Evidence map›Paper›PMID 33224405›Full record

ReviewCurrent cardiovascular risk reports2021

Management of Pulmonary Arterial Hypertension.

Jennalyn D Mayeux, Irene Z Pan, John Dechand, Joshua A Jacobs, Tara L Jones, Stephen H McKellar, Emily Beck, Nathan D Hatton, John J Ryan

Open access · bronzeAbstract readReview
In one paragraph

Review in Current cardiovascular risk reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
5.4field-weighted citation impact, top 3% 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

38 citing papers in PubMed, 67 citations in OpenAlex.

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  17. Adrenoceptors and Hypertension.Handbook of experimental pharmacology · 2024
    Review
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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 at 1 institution in 1 country.

Jennalyn D Mayeux *Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Utah, Salt Lake City, UT 84132 USA.
Irene Z Pan *Department of Pharmacy, University of Utah Health, Salt Lake City, UT 84132 USA.
John DechandDepartment of Pharmacy, University of Utah Health, Salt Lake City, UT 84132 USA.
Joshua A JacobsDepartment of Pharmacy, University of Utah Health, Salt Lake City, UT 84132 USA.
Tara L JonesDivision of Cardiovascular Medicine, Department of Medicine, University of Utah, 30 North 1900 East, Room 4A100, Salt Lake City, UT 84132 USA.
Stephen H McKellarDivision of Cardiothoracic Surgery, Department of Surgery, University of Utah, Salt Lake City, UT 84132 USA.
Emily BeckDivision of Pulmonary and Critical Care Medicine, Department of Medicine, University of Utah, Salt Lake City, UT 84132 USA.
Nathan D HattonDivision of Pulmonary and Critical Care Medicine, Department of Medicine, University of Utah, Salt Lake City, UT 84132 USA.
John J RyanDivision of Cardiovascular Medicine, Department of Medicine, University of Utah, 30 North 1900 East, Room 4A100, Salt Lake City, UT 84132 USA.
University of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThis review focuses on the therapeutic management and individualized approach to Group 1 pulmonary arterial hypertension (PAH), utilizing Food and Drug Administration-approved PAH-specific therapies and various interventional and surgical options for PAH. RECENT

findingsThe paradigm for the optimal management of PAH has shifted in recent years. Upfront combination therapy with an endothelin receptor antagonist and a phosphodiesterase 5 inhibitor is now widely accepted as standard of care. In addition, there is increasing emphasis on starting prostanoids early in order to delay time to clinical worsening. However, less is known regarding which prostanoid agent to initiate and the optimum time to do so. In order to facilitate shared decision-making, there is an increasing need for decision tools based on guidelines and collective clinical experiences to navigate between pharmacologic and interventional treatments, as well as explore innovative, therapeutic pathways for PAH. SUMMARY: The management of PAH has become increasingly complex. With a growing number of PAH-specific therapies, intimate knowledge of the therapeutics and the potential barriers to adherence are integral to providing optimal care for this high-risk patient population. While current PAH-specific therapies largely mediate their effects through pulmonary vasodilation, ongoing research efforts are focused on ways to disrupt the mechanisms leading to pulmonary vascular remodeling. By targeting aberrations identified in the metabolism and proliferative state of pulmonary vascular cells, novel PAH treatment pathways may be just on the horizon.

Indexed as

PharmacologyProstacyclinProstaglandinPulmonary hypertensionRight heart failureTherapeutics

Identifiers

PMID33224405
PMCPMC7671829
OpenAlexW3098239808

What Socratic holds

Textmetadata
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.