Evidence map›Paper›PMID 40728171›Full record

ArticleJournal of the American Heart Association2025

Prevalence, Mechanisms, and Prognostic Impact of Effort Intolerance in Patients With Asymptomatic/Minimally Symptomatic Aortic Stenosis.

Ayano Hamada, Hiroto Utsunomiya, Kiyotaka Tohgi, Makoto Takeuchi, Yohei Hyodo, Atsuo Mogami, Akane Tsuchiya, Kosuke Takahari, Yusuke Ueda, Yukiko Nakano

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 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

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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. 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

10 authors.

Ayano HamadaDepartment of Cardiovascular Medicine Hiroshima University Graduate School of Biomedical and Health Sciences Hiroshima Japan.
Hiroto UtsunomiyaDepartment of Cardiovascular Medicine Hiroshima University Graduate School of Biomedical and Health Sciences Hiroshima Japan.ORCID 0000-0002-6587-9584
Kiyotaka TohgiDepartment of Cardiovascular Medicine Hiroshima University Graduate School of Biomedical and Health Sciences Hiroshima Japan.ORCID 0009-0003-1139-1975
Makoto TakeuchiDepartment of Cardiovascular Medicine Hiroshima University Graduate School of Biomedical and Health Sciences Hiroshima Japan.ORCID 0000-0003-0544-712X
Yohei HyodoDepartment of Cardiovascular Medicine Hiroshima University Graduate School of Biomedical and Health Sciences Hiroshima Japan.ORCID 0009-0000-4253-2548
Atsuo MogamiDepartment of Cardiovascular Medicine Hiroshima University Graduate School of Biomedical and Health Sciences Hiroshima Japan.
Akane TsuchiyaDepartment of Cardiovascular Medicine Hiroshima University Graduate School of Biomedical and Health Sciences Hiroshima Japan.ORCID 0000-0001-8995-4721
Kosuke TakahariDepartment of Cardiovascular Medicine Hiroshima University Graduate School of Biomedical and Health Sciences Hiroshima Japan.ORCID 0000-0002-7887-7940
Yusuke UedaDepartment of Cardiovascular Medicine Hiroshima University Graduate School of Biomedical and Health Sciences Hiroshima Japan.
Yukiko NakanoDepartment of Cardiovascular Medicine Hiroshima University Graduate School of Biomedical and Health Sciences Hiroshima Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to investigate the prevalence and prognostic impact of effort intolerance in patients with asymptomatic/minimally symptomatic aortic stenosis and to study its determinants. METHODS AND

resultsOne hundred four patients with at least moderate asymptomatic/minimally symptomatic aortic stenosis (median age 79 years, 57% male) underwent 2-dimensional speckle tracking echocardiography and exercise-stress echocardiography with cardiopulmonary exercise test. Results indicated that 73% of patients have effort intolerance defined as %predicted peak V

conclusionsBoth aortic stenosis severity and extra-aortic cardiac injuries lead to effort intolerance. Strain Index and exercise indices such as tricuspid annular plane systolic excursion versus systolic pulmonary artery pressure and mean pulmonary artery pressure versus cardiac output slopes may be valuable for risk stratification in minimally symptomatic/asymptomatic aortic stenosis.

Indexed as

Aortic Valve StenosisExercise ToleranceAgedAged, 80 and overAsymptomatic DiseasesEchocardiography, StressExercise TestFemaleHumansMalePrevalencePrognosisSeverity of Illness IndexVentricular Function, Leftaortic stenosiscardiac damageeffort intoleranceexercise‐stress echocardiographystrain

Identifiers

PMID40728171
PMCPMC12449943

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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.