Evidence map›Paper›PMID 24324040›Full record

Trial reportHypertension (Dallas, Tex. : 1979)2014

Aging enhances autonomic support of blood pressure in women.

Jill N Barnes, Emma C Hart, Timothy B Curry, Wayne T Nicholson, John H Eisenach, B Gunnar Wallin, Nisha Charkoudian, Michael J Joyner

Registry-linked trialOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Hypertension (Dallas, Tex. : 1979), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04586049 (Autonomic Dysfunction, Brain Blood Flow and Cognitive Decline in Veterans With Gulf War Illness), which is not on this map. Cited by 72 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 3% 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.

NCT04586049 active not recruitingnot on this mapstarted 2023, after this paper: background citation

Autonomic Dysfunction, Brain Blood Flow and Cognitive Decline in Veterans With Gulf War Illness

TypeobservationalSponsorUniversity of Wisconsin, MadisonRan2023 to 2026Enrolled70ConditionsBrain Blood Flow, Neurovascular ControlArmsMRI, Transcranial Doppler Ultrasound, Sympathetic Nerve Activity
3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 1 synthesis or guideline pooled it, 120 citations in OpenAlex.

  1. The Japanese Society of Hypertension Guidelines for the management of elevated blood pressure and hypertension 2025 (JSH2025).Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Guideline
  2. Trial
  3. Trial
  4. Effect of oral hormonal contraceptive pill use on the hemodynamic response to the cold pressor test.American journal of physiology. Heart and circulatory physiology · 2022
    Trial
  5. Article
  6. Review
  7. Article
  8. Review
  9. Observational
  10. Review
  11. Review
  12. Review
  13. Resting beat-to-beat blood pressure variability in humans: role of alpha-1 adrenergic receptors.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

12 more citing papers are in PubMed but not listed here.

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

8 authors at 1 institution in 1 country.

Jill N BarnesDepartment of Anesthesiology, Mayo Clinic, 200 1st St SW, SMH, Joseph 4-184, Rochester, MN 55905. Barnes.Jill@mayo.edu.
Emma C Hart
Timothy B Curry
Wayne T Nicholson
John H Eisenach
B Gunnar Wallin
Nisha Charkoudian
Michael J Joyner
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
Musculoskeletal Research Training ProgramT32AR056950 · NIAMS · MAYO CLINIC ROCHESTER · PI Jennifer J Westendorf · 2009 to 2026
$7.0M
Neurovascular Control and Blood Pressure Regulation in HumansR01HL083947 · NHLBI · MAYO CLINIC ROCHESTER · PI JOYNER, MICHAEL J · 2007 to 2016
$3.6M
Brain Vasodilator Responses in Healthy and Cognitively Impaired HumansF32AG038067 · NIA · MAYO CLINIC ROCHESTER · PI BARNES, JILL NICOLE · 2011 to 2012
$69k
British Heart Foundation FS/11/1/28400NCRR NIH HHS RR024150NCRR NIH HHS UL1 RR024150NHLBI NIH HHS HL083947NHLBI NIH HHS R01 HL083947NIAMS NIH HHS AR056950NIAMS NIH HHS T32 AR056950NIA NIH HHS AG038067NIA NIH HHS F32 AG038067
6 · The paper itself

Abstract

The autonomic nervous system plays a central role in both acute and chronic blood pressure regulation in humans. The activity of the sympathetic branch of the autonomic nervous system is positively associated with peripheral resistance, an important determinant of mean arterial pressure in men. In contrast, there is no association between sympathetic nerve activity and peripheral resistance in women before menopause, yet a positive association after menopause. We hypothesized that autonomic support of blood pressure is higher after menopause in women. We examined the effect of ganglionic blockade on arterial blood pressure and how this relates to baseline muscle sympathetic nerve activity in 12 young (25±1 years) and 12 older postmenopausal (61±2 years) women. The women were studied before and during autonomic blockade using trimethaphan camsylate. At baseline, muscle sympathetic nerve activity burst frequency and burst incidence were higher in the older women (33±3 versus 15±1 bursts/min; 57±5 versus 25±2 bursts/100 heartbeats, respectively; P<0.05). Muscle sympathetic nerve activity bursts were abolished by trimethaphan within minutes. Older women had a greater decrease in mean arterial pressure (-29±2 versus -9±2 mm Hg; P<0.01) and total peripheral resistance (-10±1 versus -5±1 mm Hg/L per minute; P<0.01) during trimethaphan. Baseline muscle sympathetic nerve activity was associated with the decrease in mean arterial pressure during trimethaphan (r=-0.74; P<0.05). In summary, our results suggest that autonomic support of blood pressure is greater in older women compared with young women and that elevated sympathetic nerve activity in older women contributes importantly to the increased incidence of hypertension after menopause.

Indexed as

AdultAgingBlood PressureBrachial ArteryFemaleGanglionic BlockersHumansHypertensionMenopauseMiddle AgedMuscle, SkeletalPeroneal NerveSympathetic Nervous SystemTrimethaphanVascular ResistanceVasodilator AgentsGanglionic BlockersTrimethaphantrimethaphan camsylateVasodilator Agentsblood pressuremenopausesympathetic nerve activity

Identifiers

PMID24324040
PMCPMC3893094
OpenAlexW2157526886

What OpenQuestion holds

Textmetadata
LicenceTDM
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.