Evidence map›Paper›PMID 27120329›Full record

Trial reportClinical research in cardiology : official journal of the German Cardiac Society2016

Effects of chronic carotid baroreceptor activation on arterial stiffness in severe heart failure.

Edoardo Gronda, GianMaria Brambilla, Gino Seravalle, Alessandro Maloberti, Matteo Cairo, Giuseppe Costantino, Eric Lovett, Emilio Vanoli, Giuseppe Mancia, Guido Grassi

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical research in cardiology : official journal of the German Cardiac Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Differential effects of inhibition of interleukin 1 and 6 on myocardial, coronary and vascular function.Clinical research in cardiology : official journal of the German Cardiac Society · 2019
    Trial
  4. Long-term effects of device-guided slow breathing in stable heart failure patients with reduced ejection fraction.Clinical research in cardiology : official journal of the German Cardiac Society · 2019
    Trial
  5. Review
  6. Article
  7. Article
  8. Protective Face Masks: Effect on the Oxygenation and Heart Rate Status of Oral Surgeons during Surgery.International journal of environmental research and public health · 2021
    Article
  9. Article
  10. Review
  11. Article
  12. Vascular Aging and Disease of the Large Vessels: Role of Inflammation.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2019
    Review
  13. Parameters of pulse wave velocity: determinants and reference values assessed in the population-based study LIFE-Adult.Clinical research in cardiology : official journal of the German Cardiac Society · 2018
    Article
  14. Article
  15. Article
  16. Review
  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

10 authors at 4 institutions in 2 countries.

Edoardo GrondaCardiovascular Department, IRCCS Multimedica, Sesto San Giovanni, Milan, Italy.
GianMaria BrambillaClinica Medica, University of Milano-Bicocca, Via Pergolesi 33, 20090, Monza, Italy.
Gino SeravalleIstituto Auxologico, Milan, Italy.
Alessandro MalobertiClinica Medica, University of Milano-Bicocca, Via Pergolesi 33, 20090, Monza, Italy.
Matteo CairoClinica Medica, University of Milano-Bicocca, Via Pergolesi 33, 20090, Monza, Italy.
Giuseppe CostantinoCardiovascular Department, IRCCS Multimedica, Sesto San Giovanni, Milan, Italy.
Eric LovettCVRx Inc., Minneapolis, MN, USA.
Emilio VanoliCardiovascular Department, IRCCS Multimedica, Sesto San Giovanni, Milan, Italy.
Giuseppe ManciaIstituto Auxologico, Milan, Italy.
Guido GrassiCardiovascular Department, IRCCS Multimedica, Sesto San Giovanni, Milan, Italy. guido.grassi@unimib.it.
University of Milano-Bicocca · ITMultiMedica · ITIRCCS Istituto Auxologico Italiano · ITCVRx (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeart failure with reduced ejection fraction (HFrEF) is characterized by activation of the sympathetic nervous system and increased arterial stiffness, leading to an impaired ventricular-vascular coupling. Baroreflex activation therapy (BAT) has been shown to reduce muscle sympathetic nerve activity (MSNA) and improve clinical status of patients with HFrEF. The purpose of this investigation was to determine the effects of BAT on arterial stiffness in HFrEF. METHODS AND

resultsMSNA, clinical variables, and parameters of central blood pressure (BP) and arterial stiffness were collected in 18 NYHA Class III HFrEF patients, nine receiving BAT and nine continuing with optimal medical management alone. Patients were followed for 3 months, with measurements at that time compared to baseline evaluation. Baseline characteristics of the groups were well matched. At 3 months, BAT did not improve central BP and arterial stiffness despite a significant amelioration of MSNA, NYHA class, Minnesota living with heart failure questionnaire score, number of heart failure medications and six-minute walking distance. The control group exhibited no significant changes in all the measured variables.

conclusionsDespite significant reductions in MSNA and clinical improvement, BAT does not appear to chronically modify arterial stiffness within this HFrEF cohort. Additional study is required to determine if this result applies to the HFrEF population as a whole.

Indexed as

BaroreflexVascular StiffnessAgedBlood PressureCarotid SinusElectric Stimulation TherapyExercise TestFemaleHeart FailureHumansImplantable NeurostimulatorsItalyMaleMiddle AgedPressoreceptorsPulse Wave AnalysisArterial stiffnessBaroreflex activation therapyCentral blood pressureCongestive heart failurePulse wave velocity

Identifiers

PMID27120329
OpenAlexW2343540683

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.