Evidence map›Paper›PMID 18996985›Full record

ArticleAmerican journal of physiology. Heart and circulatory physiology2009

Multiresolution wavelet analysis of time-dependent physiological responses in syncopal youths.

Jennifer A Nowak, Anthony Ocon, Indu Taneja, Marvin S Medow, Julian M Stewart

Registry-linked trialAbstract read
In one paragraph

Article in American journal of physiology. Heart and circulatory physiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04976101 (A Pilot Study to Assess Sinusoidal Galvanic Vestibular Stimulation in Neurogenic Orthostatic Hypotension), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.0field-weighted citation impact, top 23% 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.

NCT04976101 nawithdrawnnot on this mapstarted 2023, after this paper: background citation

A Pilot Study to Assess Sinusoidal Galvanic Vestibular Stimulation in Neurogenic Orthostatic Hypotension

TypeinterventionalSponsorHackensack Meridian HealthRan2023 to 2025Enrolled0ConditionsNeurogenic Orthostatic HypotensionArmsSinosuidal Galvanic Vestibular Stimulation, Placebo
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
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  9. Article
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  12. Article
  13. The vasovagal response of the rat: its relation to the vestibulosympathetic reflex and to Mayer waves.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2013
    Article
  14. Mechanisms of sympathetic regulation in orthostatic intolerance.Journal of applied physiology (Bethesda, Md. : 1985) · 2012
    Review
  15. Article
  16. Article
  17. Increased phase synchronization and decreased cerebral autoregulation during fainting in the young.American journal of physiology. Heart and circulatory physiology · 2009
    Article
  18. 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 1 institution in 1 country.

Jennifer A NowakPediatrics, Physiology, and Medicine, The Center for Hypotension, New York Medical College, Hawthorne, New York 10532, USA.
Anthony Ocon
Indu Taneja
Marvin S Medow
Julian M Stewart
New York Medical College · US

Funding

Local Vasoconstriction in Postural Tachycardia SyndromeR01HL074873 · NHLBI · NEW YORK MEDICAL COLLEGE · PI STEWART, JULIAN M · 2004 to 2013
$3.4M
Vascular Dysfunction in CFSR01HL087803 · NHLBI · NEW YORK MEDICAL COLLEGE · PI STEWART, JULIAN M · 2008 to 2011
$1.6M
Hyperpnea in Orthostatic IntoleranceR21HL091948 · NHLBI · NEW YORK MEDICAL COLLEGE · PI STEWART, JULIAN M · 2008 to 2009
$437k
NHLBI NIH HHS 1R21HL091948NHLBI NIH HHS R01 HL074873NHLBI NIH HHS R01HL087803
6 · The paper itself

Abstract

Our prior studies indicated that postural fainting relates to thoracic hypovolemia. A supranormal increase in initial vascular resistance was sustained by increased peripheral resistance until late during head-up tilt (HUT), whereas splanchnic resistance, cardiac output, and blood pressure (BP) decreased throughout HUT. Our aim in the present study was to investigate the alterations of baroreflex activity that occur in synchrony with the beat-to-beat time-dependent changes in heart rate (HR), BP, and total peripheral resistance (TPR). We proposed that changes of low-frequency Mayer waves reflect sympathetic baroreflex. We used DWT multiresolution analyses to measure their time dependence. We studied 22 patients, 13 to 21 yr old, 14 who fainted within 10 min of upright tilt (fainters) and 8 healthy control subjects. Multiresolution analysis was obtained of continuous BP, HR, and respirations as a function of time during 70 degrees upright tilt at different scales corresponding to frequency bands. Wavelet power was concentrated in scales corresponding to 0.125 and 0.25 Hz. A major difference from control subjects was observed in fainters at the 0.125 Hz AP scale, which progressively decreased from early HUT. The alpha index at 0.125 Hz was increased in fainters. RR interval 0.25 Hz power decreased in fainters and controls but was markedly increased in fainters with syncope and thereafter corresponding to increased vagal tone compared with control subjects at those times only. The data imply a rapid reduction in time-dependent sympathetic baroreflex activity in fainters but not control subjects during HUT.

Indexed as

Data Interpretation, StatisticalAdolescentAgingBaroreflexBlood PressureElectrocardiographyFemaleHeart RateHemodynamicsHumansLung Volume MeasurementsMaleRespiratory MechanicsSyncopeTilt-Table TestVagus Nerve

Identifiers

PMID18996985
PMCPMC2637782
OpenAlexW1965639586

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.