Evidence map›Paper›PMID 40878996›Full record

SynthesisJournal of the American Heart Association2025

Cardiopulmonary Exercise Testing for Characterization of Hypertrophic Cardiomyopathy: A Meta-Analysis.

Isabela Landsteiner, Ahmad Masri, Sara Saberi, Martin S Maron, Shaina Lyn McGinnis, Catharine Griskowitz, Chloe Elizabeth Newlands, Roberto Barriales-Villa, Anjali T Owens, Gregory D Lewis

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Isabela LandsteinerMassachusetts General Hospital Boston MA USA.
Ahmad MasriKnight Cardiovascular Institute Oregon Health Sciences University Medical Center Portland OR USA.ORCID 0000-0002-6390-6526
Sara SaberiDepartment of Internal Medicine, Division of Cardiovascular Medicine University of Michigan Ann Arbor MI USA.ORCID 0000-0003-4473-6725
Martin S MaronHypertrophic Cardiomyopathy Center at Lahey Medical Center Burlington MA USA.ORCID 0000-0002-9923-3853
Shaina Lyn McGinnisMassachusetts General Hospital Boston MA USA.
Catharine GriskowitzMassachusetts General Hospital Boston MA USA.ORCID 0009-0002-9860-2087
Chloe Elizabeth NewlandsMassachusetts General Hospital Boston MA USA.
Roberto Barriales-VillaComplexo Hospitalario Universitario A Coruña, INIBIC, CIBER-CV A Coruña Spain.ORCID 0000-0002-6721-3487
Anjali T OwensUniversity of Pennsylvania Perelman School of Medicine Philadelphia PA USA.ORCID 0000-0002-9669-8495
Gregory D LewisMassachusetts General Hospital Boston MA USA.ORCID 0000-0001-8108-8240

Funding

Characterization of Molecular and Physiologic Signatures of Impaired Multi-Organ System Reserve Capacity During Exercise in Heart Failure with Preserved Ejection FractionR01HL151841 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI LEWIS, GREGORY DYER, SHAH, RAVI · 2020 to 2023
$2.7M
NHLBI NIH HHS R01 HL151841
6 · The paper itself

Abstract

backgroundHypertrophic cardiomyopathy (HCM) is associated with substantial risk of adverse cardiac events. Consequently, detailed physiologic assessment and accurate risk stratification in HCM are of high clinical importance. This systematic review and meta-analysis synthesizes current evidence on the utility of cardiopulmonary exercise testing (CPET) for characterization and prognostication of HCM.

methodsPubMed, Embase, Scopus, and Web of Science were systematically searched for eligible studies from database inception to November 2023. The primary outcome of mortality was assessed using meta-analyzed hazard ratios (HRs) and 95% confidence intervals (CIs) from Cox proportional hazard models.

resultsSixty full-length articles focusing on CPETs performed in patients with HCM were included, comprising 12 914 patients. Despite male predominance (66%) and a mean age of 48 years, peak oxygen uptake (pVO

conclusionsCPET is a valuable objective method for multidimensional physiologic assessment and prognostication in HCM. With further standardization, CPET is well suited for more widespread clinical utilization in patients with HCM.

Indexed as

Cardiomyopathy, HypertrophicExercise TestExercise ToleranceHumansMaleOxygen ConsumptionPrognosisRisk Assessmentcardiopulmonary exercise testingexercise testinghypertrophic cardiomyopathyprognosis

Identifiers

PMID40878996
PMCPMC12553425

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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.