Evidence map›Paper›PMID 25136660›Full record

Trial reportTheScientificWorldJournal2014

Induced effects of transcranial magnetic stimulation on the autonomic nervous system and the cardiac rhythm.

Mercedes Cabrerizo, Anastasio Cabrera, Juan O Perez, Jesus de la Rua, Niovi Rojas, Qi Zhou, Alberto Pinzon-Ardila, Sergio M Gonzalez-Arias, Malek Adjouadi

2 registry-linked trialsOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in TheScientificWorldJournal, 2014. 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 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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.

NCT04480918 recruitingnot on this mapstarted 2020, after this paper: background citation

University of Iowa Interventional Psychiatry Service Patient Registry

Typeobservational_patient_registrySponsorMark NiciuRan2020 to 2050Enrolled1,000ConditionsTreatment Resistant Depression, Major Depressive Episode, Major Depression, Major Depressive DisorderArmsElectroconvulsive Therapy (ECT), Transcranial Magnetic Stimulation (TMS), Ketamine, Esketamine, Deep Transcranial Magnetic Stimulation (dTMS)
NCT07482501 narecruitingnot on this mapstarted 2026, after this paper: background citation

The Effect of Repetitive Transcranial Magnetic Stimulation on Cardiac Autonomic Dysfunction in Patients With Stroke

TypeinterventionalSponsorAfyonkarahisar Health Sciences UniversityRan2026 to 2026Enrolled44ConditionsStroke, Autonomic Dysfunction, HemiparesisArmsrTMS M1 Motor Cortex Protocol, Sham rTMS Protocol
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Effects of prefrontal rTMS on autonomic reactions to affective pictures.Journal of neural transmission (Vienna, Austria : 1996) · 2017
    Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Impact of one HF-rTMS session over the DLPFC and motor cortex on acute hormone dynamics and emotional state in healthy adults: a sham-controlled pilot study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  9. Autonomic modulation of ventricular electrical activity: recent developments and clinical implications.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2021
    Review
  10. Article
  11. 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

9 authors at 2 institutions in 1 country.

Mercedes CabrerizoCenter for Advanced Technology and Education, Department of Electrical and Computer Engineering, College of Engineering and Computing, Florida International University (FIU), USA.ORCID 0000-0002-0302-7300
Anastasio CabreraCenter for Advanced Technology and Education, Department of Electrical and Computer Engineering, College of Engineering and Computing, Florida International University (FIU), USA.
Juan O PerezCenter for Advanced Technology and Education, Department of Electrical and Computer Engineering, College of Engineering and Computing, Florida International University (FIU), USA.
Jesus de la RuaCenter for Advanced Technology and Education, Department of Electrical and Computer Engineering, College of Engineering and Computing, Florida International University (FIU), USA.
Niovi RojasCenter for Advanced Technology and Education, Department of Electrical and Computer Engineering, College of Engineering and Computing, Florida International University (FIU), USA.
Qi ZhouCenter for Advanced Technology and Education, Department of Electrical and Computer Engineering, College of Engineering and Computing, Florida International University (FIU), USA.
Alberto Pinzon-ArdilaNeuroscience Consultants, USA ; Baptist Health Neuroscience Center, Baptist Hospital of Miami, USA.
Sergio M Gonzalez-AriasBaptist Health Neuroscience Center, Baptist Hospital of Miami, USA ; FIU Herbert Wertheim College of Medicine, USA.
Malek AdjouadiCenter for Advanced Technology and Education, Department of Electrical and Computer Engineering, College of Engineering and Computing, Florida International University (FIU), USA.ORCID 0000-0001-5380-3155
Florida International University · USBaptist Hospital of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several standard protocols based on repetitive transcranial magnetic stimulation (rTMS) have been employed for treatment of a variety of neurological disorders. Despite their advantages in patients that are retractable to medication, there is a lack of knowledge about the effects of rTMS on the autonomic nervous system that controls the cardiovascular system. Current understanding suggests that the shape of the so-called QRS complex together with the size of the different segments and intervals between the PQRST deflections of the heart could predict the nature of the different arrhythmias and ailments affecting the heart. This preliminary study involving 10 normal subjects from 20 to 30 years of age demonstrated that rTMS can induce changes in the heart rhythm. The autonomic activity that controls the cardiac rhythm was indeed altered by an rTMS session targeting the motor cortex using intensity below the subject's motor threshold and lasting no more than 5 minutes. The rTMS activation resulted in a reduction of the RR intervals (cardioacceleration) in most cases. Most of these cases also showed significant changes in the Poincare plot descriptor SD2 (long-term variability), the area under the low frequency (LF) power spectrum density curve, and the low frequency to high frequency (LF/HF) ratio. The RR intervals changed significantly in specific instants of time during rTMS activation showing either heart rate acceleration or heart rate deceleration.

Indexed as

Transcranial Magnetic StimulationAdultAutonomic Nervous SystemElectrocardiographyFemaleHeart RateHumansMaleYoung Adult

Identifiers

PMID25136660
PMCPMC4127210
OpenAlexW1964059354

What OpenQuestion holds

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LicenceCC BY
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.