Evidence map›Paper›PMID 27503851›Full record

Trial reportJournal of the American Heart Association2016

Hemodynamic and Autonomic Response to Different Salt Intakes in Normotensive Individuals.

Paolo Castiglioni, Gianfranco Parati, Davide Lazzeroni, Matteo Bini, Andrea Faini, Lorenzo Brambilla, Valerio Brambilla, Paolo Coruzzi

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Alterations in dietary sodium intake affect cardiovagal baroreflex sensitivity.American journal of physiology. Regulatory, integrative and comparative physiology · 2018
    Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Sensory signals mediating high blood pressure via sympathetic activation: role of adipose afferent reflex.American journal of physiology. Regulatory, integrative and comparative physiology · 2020
    Review
  14. Review
  15. Understanding the Two Faces of Low-Salt Intake.Current hypertension reports · 2017
    Review
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

8 authors at 4 institutions in 1 country.

Paolo CastiglioniIRCCS Fondazione Don C. Gnocchi, Milan, Italy.
Gianfranco ParatiDepartment of Cardiovascular, Neural and Metabolic Sciences, Istituto Auxologico Italiano, Milan, Italy Department of Health Sciences, University of Milano-Bicocca, Milan, Italy gianfranco.parati@unimib.it.
Davide LazzeroniFondazione Don Carlo Gnocchi, Parma, Italy.
Matteo BiniDepartment of Clinical and Experimental Medicine, University of Parma, Italy.
Andrea FainiDepartment of Cardiovascular, Neural and Metabolic Sciences, Istituto Auxologico Italiano, Milan, Italy.
Lorenzo BrambillaFondazione Don Carlo Gnocchi, Parma, Italy.
Valerio BrambillaFondazione Don Carlo Gnocchi, Parma, Italy.
Paolo CoruzziDepartment of Clinical and Experimental Medicine, University of Parma, Italy.
Don Carlo Gnocchi Foundation · ITUniversity of Parma · ITIRCCS Istituto Auxologico Italiano · ITUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEven if sodium sensitivity represents a risk factor at any blood pressure (BP) level, limited evidence is available that it may influence cardiovascular control in normotensives, particularly in white individuals. Therefore, the aim of the study was to investigate whether sodium sensitivity alters hemodynamic or autonomic responses to salt in normotensives. METHODS AND

resultsWe evaluated the Sodium-Sensitivity Index (SS-Index) in 71 white normotensives after 5 days of high- and low-sodium diets. We measured BP continuously at the end of each period, estimating hemodynamic indices from BP waveform analysis, and autonomic indices from heart rate (HR) and BP variability. According to the SS-Index distribution, we defined 1 sodium-sensitive group (SS, with SS-Index >15 mm Hg/[mmol·day]), 1 sodium-resistant group, (unresponsive to sodium load with -15≤ SS-Index ≤+15), and 1 inverse sodium-sensitive group, responsive to sodium by decreasing BP, with SS-Index <-15). We compared the effects of the diets among groups, and correlated autonomic/hemodynamic indices with the SS-Index. After sodium loading, a significant decrease in systemic peripheral resistances, HR, spectral indices of BP modulation, and a significant increase of indices of HR vagal modulation were found in the inverse sodium-sensitive group but not in SS normotensives. Moreover, the highest SS-Indices were associated with the lesser vagal HR decelerations.

conclusionsOur data suggest that salt sensitivity in white normotensive individuals is associated with impaired vasodilation and altered autonomic response to dietary salt. Such dysfunction may critically contribute to induce a BP response to dietary salt.

Indexed as

AdultBlood PressureBlood Pressure Monitoring, AmbulatoryDose-Response Relationship, DrugFemaleHeart RateHemodynamicsHumansMaleSodium, DietarySodium, Dietaryautonomic functionbaroreflexblood pressure spectral analysisheart rate variabilityperipheral resistancesalt intakesalt‐sensitive

Identifiers

PMID27503851
PMCPMC5015293
OpenAlexW2508912663

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.