Evidence map›Paper›PMID 40345832›Full record

ArticleKorean circulation journal2025

Pulmonary Vasodilator Therapy in Patients With Fontan Circulation: A Meta-Analysis.

Min-Jung Cho, Soo-Jin Kim, Miyoung Choi, Joo Sung Lee, Kyung Jin Oh, Hee Jung Choi, Gwang-Jun Choi, Jae Yoon Na, Jae Hee Seol, Jin Young Song

Abstract read
In one paragraph

Article in Korean circulation journal, 2025. 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

10 authors.

Min-Jung ChoDepartment of Pediatrics, Geoungsang National University Changwon Hospital, Changwon, Korea.ORCID https://orcid.org/0000-0002-6884-853X
Soo-Jin KimDepartment of Pediatrics, Bucheon Sejong Hospital, Bucheon, Korea. ksoojn@naver.com.ORCID https://orcid.org/0000-0001-9671-6019
Miyoung ChoiDivision of Healthcare Research, National Evidence-based Healthcare Collaborating Agency, Seoul, Korea.ORCID https://orcid.org/0000-0002-2424-9965
Joo Sung LeeDepartment of Pediatrics, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-1803-4682
Kyung Jin OhDepartment of Pediatrics, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0003-3995-9705
Hee Jung ChoiDepartment of Pediatrics, Keimyung University Dongsan Hospital, Daegu, Korea.ORCID https://orcid.org/0000-0002-7119-4194
Gwang-Jun ChoiDepartment of Pediatrics, Heart Vascular Stroke Institute, Samsung Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0001-5847-2965
Jae Yoon NaDepartment of Pediatrics, Hanyang University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-0465-7902
Jae Hee SeolDepartment of Pediatrics, Yonsei University Wonju College of Medicine, Wonju, Korea.ORCID https://orcid.org/0000-0001-8258-3497
Jin Young SongDepartment of Pediatrics, Heart Vascular Stroke Institute, Samsung Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0002-9660-5949

Funding

Seoul National University Hospital 23C-030-0100
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe effect of pulmonary vasodilator therapy on patients with Fontan circulation remains unclear. This study aims to assess its impact on exercise capacity and hemodynamic parameters in this population.

methodsWe searched PubMed, Embase, and the Cochrane Library for relevant studies up to November 2023. Pooled outcomes were used to evaluate the efficacy of pulmonary vasodilators in Fontan patients.

resultsA total of 18 studies with 667 patients were included. Exercise capacity was assessed in 14 studies (526 patients). Pulmonary vasodilator therapy improved oxygen consumption anaerobic threshold (VO₂AT; MD, 1.12 mL/min/kg; 95% CI, 0.35 to 1.89; p=0.004) and Ve/VCO₂ slope (MD, -1.14; 95% CI, -1.97 to -0.31; p=0.007) during exercise. No significant differences were found among drug classes regarding peak oxygen consumption, Ve/VCO₂, or VO₂AT. Invasive hemodynamics were evaluated in 6 studies (126 patients). Pulmonary vasodilators significantly reduced mean pulmonary arterial pressure (MD, -2.28 mmHg; p=0.02), pulmonary vascular resistance (MD, -0.91 WU*m²; p=0.01), and improved pulmonary flow (MD, 0.46 L/min/m²; p=0.02).

conclusionsPulmonary vasodilator therapy appears beneficial for exercise capacity and pulmonary hemodynamics in Fontan patients. More randomized controlled trials are needed to confirm these findings.

Indexed as

Endothelin receptor antagonistsEpoprostenolFontan procedureIloprostPhosphodiesterase 5 inhibitors

Identifiers

PMID40345832
PMCPMC12314064

What Socratic holds

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LicenceCC BY-NC
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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 Socratic graph.