Evidence map›Paper›PMID 26947948›Full record

ArticleAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2016

Nonpharmacological Correction of Hypersympatheticotonia in Patients with Chronic Coronary Insufficiency and Severe Left Ventricular Dysfunction.

Sergey A Afanasiev, Elena N Pavliukova, Maria A Kuzmichkina, Tatiana Yu Rebrova, Yana Anfinogenova, Konstantin S Likhomanov, Rostislav S Karpov

Abstract read
In one paragraph

Article in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 20% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Nonpharmacological Correction of Hypersympatheticotonia in Patients with Chronic Coronary Insufficiency and Severe Left Ventricular Dysfunction.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2016
    Article
  11. Vagus nerve stimulation: Invasive or noninvasive?Anatolian journal of cardiology · 2016
    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

7 authors at 2 institutions in 1 country.

Sergey A AfanasievFederal State Budgetary Scientific Institution "Research Institute for Cardiology,", Tomsk, Russia.
Elena N PavliukovaFederal State Budgetary Scientific Institution "Research Institute for Cardiology,", Tomsk, Russia.
Maria A KuzmichkinaFederal State Budgetary Scientific Institution "Research Institute for Cardiology,", Tomsk, Russia.
Tatiana Yu RebrovaFederal State Budgetary Scientific Institution "Research Institute for Cardiology,", Tomsk, Russia.
Yana AnfinogenovaFederal State Budgetary Scientific Institution "Research Institute for Cardiology,", Tomsk, Russia. anfy@tpu.ru.
Konstantin S LikhomanovFederal State Budgetary Scientific Institution "Research Institute for Cardiology,", Tomsk, Russia.
Rostislav S KarpovFederal State Budgetary Scientific Institution "Research Institute for Cardiology,", Tomsk, Russia.
Institute of Cardiology · RUNational Research Tomsk State University · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundControl of sympathetic hyperactivity is pivotal for treatment of heart failure (HF) in patients with coronary artery disease (CAD). Our earlier studies demonstrated that the auricular pulsed electrical stimulation of the vagus nerve (VNS) beneficially affected condition of CAD patients with HF. The aim of our study was to evaluate changes in heart rate (HR) and the levels of heat shock proteins in peripheral blood lymphocytes in patients with CAD in the course of VNS.

methodsThe study comprised 70 individuals aged 50-68 years with chronic coronary insufficiency, severe left ventricular dysfunction, and NYHA functional class (FC) III-IV HF. Main group included 63 patients who received VNS course (group 1). Control patients (n = 7) received sham therapy (group 2).

resultsAccording to the results of 6-minute walk test and 24-hour ECG monitoring, administration of VNS improved clinical condition of 58 of 63 patients, decreased HF FC, and attenuated HR. Clinical condition in sham therapy group did not change. Immunoenzyme method demonstrated that hsp70 and hsp60 contents in peripheral blood lymphocyte lysate increased by 58% and 48% (P < 0.05), respectively, in patients who initially had HR < 80 bpm. The hsp70 level significantly increased and hsp60 level remained unchanged in patients with initial HR > 80 bpm.

conclusionsCorrection of autonomous nervous status by VNS attenuated HR and improved functional state of the heart in CAD patients. Cardiotropic effect of VNS was the most pronounced in patients with preserved endogenous stress-limiting systems associated with hsp60 and/or hsp70.

Indexed as

Electric Stimulation TherapyAgedBiomarkersCoronary Artery DiseaseElectrocardiographyExercise TestFemaleHeart RateHeat-Shock ProteinsHumansMaleMiddle AgedSympathetic Nervous SystemVagus NerveVentricular Dysfunction, LeftBiomarkersHeat-Shock Proteinsautonomous nervous systemcoronary artery diseaseheart failureheart rate, heat shock proteinsvagus nerve stimulation

Identifiers

PMID26947948
PMCPMC6931422
OpenAlexW2294643534

What OpenQuestion holds

Textmetadata
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.