Evidence map›Paper›PMID 23395933›Full record

ArticleCirculation. Heart failure2013

Chronic heart failure does not attenuate the total activity of sympathetic outflow to skin during whole-body heating.

Jian Cui, John P Boehmer, Cheryl Blaha, Robert Lucking, Allen R Kunselman, Lawrence I Sinoway

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Heart failure, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Heat and the Heart.The Yale journal of biology and medicine · 2023
    Review
  7. Review
  8. Article
  9. Moderate whole body heating attenuates the exercise pressor reflex responses in older humans.American journal of physiology. Regulatory, integrative and comparative physiology · 2021
    Article
  10. Hyperhidrosis: the neglected sign in heart failure patients.American journal of cardiovascular disease · 2021
    Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Muscle sympathetic nerve activity response to heat stress is attenuated in chronic heart failure patients.American journal of physiology. Regulatory, integrative and comparative physiology · 2017
    Article
  16. Article
  17. Article
  18. Article
  19. Sympathetic regulation during thermal stress in human aging and disease.Autonomic neuroscience : basic & clinical · 2016
    Review
  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

6 authors at 1 institution in 1 country.

Jian CuiPenn State Hershey Heart and Vascular Institute, Hershey, PA 17033, USA.
John P Boehmer
Cheryl Blaha
Robert Lucking
Allen R Kunselman
Lawrence I Sinoway
Penn State Milton S. Hershey Medical Center · US

Funding

WRITING AND THE DAILY EXPERIENCE OF ILLNESSM01RR010732 · NCRR · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI LOHSE, BARBARA · 1995 to 2009
$29.8M
Penn State Clinical and Translational Science InstituteUL1TR000127 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SINOWAY, LAWRENCE I · 2012 to 2015
$17.1M
The Muscle Reflex: Modes of Engagement and Circulatory ConsequencesP01HL096570 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI LEUENBERGER, URS A · 2010 to 2014
$9.9M
PENN STATE CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR033184 · NCRR · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SINOWAY, LAWRENCE I · 2011 to 2011
$4.5M
GCRC RELOCATION AND EXPANSION PROJECTC06RR016499 · NCRR · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KIRCH, DARRELL G · 2001 to 2001
$707k
NCATS NIH HHS UL1 TR000127NCRR NIH HHS C06 RR016499NCRR NIH HHS M01 RR010732NCRR NIH HHS UL1 RR033184NHLBI NIH HHS P01 HL096570
6 · The paper itself

Abstract

backgroundPrevious studies show that the rise in skin blood flow and cutaneous vascular conductance during heat stress is substantially attenuated in chronic heart failure (CHF) patients. The mechanisms responsible for this finding are not clear. In particular, little is known regarding the responses of skin sympathetic nerve activity (SSNA) that control the skin blood flow during heat stress in CHF patients. We examined the effects of a modest heat stress to test the hypothesis that SSNA responses could be attenuated in CHF. METHODS AND

resultsWe assessed SSNA (microneurography) from the peroneal nerve and skin blood flow (forearm laser Doppler) in 9 patients with stable class II-III CHF and in matched healthy subjects during passive whole-body heating with a water-perfused suit. Whole-body heating induced similar increases in internal temperature (≈0.6 °C) in both groups. Whole-body heat stress evoked similar SSNA activation in CHF patients (Δ891±110 U/min) and the control subjects (Δ787±84 U/min; P=0.66), whereas the elevation in forearm cutaneous vascular conductance in patients with CHF was significantly lower than that in healthy control subjects (Δ131±29% vs. Δ623±131%; P=0.001).

conclusionsThe present data show that SSNA activation during a modest whole-body heat stress is not attenuated in CHF. Thus, the attenuated skin vasodilator response in CHF patients is not attributable to a reduction in total activity of sympathetic outflow to skin.

Indexed as

VasodilationBlood PressureBlood VesselsBody Temperature RegulationCase-Control StudiesChronic DiseaseForearmHeart FailureHeart RateHeat Stress DisordersHumansLaser-Doppler FlowmetryMaleMiddle AgedPeroneal NerveRegional Blood Flow

Identifiers

PMID23395933
PMCPMC3738175
OpenAlexW2154907637

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.