Evidence map›Paper›PMID 23246597›Full record

ArticleHeart rhythm2013

Sympathetic nerve fibers and ganglia in canine cervical vagus nerves: localization and quantitation.

Patrick Onkka, Waddah Maskoun, Kyoung-Suk Rhee, Jessica Hellyer, Jheel Patel, Jian Tan, Lan S Chen, Harry V Vinters, Michael C Fishbein, Peng-Sheng Chen

Open access · greenAbstract readComparative Study
In one paragraph

Article in Heart rhythm, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

30 citing papers in PubMed, 55 citations in OpenAlex.

  1. Autonomic dysregulation and atrial arrhythmias.American journal of physiology. Cell physiology · 2025
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  5. The differences in the anatomy of the thoracolumbar and sacral autonomic outflow are quantitative.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2024
    Review
  6. Autonomic Modulation of Atrial Fibrillation.JACC. Basic to translational science · 2023
    Review
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  8. Article
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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

10 authors at 2 institutions in 1 country.

Patrick OnkkaKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indiana University School of Medicine Indianapolis, IN 46202-1228, USA.
Waddah Maskoun
Kyoung-Suk Rhee
Jessica Hellyer
Jheel Patel
Jian Tan
Lan S Chen
Harry V Vinters
Michael C Fishbein
Peng-Sheng Chen
Indiana University School of MedicineIndiana University – Purdue University Indianapolis · US

Funding

WAVE DYNAMICS IN NORMAL AND DISEASED RABBIT HEARTSP01HL078931 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WEISS, JAMES · 2005 to 2015
$20.7M
Thoracic Veins and Sustained Atrial FibrillationR01HL071140 · NHLBI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI CHEN, PENG-SHENG · 2002 to 2014
$4.7M
NHLBI NIH HHS P01 HL078931NHLBI NIH HHS R01 HL071140
6 · The paper itself

Abstract

backgroundCervical vagal nerve (CVN) stimulation may improve left ventricular ejection fraction in patients with heart failure.

objectivesTo test the hypothesis that sympathetic structures are present in the CVN and to describe the location and quantitate these sympathetic components of the CVN.

methodsWe performed immunohistochemical studies of the CVN from 11 normal dogs and simultaneously recorded stellate ganglion nerve activity, left thoracic vagal nerve activity, and subcutaneous electrocardiogram in 2 additional dogs.

resultsA total of 28 individual nerve bundles were present in the CVNs of the first 11 dogs, with an average of 1.87±1.06 per dog. All CVNs contain tyrosine hydroxylase-positive (sympathetic) nerves, with a total cross-sectional area of 0.97±0.38 mm(2). The sympathetic nerves were nonmyelinated, typically located at the periphery of the nerve bundles and occupied 0.03%-2.80% of the CVN cross-sectional area. Cholineacetyltransferase-positive nerve fibers occupied 12.90%-42.86% of the CVN cross-sectional areas. Ten of 11 CVNs showed tyrosine hydroxylase and cholineacetyltransferase colocalization. In 2 dogs with nerve recordings, we documented heart rate acceleration during spontaneous vagal nerve activity in the absence of stellate ganglion nerve activity.

conclusionsSympathetic nerve fibers are invariably present in the CVNs of normal dogs and occupy in average up to 2.8% of the cross-sectional area. Because sympathetic nerve fibers are present in the periphery of the CVNs, they may be susceptible to activation by electrical stimulation. Spontaneous activation of the sympathetic component of the vagal nerve may accelerate the heart rate.

Indexed as

Adrenergic FibersAnimalsBiopsy, NeedleCervical PlexusCholine O-AcetyltransferaseDogsElectric StimulationHeart RateImmunohistochemistryModels, AnimalReference ValuesSensitivity and SpecificityStellate GanglionSympathetic Nervous SystemTyrosine 3-MonooxygenaseVagus NerveCholine O-AcetyltransferaseTyrosine 3-Monooxygenase

Identifiers

PMID23246597
PMCPMC3758134
OpenAlexW2081846480

What OpenQuestion holds

Textmetadata
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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.