Evidence map›Paper›PMID 25870563›Full record

ArticleFrontiers in physiology2015

Complex nonlinear autonomic nervous system modulation link cardiac autonomic neuropathy and peripheral vascular disease.

Kinda Khalaf, Herbert F Jelinek, Caroline Robinson, David J Cornforth, Mika P Tarvainen, Hayder Al-Aubaidy

Open access · goldAbstract read
In one paragraph

Article in Frontiers in physiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 6 institutions in 3 countries.

Kinda KhalafDepartment of Biomedical Engineering, Khalifa University of Science, Technology and Research Abu Dhabi, UAE.
Herbert F JelinekAustralian School of Advanced Medicine, Macquarie University Sydney, NSW, Australia ; Centre for Research in Complex Systems and School of Community Health, Charles Sturt University Albury, NSW, Australia.
Caroline RobinsonSchool of Community Health, Charles Sturt University Albury, NSW, Australia.
David J CornforthSchool of Design, Communication and Information Technology, University of Newcastle Newcastle, NSW, Australia.
Mika P TarvainenDepartment of Applied Physics, University of Eastern Finland Kuopio, Finland ; Department of Clinical Physiology and Nuclear Medicine, Kuopio University Hospital Kuopio, Finland.
Hayder Al-AubaidySchool of Medicine, University of Tasmania Hobart, TAS, Australia.
Charles Sturt University · AUKhalifa University of Science and Technology · AEKuopio University Hospital · FIMacquarie University · AUUniversity of Newcastle Australia · AUUniversity of Tasmania · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysiological interactions are abundant within, and between, body systems. These interactions may evolve into discrete states during pathophysiological processes resulting from common mechanisms. An association between arterial stenosis, identified by low ankle-brachial pressure index (ABPI) and cardiovascular disease (CVD) as been reported. Whether an association between vascular calcification-characterized by high ABPI and a different pathophysiology-is similarly associated with CVD, has not been established. The current study aims to investigate the association between ABPI, and cardiac rhythm, as an indicator of cardiovascular health and functionality, utilizing heart rate variability (HRV). METHODS AND

resultsTwo hundred and thirty six patients underwent ABPI assessment. Standard time and frequency domain, and non-linear HRV measures were determined from 5-min electrocardiogram. ABPI data were divided into normal (n = 101), low (n = 67) and high (n = 66) and compared to HRV measures.(DFAα1 and SampEn were significantly different between the low ABPI, high ABPI and control groups (p < 0.05).

conclusionA possible coupling between arterial stenosis and vascular calcification with decreased and increased HRV respectively was observed. Our results suggest a model for interpreting the relationship between vascular pathophysiology and cardiac rhythm. The cardiovascular system may be viewed as a complex system comprising a number of interacting subsystems. These cardiac and vascular subsystems/networks may be coupled and undergo transitions in response to internal or external perturbations. From a clinical perspective, the significantly increased sample entropy compared to the normal ABPI group and the decreased and increased complex correlation properties measured by DFA for the low and high ABPI groups respectively, may be useful indicators that a more holistic treatment approach in line with this more complex clinical picture is required.

Indexed as

ankle brachial pressure index (ABPI)atherosclerosiscalcificationcomplex systemsheart rate variability (HRV)network physiologyperipheral vascular disease (PVD)

Identifiers

PMID25870563
PMCPMC4376075
OpenAlexW2049179060

What OpenQuestion holds

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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.