalma PalinkasDepartment of Internal Medicine, Elisabeth Hospital, Hódmezővásárhely, Hungary.
Fausto RigoDivision of Cardiology, Villa Salus Foundation/IRCCS San Camillo Hospital, Venice, Italy.
Giovanni BenfariDepartment of Cardiology, University of Verona, Verona, Italy.
Filipa Xavier ValenteDepartment of Cardiology University Hospital Vall d'Hebron, Barcelona University. Barcelona, Spain.
Dimitrios SoulisKosmoiatriki Medical Center, Athens, Greece.
Yi WangDepartment of Cardiovascular Ultrasound and Non-Invasive Cardiology, Sichuan Provincial People's Hospital, Chengdu, China.
Lixue YinDepartment of Cardiovascular Ultrasound and Non-Invasive Cardiology, Sichuan Provincial People's Hospital, Chengdu, China.
Caroline M Van de HeyningDepartment of Cardiology, Antwerp University Hospital, Edegem, Belgium.
Alberto MazziDepartment of Cardiology, Oglio Po Hospital, Cremona, Italy.
Jorge LowensteinCardiodiagnosticos, Investigaciones Medicas, and Bioimagenes Medical Center, Buenos Aires, Argentina.
Diego M Lowenstein HaberCardiodiagnosticos, Investigaciones Medicas, and Bioimagenes Medical Center, Buenos Aires, Argentina.
Sofia MarconiCardiodiagnosticos, Investigaciones Medicas, and Bioimagenes Medical Center, Buenos Aires, Argentina.
Andrea BarbieriCNR, Institute of Clinical Physiology, Reggio Calabria, Italy.
Francesca MantovaniDepartment of Biomedical, Metabolic and Neural Sciences, Cardiology Division, University of Modena and Reggio Emilia, Policlinico di Modena, Modena, Italy.
Giovanni L TripepiCardiology Division, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Michele De NesCardiology Division, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Ylenia BartolacelliDepartment of Cardio Thoracic and Vascular Medicine, Paediatric Cardiology and Adult Congenital Heart Disease Program, S. Orsola-Malpighi Hospital, Bologna, Italy.
Bruno VillariDivision of Cardiology, Fatebenefratelli Hospital, Benevento, Italy.
Mauro PepiCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Scipione CarerjCardiology Division, University Hospital G. Martino, University of Messina, Messina, Italy.
Patricia A PellikkaDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the past decade, stress echocardiography has evolved from a test for assessing epicardial artery stenosis to a comprehensive functional test, targeting multiple cardiovascular parameters. The new approach includes several structured steps: (a) evaluating regional wall motion abnormalities to detect epicardial artery stenosis or vasospasm; (b) assessing pulmonary congestion and diastolic function via B-lines with lung ultrasound; (c) gauging preload and contractile reserve with volumetric echocardiography; (d) measuring coronary microvascular reserve using Doppler-based coronary flow velocity in the middistal left anterior descending artery; and (e) determining cardiac sympathetic reserve by tracking heart rate reserve on an ECG. This evolution was supported extensively by the Italian Society of Echocardiography and Cardiovascular Imaging (SIECVI), which played a key role in five areas: (1) developing the initial, curiosity-driven project; (2) disseminating protocols and results at national and international conferences, supporting logistic infrastructure and publication expenses; (3) establishing a digital platform (customized Redcap) for data entry and storage; (4) facilitating patient recruitment across 19 Italian centers; and (5) offering formal endorsement through six presidencies, adding credibility and reach beyond any single institution. The protocol quickly advanced from concept to high-impact publications, earning inclusion in 2024 specialty guidelines. Initially Italian-led, the study now includes 50 centers across 20 countries (e.g. USA and China). Beyond the 50 peer-reviewed papers published in 2016-2024, this study offers a novel, sustainable approach to cardiac stress testing, providing more information at lower costs, with zero radiation and minimal environmental impact. SIECVI's endorsement was instrumental in amplifying the study's rigor and outreach.

Indexed as

Chronotropic reservecoronary flow reserveechocardiographylung waterstress echocardiographystress testing

Identifiers

PMID40463758
PMCPMC12129264

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.