Evidence map›Paper›PMID 19470875›Full record

Trial reportHypertension (Dallas, Tex. : 1979)2009

Age-related differences in the sympathetic-hemodynamic balance in men.

Emma C Hart, Michael J Joyner, B Gunnar Wallin, Christopher P Johnson, Timothy B Curry, John H Eisenach, Nisha Charkoudian

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Hypertension (Dallas, Tex. : 1979), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 115 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Alpha-adrenergic control of blood flow during exercise: effect of sex and menstrual phase.Journal of applied physiology (Bethesda, Md. : 1985) · 2010
    Trial
  5. Article
  6. Review
  7. Review
  8. Comparative assessment of hemodynamic changes and outcomes in ventilator weaning.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Revisiting sex as a biological variable in hypertension research.The Journal of clinical investigation · 2024
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Sympathetic-transduction in untreated hypertension.Journal of human hypertension · 2022
    Article
  18. Review
  19. Article
  20. Forearm vascular resistance responses to the Valsalva maneuver in healthy young and older adults.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2021
    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

7 authors at 1 institution in 1 country.

Emma C HartDepartment of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA. hart.emma@mayo.edu
Michael J Joyner
B Gunnar Wallin
Christopher P Johnson
Timothy B Curry
John H Eisenach
Nisha Charkoudian
University of Gothenburg · SE

Funding

MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
Neurovascular Control and Blood Pressure Regulation in HumansR01HL083947 · NHLBI · MAYO CLINIC ROCHESTER · PI JOYNER, MICHAEL J · 2007 to 2016
$3.6M
NCRR NIH HHS UL1 RR024150NHLBI NIH HHS HL083947NHLBI NIH HHS R01 HL083947
6 · The paper itself

Abstract

As humans age, the tonic level of activity in sympathetic vasoconstrictor nerves increases and may contribute to age-related increases in blood pressure. In previous studies in normotensive young men with varying levels of resting sympathetic nerve activity, we observed a balance among factors contributing to blood pressure regulation, such that higher sympathetic activity was associated with lower cardiac output and lesser vascular responsiveness to alpha-adrenergic agonists, which limited the impact of high sympathetic activity on blood pressure. In the present study, we tested the hypothesis that older normotensive men would exhibit a similar balance among these variables (sympathetic nerve activity, cardiac output, and alpha-adrenergic responsiveness) but that this balance would be shifted toward higher sympathetic nerve activity values. We measured muscle sympathetic nerve activity, cardiac output, arterial pressure, and forearm vasoconstrictor responses in 17 older men and compared these with previous data collected in 14 younger men. Muscle sympathetic activity (burst incidence) was positively related to diastolic blood pressure in the older men (r=0.49; P=0.05); this relationship was not observed in young men. In addition, there was no relationship between cardiac output and muscle sympathetic activity (r=0.29; P>0.05) or between muscle sympathetic activity and vasoconstrictor responses in the older men (eg, norepinephrine: r=-0.21; P>0.05). Although our older subjects were normotensive, the relationship between muscle sympathetic nerve activity and diastolic blood pressure and the lack of "balance" among the other variables suggest that these changes with aging may contribute to the risk of sympathetically mediated hypertension in older humans.

Indexed as

Adrenergic alpha-AgonistsAdultAgingBlood Flow VelocityCardiac OutputForearmHemodynamicsHumansMiddle AgedNorepinephrineSympathetic Nervous SystemSympathomimeticsTyramineAdrenergic alpha-AgonistsNorepinephrineSympathomimeticsTyramine

Identifiers

PMID19470875
PMCPMC2814548
OpenAlexW2131029260

What OpenQuestion holds

Textmetadata
LicenceTDM
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.