Evidence map›Paper›PMID 16916904›Full record

Trial reportThe Journal of physiology2006

Modulation of the control of muscle sympathetic nerve activity during severe orthostatic stress.

Masashi Ichinose, Mitsuru Saito, Naoto Fujii, Narihiko Kondo, Takeshi Nishiyasu

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in The Journal of physiology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

28 citing papers in PubMed, 52 citations in OpenAlex.

  1. Effects of oral contraceptives on sympathetic nerve activity during orthostatic stress in young, healthy women.American journal of physiology. Regulatory, integrative and comparative physiology · 2010
    Trial
  2. Trial
  3. Progressive baroreflex dysfunction and hypotension preceding VVS: a vicious cycle?Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
    Article
  4. Review
  5. Article
  6. Review
  7. Baroreflex responses to limb venous distension in humans.American journal of physiology. Regulatory, integrative and comparative physiology · 2022
    Article
  8. Acute effects of sublingual nitroglycerin on cardiovagal and sympathetic baroreflex sensitivity.American journal of physiology. Regulatory, integrative and comparative physiology · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Increasing blood flow to exercising muscle attenuates systemic cardiovascular responses during dynamic exercise in humans.American journal of physiology. Regulatory, integrative and comparative physiology · 2015
    Article
  15. Article
  16. Review
  17. Validation of lower body negative pressure as an experimental model of hemorrhage.Journal of applied physiology (Bethesda, Md. : 1985) · 2014
    Article
  18. Review
  19. Article
  20. 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

5 authors at 3 institutions in 1 country.

Masashi IchinoseInstitute of Health and Sport Sciences, University of Tsukuba, Tsukuba City, Ibaraki, 305-8574, Japan.
Mitsuru Saito
Naoto Fujii
Narihiko Kondo
Takeshi Nishiyasu
University of Tsukuba · JPKobe University · JPToyota Technological Institute · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We tested the hypothesis that arterial baroreflex (ABR)-mediated beat-to-beat control over muscle sympathetic nerve activity (MSNA) is progressively modulated as orthostatic stress increases in humans, but that this control becomes impaired just before the onset of orthostatic syncope. In 17 healthy subjects, the ABR control over MSNA (burst incidence, burst strength and total MSNA) was evaluated by analysing the relationship between beat-to-beat spontaneous variations in diastolic blood pressure (DAP) and MSNA during supine rest (control) and during progressive, stepwise increases in lower body negative pressure (LBNP) that were incremented by -10 mmHg every 5 min until presyncope (nine subjects) or -60 mmHg was reached. (1) The linear relationships between DAP and burst strength and between DAP and total MSNA were shifted progressively upward as LBNP increased until the level at which syncope occurred. The relationship between DAP and burst incidence, however, gradually shifted upward from control only to LBNP = -30 mmHg; there was no further upward shift at higher LBNPs. (2) Although the slope of the relationship between DAP and burst strength and between DAP and total MSNA remained constant at all LBNPs tested, except at the level where syncope occurred, the slope of the relationship between DAP and burst incidence was reduced at LBNPs of -40 mmHg and higher (versus control). (3) In syncopal subjects, the slopes of the relationships between DAP and burst incidence, burst strength, and total MSNA were all substantially reduced during the 1-2 min period prior to the onset of syncope. Taken together, these results suggest baroreflex control over MSNA is progressively modulated as orthostatic stress increases, so that its sensitivity is substantially reduced during the period immediately preceding the severe hypotension associated with orthostatic syncope.

Indexed as

AdultBaroreflexBlood PressureDizzinessFemaleHumansHypotension, OrthostaticLower Body Negative PressureMaleMuscle, SkeletalRespiratory BurstStress, PhysiologicalSympathetic Nervous SystemSyncope

Identifiers

PMID16916904
PMCPMC1890418
OpenAlexW2155346600

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.