Evidence map›Paper›PMID 40182403›Full record

ArticleCJC open2025

Exercise Echocardiography of Left Ventricular Diastolic Function in Healthy Subjects: Insights From the RIGHT-NET.

Francesco Ferrara, Andreina Carbone, Luna Gargani, Rossana Castaldo, Paola Argiento, Gergely Agoston, Rodolfo Citro, Anna D'Agostino, Antonello D'Andrea, Michele D'Alto and 18 more

Abstract read
In one paragraph

Article in CJC open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Normal limits for the right ventricle-pulmonary circulation exercise echocardiography: a meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. 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

28 authors.

Francesco FerraraCardio-Thoracic-Vascular Department, University Hospital "San Giovanni Di Dio E Ruggi D'Aragona," Salerno, Italy.
Andreina CarboneCardiology Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Luna GarganiDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
Rossana CastaldoIRCCS Synlab SDN, Naples, Italy.
Paola ArgientoDepartment of Cardiology, Monaldi Hospital-Naples, Italy.
Gergely AgostonInstitute of Family Medicine, University of Szeged, Szeged, Hungary.
Rodolfo CitroCardio-Thoracic-Vascular Department, University Hospital "San Giovanni Di Dio E Ruggi D'Aragona," Salerno, Italy.
Anna D'AgostinoIRCCS Synlab SDN, Naples, Italy.
Antonello D'AndreaDepartment of Cardiology, Umberto I Hospital Nocera Inferiore, Nocera Inferiore, Italy.
Michele D'AltoDepartment of Cardiology, Monaldi Hospital-Naples, Italy.
Monica FranzeseIRCCS Synlab SDN, Naples, Italy.
Stefano GhioDivision of Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Ekkehard GrünigCenter of Pulmonary Hypertension, Thoraxklinik Heidelberg at Heidelberg University Hospital, Heidelberg, Germany.
Marco GuazziUniversity of Milano School of Medicine, Department of Biological Sciences, Milano, Italy.
Jarosław D KasprzakDepartment of Cardiology, Bieganski Hospital, Medical University of Lodz, Lodz, Poland.
Graziella LacavaAnesthesia and Intensive Care, University Hospital "San Giovanni di Dio e Ruggi d'Aragona," Salerno, Italy.
Giuseppe LimongelliInherited and Heart Disease Unit, Monaldi Hospital, A.O. Colli (University of Campania 'Luigi Vanvitelli'), Naples, Italy.
Alberto MarraDepartment of Translational Medical Sciences, University of Naples "Federico II," Naples, Italy.
Matteo MazzolaDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
Emanuela PassaroIRCCS Synlab SDN, Naples, Italy.
Nicola Riccardo PuglieseDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Salvatore RegaDepartment of Public Health, University of Naples Federico II, Naples, Italy.
Valeria ViscoDepartment of Medicine, Surgery and Dentistry "Scuola Medica Salernitana," University of Salerno, Baronissi, Italy.
Olga VrizPresidio Ospedaliero di San Daniele e Tolmezzo, Gemona Del Friuli, Italy.
Karina Wierzbowska-DrabikDepartment of Internal Diseases and Clinical Pharmacology, Bieganski Hospital, Medical University of Lodz, Lodz, Poland.
Antonio CittadiniDepartment of Translational Medical Sciences, University of Naples "Federico II," Naples, Italy.
Eduardo BossoneDepartment of Public Health, University of Naples Federico II, Naples, Italy.
Robert NaeijeFree University of Brussels, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Exercise transthoracic Doppler echocardiography (TTE) is considered suggestive of left ventricular (LV) diastolic dysfunction when the ratio of mitral Doppler E to tissue Doppler e' waves is >15 with or without a peak tricuspid regurgitation velocity (TRV) >3.4 m/s. However, these measurements may be affected by exercise intensity. The aim of the study was to define the normal limits of LV diastolic function indices during exercise TTE. Methods: One hundred ninety-two healthy adults (47% females, aged 16-76 years) underwent resting and exercise TTE on a semirecumbent cycle ergometer. LV diastolic measurements were acquired at baseline and midlevel exercise (heart rate ≤110 bpm) fusion of E and A waves. TRV was acquired at rest and at peak exercise. The E/e' ratio was calculated with e' as the average of septal and lateral measurements. Results: At midlevel exercise, E/e' increased modestly from 6.3 ± 1.9 to 7.3 ± 2.3 ( Conclusions: In healthy adult subjects, E/e' slightly increased during midlevel exercise. Both E/e' and TRV are exercise intensity-dependent and would therefore be better expressed as a function of CO for the diagnosis of normal vs abnormal LV diastolic response to exercise.

Identifiers

PMID40182403
PMCPMC11963162

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.