Evidence map›Paper›PMID 25749448›Full record

ArticleJournal of applied physiology (Bethesda, Md. : 1985)2015

Exercise training-induced bradycardia: evidence for enhanced parasympathetic regulation without changes in intrinsic sinoatrial node function.

George E Billman, Kristen L Cagnoli, Thomas Csepe, Ning Li, Patrick Wright, Peter J Mohler, Vadim V Fedorov

Abstract read
In one paragraph

Article in Journal of applied physiology (Bethesda, Md. : 1985), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

George E BillmanDepartment of Physiology and Cell Biology, The Ohio State University, Columbus, Ohio; Dorothy M. Davis Heart and Lung Research Institute, The Ohio State University, Columbus, Ohio; and billman.1@osu.edu.
Kristen L CagnoliDepartment of Physiology and Cell Biology, The Ohio State University, Columbus, Ohio;
Thomas CsepeDepartment of Physiology and Cell Biology, The Ohio State University, Columbus, Ohio;
Ning LiDepartment of Physiology and Cell Biology, The Ohio State University, Columbus, Ohio;
Patrick WrightDepartment of Physiology and Cell Biology, The Ohio State University, Columbus, Ohio; Dorothy M. Davis Heart and Lung Research Institute, The Ohio State University, Columbus, Ohio; and.
Peter J MohlerDepartment of Physiology and Cell Biology, The Ohio State University, Columbus, Ohio; Dorothy M. Davis Heart and Lung Research Institute, The Ohio State University, Columbus, Ohio; and Deaprtment of Internal Medicine, The Ohio State University, Columbus, Ohio.
Vadim V FedorovDepartment of Physiology and Cell Biology, The Ohio State University, Columbus, Ohio; Dorothy M. Davis Heart and Lung Research Institute, The Ohio State University, Columbus, Ohio; and.

Funding

Integration of structure and signaling in cardiac pacemaker functionR01HL115580 · NHLBI · OHIO STATE UNIVERSITY · PI FEDOROV, VADIM V · 2013 to 2021
$4.2M
Role of spectrin/ankyrin-G complex in myocyte signaling and cardiac excitabilityR01HL083422 · NHLBI · VANDERBILT UNIVERSITY · PI MOHLER, PETER J. · 2006 to 2016
$3.8M
Role of ankyrin-B in human arrhythmiaR01HL084583 · NHLBI · UNIVERSITY OF IOWA · PI MOHLER, PETER J. · 2006 to 2015
$3.4M
EHD proteins in cardiac membrane protein targeting and remodelingR01HL114383 · NHLBI · OHIO STATE UNIVERSITY · PI BOYDEN, PENELOPE ALTMAN, MOHLER, PETER J. · 2013 to 2016
$2.1M
Dietary Omega-3 Fatty Acids and Sudden Cardiac DeathR01HL086700 · NHLBI · OHIO STATE UNIVERSITY · PI BILLMAN, GEORGE EDWARD · 2007 to 2010
$1.9M
NHLBI NIH HHS HL-083422NHLBI NIH HHS HL-084583NHLBI NIH HHS HL-086700NHLBI NIH HHS HL-114383NHLBI NIH HHS HL-115580NHLBI NIH HHS R01 HL083422NHLBI NIH HHS R01 HL084583NHLBI NIH HHS R01 HL086700NHLBI NIH HHS R01 HL114383NHLBI NIH HHS R01 HL115580
6 · The paper itself

Abstract

The mechanisms responsible for exercise-induced reductions in baseline heart rate (HR), known as training bradycardia, remain controversial. Therefore, changes in cardiac autonomic regulation and intrinsic sinoatrial nodal (SAN) rate were evaluated using dogs randomly assigned to either a 10- to 12-wk exercise training (Ex, n = 15) or an equivalent sedentary period (Sed, n = 10). Intrinsic HR was revealed by combined autonomic nervous system (ANS) blockade (propranolol + atropine, iv) before and after completion of the study. At the end of the study, SAN function was further evaluated by examining the SAN recovery time (SNRT) following rapid atrial pacing and the response to adenosine in anesthetized animals. As expected, both the response to submaximal exercise and baseline HR significantly (P < 0.01) decreased, and heart rate variability (HRV; e.g., high-frequency R-R interval variability) significantly (P < 0.01) increased in the Ex group but did not change in the Sed group. Atropine also induced significantly (P < 0.01) greater reductions in HRV in the Ex group compared with the Sed group; propranolol elicited similar HR and HRV changes in both groups. In contrast, neither intrinsic HR (Ex before, 141.2 ± 6.7; Ex after, 146.0 ± 8.0 vs. Sed before, 143.3 ± 11.1; Sed after, 141.0 ± 11.3 beats per minute), the response to adenosine, corrected SNRT, nor atrial fibrosis and atrial fibrillation inducibility differed in the Ex group vs. the Sed group. These data suggest that in a large-animal model, training bradycardia results from an enhanced cardiac parasympathetic regulation and not from changes in intrinsic properties of the SAN.

Indexed as

Heart RatePhysical ExertionAdaptation, PhysiologicalAdrenergic AntagonistsAnimalsAnti-Arrhythmia AgentsBradycardiaCardiac Pacing, ArtificialCholinergic AntagonistsDogsFemaleMaleParasympathetic Nervous SystemRandom AllocationRecovery of FunctionSinoatrial NodeAdrenergic AntagonistsAnti-Arrhythmia AgentsCholinergic Antagonistsbeta-adrenergic receptorsbradycardiacardiac autonomic regulationexercise trainingheart rate variabilityparasympathetic nervous systemsinoatrial node

Identifiers

PMID25749448
PMCPMC4451292

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.