Evidence map›Paper›PMID 42548945›Full record

ArticleCase reports in cardiology2026

Exercise Stress Echocardiography-Guided Balloon Pulmonary Valvuloplasty for Pulmonary Valve Stenosis With a Moderate Pressure Gradient and Exercise Intolerance: A Case Report.

Soichi Komaki, Yoshihiko Kodama, Kohei Kurogi, Kinuko Yamamoto, Takeshi Ideguchi, Yunosuke Matsuura, Hiroshi Moritake, Koichi Kaikita

Abstract read
In one paragraph

Article in Case reports in cardiology, 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. 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

8 authors.

Soichi KomakiDivision of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan, miyazaki-u.ac.jp.ORCID https://orcid.org/0000-0003-4946-2313
Yoshihiko KodamaDivision of Pediatrics, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan, miyazaki-u.ac.jp.
Kohei KurogiDivision of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan, miyazaki-u.ac.jp.ORCID https://orcid.org/0009-0008-6615-8616
Kinuko YamamotoDivision of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan, miyazaki-u.ac.jp.
Takeshi IdeguchiDivision of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan, miyazaki-u.ac.jp.
Yunosuke MatsuuraDivision of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan, miyazaki-u.ac.jp.ORCID https://orcid.org/0000-0003-2927-7284
Hiroshi MoritakeDivision of Pediatrics, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan, miyazaki-u.ac.jp.ORCID https://orcid.org/0000-0001-5471-7646
Koichi KaikitaDivision of Cardiovascular Medicine and Nephrology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan, miyazaki-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current guidelines recommend balloon pulmonary valvuloplasty (BPV) for symptomatic adults with moderate or severe pulmonary valve stenosis (PVS) when the valve anatomy is suitable. However, when the resting gradient is near the lower boundary of the moderate range, establishing whether exercise intolerance is attributable to PVS can be challenging. We describe the case of a 52-year-old woman with longstanding PVS who developed progressive exercise intolerance. Resting echocardiography revealed a peak gradient of 38 mmHg, which remained stable during follow-up. Exercise stress echocardiography (ESE) demonstrated a blunted stroke volume response, whereas cardiopulmonary exercise testing (CPET) showed reduced peak VO

Indexed as

balloon pulmonary valvuloplastycardiopulmonary exercise testingexercise stress echocardiographypulmonary valve stenosis

Identifiers

PMID42548945
PMCPMC13430284

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.