Evidence map›Paper›PMID 42269051›Full record

SynthesisProceedings (Baylor University. Medical Center)2026

Efficacy and safety of exercise for hypertrophic cardiomyopathy: a systematic review and meta-analysis.

Ahmed Mazen Amin, Wafaa Shehada, Mohamed Elgebaly, Dina Ayman, Mahmoud Mahmoud Ibrahim, Basel Abdelazeem, Kevin Felpel

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Proceedings (Baylor University. Medical Center), 2026. 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. The cost of caution: rethinking exercise in hypertrophic cardiomyopathy.Proceedings (Baylor University. Medical Center) · 2026
    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

7 authors.

Ahmed Mazen AminFaculty of Medicine, Mansoura University, Mansoura, Egypt.ORCID 0009-0006-2687-3880
Wafaa ShehadaFaculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Mohamed ElgebalyFaculty of Medicine, Beni-Suef University, Beni-Suef, Egypt.ORCID 0000-0002-6936-6997
Dina AymanFaculty of Medicine, Beni-Suef University, Beni-Suef, Egypt.ORCID 0000-0003-2007-937X
Mahmoud Mahmoud IbrahimMcLaren Health Care, Flint, Michigan, USA.ORCID 0009-0001-4567-4303
Basel AbdelazeemDepartment of Cardiology, West Virginia University, Morgantown, West Virginia, USA.ORCID 0000-0002-2919-6196
Kevin FelpelDepartment of Cardiology, West Virginia University, Morgantown, West Virginia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with hypertrophic cardiomyopathy (HCM) are generally restricted from exercising. We aimed to investigate the effects of exercise on cardiorespiratory fitness, cardiac structure, cardiac function, and clinical safety for patients with HCM.

methodsWe performed a systematic review and meta-analysis by searching PubMed, Web of Science, Scopus, Embase, and CENTRAL up to April 2025. Dichotomous outcomes were pooled using risk ratios (RRs), while continuous outcomes were pooled using mean differences (MDs) or standardized mean differences (SMDs), all with 95% confidence intervals (CIs), using R version 4.3.1.

resultsWith the inclusion of seven studies-three randomized controlled trials and four observational studies-our cohort comprised 9702 patients. Compared to the control group, exercise was significantly associated with increased cardiorespiratory fitness (peak oxygen consumption [peak VO

conclusionThis study suggests that structured exercise interventions are safe and associated with improvements in cardiorespiratory fitness, left ventricular wall thickness, body mass index, and quality of life physical factor in patients with HCM, without increasing the risk of arrhythmias. Although a lower mortality rate was observed, this finding was mainly driven by observational studies and should therefore be interpreted with caution. Larger randomized controlled trials are needed to confirm these findings.

Indexed as

Cardiomyopathy, HypertrophicExerciseExercise TherapyCardiorespiratory FitnessHumansOxygen ConsumptionQuality of LifeCardiorespiratory fitnessexercisehypertrophic cardiomyopathyoxygen consumptionpatient safetyquality of life

Identifiers

PMID42269051
PMCPMC13271290

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.