Evidence map›Paper›PMID 25001527›Full record

ArticleClinical science (London, England : 1979)2015

Cognitive dysfunction in postural tachycardia syndrome.

Amy C Arnold, Kirsten Haman, Emily M Garland, Vidya Raj, William D Dupont, Italo Biaggioni, David Robertson, Satish R Raj

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Clinical science (London, England : 1979), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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.

NCT03253120 nacompletednot on this mapstarted 2017, after this paper: background citation

Alterations of Attention in Patients With Postural Tachycardia Syndrome and Healthy Controls Depending on Body Position and Hydration

TypeinterventionalSponsorInsel Gruppe AG, University Hospital BernRan2017 to 2022Enrolled30ConditionsPostural Tachycardia SyndromeArmsWater
NCT03681080 nacompletednot on this mapstarted 2017, after this paper: background citation

Understanding Impaired Concentration, Attentional Deficits and Their Pathophysiology in Postural Orthostatic Tachycardia Syndrome (POTS) and Other Autonomic Neuropathies (POTSKog-Study Aachen)

TypeinterventionalSponsorRWTH Aachen UniversityRan2017 to 2023Enrolled110ConditionsAutonomic Failure, Dysautonomia, Cognitive Impairment, Ehlers-Danlos SyndromeArmsleg crossing
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Long-COVID and postural orthostatic tachycardia syndrome: a preliminary comparison of neuropsychological performance.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
    Article
  4. Review
  5. Article
  6. Cognitive functioning in postural orthostatic tachycardia syndrome among different body positions: a prospective pilot study (POTSKog study).Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
    Article
  7. Review
  8. Article
  9. Article
  10. Cardiovascular Autonomic Regulation, ETCOApplied psychophysiology and biofeedback · 2022
    Article
  11. Article
  12. Diagnosis and management of postural orthostatic tachycardia syndrome.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    Review
  13. Article
  14. Article
  15. Cutaneous alpha-synuclein deposition in postural tachycardia patients.Annals of clinical and translational neurology · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Do astronauts get postural tachycardia syndrome? And other updates on recent autonomic research.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2019
    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

8 authors at 1 institution in 1 country.

Amy C Arnold*Division of Clinical Pharmacology and Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232, U.S.A.
Kirsten Haman†Department of Psychiatry, Vanderbilt University School of Medicine, Nashville, TN 37232, U.S.A.
Emily M Garland*Division of Clinical Pharmacology and Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232, U.S.A.
Vidya Raj†Department of Psychiatry, Vanderbilt University School of Medicine, Nashville, TN 37232, U.S.A.
William D Dupont‡Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, TN 37232, U.S.A.
Italo Biaggioni
David Robertson
Satish R Raj
Vanderbilt University · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Structural genomics of norepinephrine transportersP01HL056693 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ROBERTSON, DAVID HERLIE · 1997 to 2016
$30.8M
CLINICAL PHARMACOLOGY TRAINING PROGRAMT32GM007569 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Bjorn C Knollmann · 1985 to 2026
$12.4M
Training CoreU54NS065736 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI FREEMAN, ROY · 2009 to 2018
$11.6M
Aldosterone and Sodium Regulation in Postural Tachycardia SyndromeR01HL102387 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GARLAND, EMILY M · 2010 to 2014
$2.1M
Improving Depression Outcome by Enhancing Memory for Cognitive TherapyR34MH094535 · NIMH · UNIVERSITY OF CALIFORNIA BERKELEY · PI HARVEY, ALLISON G · 2012 to 2014
$813k
Parents' Adherence to Treatment Recommendations: Do It for the ChildrenRC1MH088329 · NIMH · VANDERBILT UNIVERSITY · PI GARBER, JUDY · 2009 to 2010
$673k
NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1TR000445NHLBI NIH HHS P01 HL056693NHLBI NIH HHS P01HL56693NHLBI NIH HHS R01 HL102387NHLBI NIH HHS R01HL102387NIGMS NIH HHS T32 GM007569NIMH NIH HHS R34 MH094535NIMH NIH HHS R34 MH094535-01A1NIMH NIH HHS RC1 MH088329NINDS NIH HHS U54 NS065736NINDS NIH HHS U54NS065736
6 · The paper itself

Abstract

Mental clouding is an almost universal complaint among patients with postural tachycardia syndrome (POTS) but remains poorly understood. Thus, we have determined whether POTS patients exhibit deficits during neuropsychological testing relative to healthy subjects. A comprehensive battery of validated neuropsychological tests was administered to 28 female POTS patients and 24 healthy subjects in a semi-recumbent position. Healthy subjects were matched to POTS patients on age and gender. Selective attention, a primary outcome measure, and cognitive processing speed were reduced in POTS patients compared with healthy subjects (Ruff 2&7 Speed t-score: 40±9 compared with 49±8; P=0.009; Symbol Digit Modalities Test t-score: 45±12 compared with 51±8; P=0.011). Measures of executive function were also lower in POTS patients (Trails B t-score: 46±8 compared with 52±8; P=0.007; Stroop Word Color t-score: 45±10 compared with 56±8; P=0.001), suggesting difficulties in tracking and mental flexibility. Measures of sustained attention, psychomotor speed, memory function or verbal fluency were not significantly different between groups. The present study provides evidence for deficits in selective attention and cognitive processing in patients with POTS, in the seated position when orthostatic stress is minimized. In contrast, other measures of cognitive function, including memory assessments, were not impaired in these patients, suggesting selectivity in these deficits. These findings provide new insight into the profile of cognitive dysfunction in POTS and provide the basis for further studies to identify clinical strategies to better manage the mental clouding associated with this condition.

Indexed as

AdultAttentionCase-Control StudiesCognition DisordersExecutive FunctionFemaleHumansNeuropsychological TestsPostural Orthostatic Tachycardia SyndromePosturePsychomotor PerformanceStroop Test

Identifiers

PMID25001527
PMCPMC4161607
OpenAlexW2072302096

What OpenQuestion holds

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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.