Evidence map›Paper›PMID 36583117›Full record

ArticlePulmonary circulation2022

Comparison of intravenous sildenafil with inhaled nitric oxide for acute vasodilator testing in pulmonary arterial hypertension.

Shine Kumar, Danish Memon, Manu Raj, Amitabh C Sen, Jessin P Jayasankar, Sreelakshmi P Leeladharan, Abish Sudhakar, Raman K Kumar

Open access · goldAbstract read
In one paragraph

Article in Pulmonary circulation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Common shunt lesions with pulmonary hypertension-who will benefit from surgery?Indian journal of thoracic and cardiovascular surgery · 2025
    Review
  3. Article
  4. Article
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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

8 authors at 2 institutions in 2 countries.

Shine KumarDepartment of Pediatric Cardiology, Pulmonary Hypertension Clinic, Amrita Institute of Medical Sciences Amrita Vishwa Vidyapeetham University Kochi Kerala India.ORCID 0000-0002-1050-9025
Danish MemonDepartment of Pediatric Cardiology, Pulmonary Hypertension Clinic, Amrita Institute of Medical Sciences Amrita Vishwa Vidyapeetham University Kochi Kerala India.
Manu RajDepartment of Pediatrics and Health Sciences Research, Amrita Institute of Medical Sciences Amrita Vishwa Vidyapeetham University Kochi Kerala India.
Amitabh C SenDepartment of Cardiac Anesthesiology Sultan Qaboos University Hospital Muscat Oman.
Jessin P JayasankarDepartment of Cardiac Anesthesiology, Amrita Institute of Medical Sciences Amrita Vishwa Vidyapeetham University Kochi Kerala India.
Sreelakshmi P LeeladharanDepartment of Cardiac Anesthesiology, Amrita Institute of Medical Sciences Amrita Vishwa Vidyapeetham University Kochi Kerala India.
Abish SudhakarDepartment of Pediatric Cardiology, Pulmonary Hypertension Clinic, Amrita Institute of Medical Sciences Amrita Vishwa Vidyapeetham University Kochi Kerala India.
Raman K KumarDepartment of Pediatric Cardiology, Pulmonary Hypertension Clinic, Amrita Institute of Medical Sciences Amrita Vishwa Vidyapeetham University Kochi Kerala India.
Amrita Institute of Medical Sciences and Research Centre · INSultan Qaboos University Hospital · OM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute vasodilator testing (AVT) identifies acute responders for initiation of calcium channel blockers in pulmonary arterial hypertension (PAH) and operability in congenital heart disease (CHD). We sought to determine the feasibility of intravenous sildenafil (ivS) as an alternative to inhaled nitric oxide (iNO) in AVT. All patients with PAH undergoing cardiac catheterization for AVT (November 2015 to December 2020) were prospectively enrolled. Hemodynamic data were obtained at baseline, with iNO 20 ppm and ivS (0.25 mg/kg for children and 10 mg for adults). We studied 44 patients with a mean age of 20.5 ± 14.4 years (27 [61%] females and 20 [45%] children). There were 17 (38.6%) patients in the CHD group for operability assessment and 27 patients in non-CHD group (idiopathic pulmonary arterial hypertension-16 [36.3%], residual PAH after shunt closure-7 [15.9%], and 2 cases [4.5%] each of familial PAH and portopulmonary hypertension). There was an excellent intraclass correlation for mean pulmonary artery pressures (0.903, 95% confidence interval, CI: 0.809-0.949,

Indexed as

acute vasodilator testcardiac catheterizationnitric oxidepulmonary hypertensionsildenafil

Identifiers

PMID36583117
PMCPMC9791914
OpenAlexW4311900399

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.