Evidence map›Paper›PMID 22003058›Full record

Trial reportAmerican journal of physiology. Heart and circulatory physiology2012

Altered coronary vascular control during cold stress in healthy older adults.

Zhaohui Gao, Thad E Wilson, Rachel C Drew, Joshua Ettinger, Kevin D Monahan

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of physiology. Heart and circulatory physiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.0field-weighted citation impact, top 7% 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

25 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
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  7. Seasonal dynamics of myocardial infarctions in regions with different types of a climate: a meta-analysis.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2022
    Review
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  16. β-Adrenergic receptor blockade impairs coronary exercise hyperemia in young men but not older men.American journal of physiology. Heart and circulatory physiology · 2014
    Article
  17. Coronary responses to cold air inhalation following afferent and efferent blockade.American journal of physiology. Heart and circulatory physiology · 2014
    Article
  18. β-Adrenergic blockade enhances coronary vasoconstrictor response to forehead cooling.American journal of physiology. Heart and circulatory physiology · 2014
    Article
  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 2 institutions in 1 country.

Zhaohui GaoPenn State Heart and Vascular Institute, Pennsylvania State University College of Medicine, Hershey, 17033-2390, USA.
Thad E Wilson
Rachel C Drew
Joshua Ettinger
Kevin D Monahan
Penn State Milton S. Hershey Medical Center · USOhio University · US

Funding

Muscle Reflex Control of the Coronary CirculationR01HL070222 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SINOWAY, LAWRENCE I · 2002 to 2011
$3.1M
Limb Neurovascular Control and AgingK01AG024420 · NIA · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI MONAHAN, KEVIN D · 2006 to 2010
$567k
Omega-3 Fatty Acids, Neurohumoral Activation, and Human Heart FailureR21HL092309 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI MONAHAN, KEVIN D · 2009 to 2010
$427k
NHLBI NIH HHS HL-70222NHLBI NIH HHS HL-92309NHLBI NIH HHS R01 HL070222NHLBI NIH HHS R21 HL092309NIA NIH HHS AG-24420NIA NIH HHS K01 AG024420
6 · The paper itself

Abstract

Cardiovascular-related mortality increases in the cold winter months, particularly in older adults. Previously, we reported that determinants of myocardial O(2) demand, such as the rate-pressure product, increase more in older adults compared with young adults during cold stress. The aim of the present study was to determine if aging influences the coronary hemodynamic response to cold stress in humans. Transthoracic Doppler echocardiography was used to noninvasively measure peak coronary blood velocity in the left anterior descending artery before and during acute (20 min) whole body cold stress in 10 young adults (25 ± 1 yr) and 11 older healthy adults (65 ± 2 yr). Coronary vascular resistance (diastolic blood pressure/peak coronary blood velocity), coronary perfusion time fraction (coronary perfusion time/R-R interval), and left ventricular wall stress were calculated. We found that cooling (via a water-perfused suit) increased left ventricular wall stress, a primary determinant of myocardial O(2) consumption, in both young and older adults, although the magnitude of this increase was nearly twofold greater in older adults (change of 9.1 ± 3.5% vs. 17.6 ± 3.2%, P < 0.05, change from baseline in young and older adults and young vs. older adults). Despite the increased myocardial O(2) demand during cooling, coronary vasodilation (decreased coronary vascular resistance) occurred only in young adults (3.22 ± 0.23 to 2.85 ± 0.18 mmHg·cm(-1)·s(-1), P < 0.05) and not older adults (3.97 ± 0.24 to 3.79 ± 0.27 mmHg·cm(-1)·s(-1), P > 0.05). Consistent with a blunted coronary vascular response, absolute coronary perfusion time tended to decrease (P = 0.13) and coronary perfusion time fraction decreased (P < 0.05) during cooling in older adults but not young adults. Collectively, these data suggest that older adults demonstrate an altered coronary hemodynamic response to acute cold stress.

Indexed as

Cold-Shock ResponseCold TemperatureCoronary CirculationHemodynamicsAdaptation, PhysiologicalAdultAgedAge FactorsAgingAnalysis of VarianceBlood Flow VelocityBlood PressureCoronary VesselsEchocardiography, Doppler, ColorFemaleHumans

Identifiers

PMID22003058
PMCPMC3334247
OpenAlexW2146696700

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.