Evidence map›Paper›PMID 41293716›Full record

ArticleFrontiers in medicine2025

Abnormal breathing patterns and hyperventilation are common in patients with chronic fatigue syndrome during exercise.

Donna M Mancini, Danielle L Brunjes, Dane Cook, Tiffany Soto, Michelle Blate, Patrick Quan, Tadahiro Yamazaki, Anna Norweg, Benjamin H Natelson

Abstract read
In one paragraph

Article in Frontiers in medicine, 2025. 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

9 authors.

Donna M ManciniDepartment of Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Danielle L BrunjesDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Dane CookDepartment of Kinesiology, University of Wisconsin, Madison, WI, United States.
Tiffany SotoDepartment of Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Michelle BlateDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Patrick QuanDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Tadahiro YamazakiDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Anna NorwegDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Benjamin H NatelsonDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.

Funding

A Cardiovascular Analysis of Post-exertional Malaise.R01NS117638 · NINDS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MANCINI, DONNA M, NATELSON, BENJAMIN · 2021 to 2024
$2.6M
CSRD VA IK6 CX002369NINDS NIH HHS R01 NS117638
6 · The paper itself

Abstract

Introduction: Patients with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) experience symptoms of fatigue, dyspnea, mental fog, and worsening fatigue after physical or mental efforts. Some of these patients have been found to hyperventilate. In long COVID patients, many of whom also have ME/CFS, dysfunctional breathing (DB) has been described. Whether patients with ME/CFS, independent of COVID-19, experience dysfunctional breathing is unknown, as well as how it may relate to hyperventilation. Methods: We performed serial 2-day cardiopulmonary exercise testing (CPET) in 57 patients with ME/CFS and 25 age- and activity-matched control participants. Peak oxygen consumption (VO Results: The patients with ME/CFS had an average age of 38.6 ± 9.6 years, and a mean body mass index (BMI) of 24.1 ± 3.4, which was comparable to the sedentary controls. All participants performed maximal exercise, achieving a respiratory exchange ratio (RER) of >1.05. For the patients with ME/CFS, peak VO Conclusion: Dysfunctional breathing and hyperventilation are common in patients with ME/CFS and could present a new therapeutic target for these patients.

Indexed as

cardiopulmonary exercise testchronic fatigue syndromedysfunctional breathing disorderexercisehyperventilation

Identifiers

PMID41293716
PMCPMC12640868

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.