Evidence map›Paper›PMID 25081417›Full record

ReviewAutonomic neuroscience : basic & clinical2014

Pathophysiology of neurally mediated syncope: Role of cardiac output and total peripheral resistance.

Qi Fu, Benjamin D Levine

Open access · greenAbstract readReview
In one paragraph

Review in Autonomic neuroscience : basic & clinical, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.0field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Article
  3. Differential engagement of inhibitory and excitatory cardiopulmonary reflexes by capsaicin and phenylbiguanide in C57BL/6 mice.American journal of physiology. Regulatory, integrative and comparative physiology · 2023
    Article
  4. Article
  5. Article
  6. Review
  7. Towards Understanding the Genetic Nature of Vasovagal Syncope.International journal of molecular sciences · 2021
    Review
  8. Review
  9. Understanding vasovagal syncope: a role for sex and gender.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2020
    Article
  10. Review
  11. Autonomic uprising: the tilt table test in autonomic medicine.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2019
    Review
  12. Article
  13. Article
  14. Article
  15. Mechanisms of orthostatic intolerance during heat stress.Autonomic neuroscience : basic & clinical · 2016
    Review
  16. Article
  17. 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

2 authors at 2 institutions in 1 country.

Qi FuInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital Dallas, The University of Texas Southwestern Medical Center, Dallas, TX, USA. Electronic address: QiFu@TexasHealth.org.
Benjamin D LevineInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital Dallas, The University of Texas Southwestern Medical Center, Dallas, TX, USA.
Institute for Exercise and Environmental Medicine · USThe University of Texas Southwestern Medical Center · US

Funding

Gender &orthostatic intolerance: mechanisms and therapyK23HL075283 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI FU, QI · 2004 to 2008
$622k
Vasomotor Sympathetic Activity during Early Pregnancy in HumansR21HL088184 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI FU, QI · 2009 to 2010
$424k
NHLBI NIH HHS HL075283NHLBI NIH HHS HL088184NHLBI NIH HHS K23 HL075283NHLBI NIH HHS R21 HL088184
6 · The paper itself

Abstract

Syncope is a common clinical condition occurring even in otherwise healthy people without underlying cardiovascular disease. Neurally mediated syncope is by far the most common cause of syncope in individuals without any structural heart disease. Based on traditional wisdom, loss of sympathetic tone with relaxation of vascular smooth muscle is the key mechanism underlying the pathophysiology of syncope, especially in patients without an acute decrease in heart rate. However, this concept has recently been challenged. Some microneurographic studies indicate that sympathetic withdrawal may not always be a prerequisite even for the development of classic "vasodepressor" forms of syncope. Conversely, a decrease in cardiac output appears to be a determinant factor for syncope in most circumstances. This article reviews the relative contribution of cardiac output versus sympathetic vasoconstriction in neurally mediated syncope in otherwise healthy individuals. It is suggested that a moderate to severe fall in cardiac output with or without vasodilatation may contribute to syncope.

Indexed as

AnimalsCardiac OutputHumansSyncopeVascular ResistanceHeart rateHemodynamicsStroke volumeSympathetic activityThe autonomic nervous systemVasovagal syncope

Identifiers

PMID25081417
PMCPMC4139450
OpenAlexW2009456931

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.