Evidence map›Paper›PMID 31313530›Full record

ReviewPediatric pulmonology2019

Treatment of pediatric pulmonary arterial hypertension: A focus on the NO-sGC-cGMP pathway.

Maurice Beghetti, Matthias Gorenflo, D Dunbar Ivy, Shahin Moledina, Damien Bonnet

Open access · hybridAbstract readReview
In one paragraph

Review in Pediatric pulmonology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
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

15 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
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  11. Treatment of pulmonary arterial hypertension in children.Cardiovascular diagnosis and therapy · 2021
    Review
  12. Article
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  14. Article
  15. Review
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

5 authors at 4 institutions in 4 countries.

Maurice BeghettiPediatric Cardiology Unit and Centre Universitaire de Cardiologie et Chirurgie Cardiaque Pédiatrique, Children's University Hospital, Geneva, Switzerland.ORCID 0000-0002-1841-0927
Matthias GorenfloDepartment of Pediatrics II, Pediatric Cardiology and Congenital Heart Defects, Center for Pediatrics, University Hospital Heidelberg, Germany.ORCID 0000-0002-3326-5959
D Dunbar IvyChildren's Hospital Colorado, Heart Institute, University of Colorado School of Medicine, Denver, Colorado.ORCID 0000-0003-2541-3402
Shahin MoledinaCardiology Department, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.ORCID 0000-0003-0262-2340
Damien BonnetM3C-Paediatric Cardiology, Necker Enfants Malades, AP-HP, Université Paris Descartes, Paris, France.ORCID 0000-0002-8722-5805
Children's Hospital Colorado · USGreat Ormond Street Hospital for Children NHS Foundation Trust · GBHeidelberg University · DEHôpital Necker-Enfants Malades · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWhile pulmonary arterial hypertension (PAH) is rare in infants and children, it results in substantial morbidity and mortality. In recent years, prognosis has improved, coinciding with the introduction of new PAH-targeted therapies, although much of their use in children is off-label. Evidence to guide the treatment of children with PAH is less extensive than for adults. The goal of this review is to discuss the treatment recommendations for children with PAH, as well as the evidence supporting the use of prostanoids, endothelin receptor antagonists (ERAs), and phosphodiesterase type 5 inhibitors (PDE5i) in this setting. DATA SOURCES: Nonsystematic PubMed literature search and authors' expertise. STUDY SELECTION: Articles were selected concentrating on the nitric oxide (NO)-soluble guanylate cyclase (sGC)-cyclic guanosine monophosphate (cGMP) pathway in PAH. The methodology of an ongoing study evaluating the sGC stimulator riociguat in children with PAH is also described.

resultsDespite recent medical advances, improved therapeutic strategies for pediatric PAH are needed. The efficacy and tolerability of riociguat in adults with PAH have been well trialed.

conclusionThe pooling of data across trials, supplemented by registry data, will help to confirm the safety and tolerability of prostanoids, ERAs, and PDE5i in children. Ongoing studies will clarify the place of sGC stimulators in the treatment strategy for pediatric PAH.

Indexed as

Pulmonary Arterial HypertensionAnimalsChildCyclic GMPHumansNitric OxideSoluble Guanylyl CyclaseCyclic GMPNitric OxideSoluble Guanylyl CyclasePAHpediatricsriociguatsGC stimulators

Identifiers

PMID31313530
PMCPMC6771736
OpenAlexW2959241678

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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 Socratic graph.