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1963 · HUGENHOLTZ — The clinical usefulness of hydrogen gas as an indicator of left-to-right shunts.

Original title: THE CLINICAL USEFULNESS OF HYDROGEN GAS AS AN INDICATOR OF LEFT-TO-RIGHT SHUNTS.

Super-Abstract

This study systematically evaluated the clinical utility of hydrogen gas inhalation as an indicator method for detecting left-to-right intracardiac shunts, comparing it with established diagnostic approaches of the era. The authors assessed sensitivity, reliability, and practical applicability of the technique across a clinical patient series. (Circulation, 1963.)

Classified as a Pilot / Observational study using . See Methodology for how we grade evidence.

Commentary

Published in Circulation — a leading cardiology journal — this study represents a rigorous clinical evaluation of the hydrogen indicator method for cardiac shunt detection at a time when cardiac catheterisation was becoming the standard of care. The technique exploited H₂'s rapid diffusion across the alveolar membrane and its electrochemical detectability at platinum electrodes. A left-to-right shunt (blood flowing from the systemic to pulmonary circulation through an abnormal opening) causes oxygenated, H₂-rich blood to appear prematurely in the right heart, which the electrode detects. This is an entirely diagnostic study; H₂ is the tool, not the treatment. No abstract text was available for this article.

Key quotes

  1. „THE CLINICAL USEFULNESS OF HYDROGEN GAS AS AN INDICATOR OF LEFT-TO-RIGHT SHUNTS.“ — title-level summary — no abstract available; systematic clinical evaluation of H₂ as cardiac indicator in Circulation, 1963

Our assessment

This study has no relevance to H₂ therapy. It is a systematic clinical evaluation of hydrogen gas as a diagnostic indicator for intracardiac shunts, published in a major cardiology journal. H₂ serves as an inert haemodynamic tracer. No abstract was available; assessment based on title, journal (Circulation), DOI, and the well-documented history of the hydrogen indicator technique. Off-topic for a therapeutic H₂ database.

Study design

Source & links

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Screenshot — PubMed 14068764

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