Open Access

Efficacy of Sildenafil on healthy humans in high‑altitude hypoxia at rest and during exercise: A meta‑analysis

  • Authors:
    • Zhan-Cui Dang
    • Zhiquan Yang
    • Shou Liu
    • Guo-Mei Du
    • Linde Jin
    • Zhong-Zhi Zhao
  • View Affiliations

  • Published online on: January 8, 2024     https://doi.org/10.3892/etm.2024.12376
  • Article Number: 88
  • Copyright: © Dang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The current meta‑analysis aimed to fully evaluate the efficacy of Sildenafil in healthy humans at different altitudes, focusing on echocardiographic and hemodynamic parameters. Relevant studies were retrieved from the Cochrane, Embase and PubMed databases. Odds ratios (OR) were determined for dichotomous data and weighted mean differences with 95% confidence intervals (CIs) for continuous data. A total of 16 RCTs were included in the current meta‑analysis. Short‑term treatment with Sildenafil significantly elevated resting heart rate (P<0.01) at altitudes <4,000 meters. No significant differences in heart rate were observed between the Sildenafil and placebo groups at rest and during exercise at an altitude of >4,000 meters (P>0.05). Sildenafil improved resting cardiac output at an altitude of >5,000 meters (P<0.01) and exercising arterial oxygen saturation at <4,000 meters (P<0.01). Sildenafil reduced resting pulmonary artery systolic pressure (PASP) at altitudes >4,000 meters (P<0.01) and exercising PASP at altitudes >5,000 meters (P<0.01). Therefore, Sildenafil efficacy in healthy humans with high‑altitude hypoxia is related to altitude and rest or exercise.
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February-2024
Volume 27 Issue 2

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Dang Z, Yang Z, Liu S, Du G, Jin L and Zhao Z: Efficacy of Sildenafil on healthy humans in high‑altitude hypoxia at rest and during exercise: A meta‑analysis. Exp Ther Med 27: 88, 2024
APA
Dang, Z., Yang, Z., Liu, S., Du, G., Jin, L., & Zhao, Z. (2024). Efficacy of Sildenafil on healthy humans in high‑altitude hypoxia at rest and during exercise: A meta‑analysis. Experimental and Therapeutic Medicine, 27, 88. https://doi.org/10.3892/etm.2024.12376
MLA
Dang, Z., Yang, Z., Liu, S., Du, G., Jin, L., Zhao, Z."Efficacy of Sildenafil on healthy humans in high‑altitude hypoxia at rest and during exercise: A meta‑analysis". Experimental and Therapeutic Medicine 27.2 (2024): 88.
Chicago
Dang, Z., Yang, Z., Liu, S., Du, G., Jin, L., Zhao, Z."Efficacy of Sildenafil on healthy humans in high‑altitude hypoxia at rest and during exercise: A meta‑analysis". Experimental and Therapeutic Medicine 27, no. 2 (2024): 88. https://doi.org/10.3892/etm.2024.12376