Evidence map›Paper›PMID 27670627›Full record

ArticleHeart rhythm2017

Simultaneous noninvasive recording of skin sympathetic nerve activity and electrocardiogram.

Anisiia Doytchinova, Jonathan L Hassel, Yuan Yuan, Hongbo Lin, Dechun Yin, David Adams, Susan Straka, Keith Wright, Kimberly Smith, David Wagner and 14 more

2 registry-linked trialsOpen access · greenAbstract readComparative Study
In one paragraph

Article in Heart rhythm, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
8.5field-weighted citation impact, top 2% 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.

NCT03243448 enrolling by invitationnot on this map

Using Skin Sympathetic Nerve Activity to Estimate Sympathetic Tone in Human

Typeobservational_patient_registrySponsorKaohsiung Medical University Chung-Ho Memorial HospitalRan2016 to 2032Enrolled1,000ConditionsNerve, Disorder, Sympathetic, Healthy
NCT03729076 nacompletednot on this mapstarted 2018, after this paper: background citation

Crystalloid Versus Colloid Rapid Co-load in Parturients Receiving Prophylactic Phenylephrine Infusion During Cesarean Delivery Under Spinal Anesthesia

TypeinterventionalSponsorSeoul National University HospitalRan2018 to 2020Enrolled100ConditionsPregnancy, Cesarean Delivery, HypotensionArmsCrystalloid, Colloid
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 141 citations in OpenAlex.

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  9. Autonomic dysregulation and atrial arrhythmias.American journal of physiology. Cell physiology · 2025
    Review
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  18. Renal autonomic dynamics in hypertension: how can we evaluate sympathetic activity for renal denervation?Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Review
  19. Article
  20. Article

10 more citing papers are in PubMed but not listed here.

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

24 authors at 8 institutions in 3 countries.

Anisiia DoytchinovaKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Jonathan L HasselKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Yuan YuanKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana; Department of Cardiothoracic Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Hongbo LinDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, Indiana.
Dechun YinKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana; Department of Cardiology, the First Affiliated Hospital of Harbin Medical University, Harbin, China.
David AdamsKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Susan StrakaKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Keith WrightKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Kimberly SmithKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
David WagnerKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Changyu ShenDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, Indiana.
Vicenta SalanovaDepartment of Neurology, Indiana University School of Medicine, Indianapolis, Indiana.
Chad MeshbergerDepartment of Neurology, Indiana University School of Medicine, Indianapolis, Indiana.
Lan S ChenDepartment of Neurology, Indiana University School of Medicine, Indianapolis, Indiana.
John C KincaidDepartment of Neurology, Indiana University School of Medicine, Indianapolis, Indiana.
Arthur C CoffeyDivision of Cardiothoracic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana.
Gang WuDivision of Cardiovascular Diseases, Department of Medicine, Mayo Clinic, Rochester, Minnesota; Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.
Yan LiDepartment of Geriatrics, Shengjing Hospital, China Medical University, Shenyang, China.
Richard J KovacsKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Thomas H EverettKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Ronald VictorCedars-Sinai Heart Institute/Hypertension Center(,) Los Angeles, California.
Yong-Mei ChaDivision of Cardiovascular Diseases, Department of Medicine, Mayo Clinic, Rochester, Minnesota.
Shien-Fong LinKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana; Institute of Biomedical Engineering, National Chiao-Tung University, Hsin-Chu, Taiwan.
Peng-Sheng ChenKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana. Electronic address: chenpp@iu.edu.
Indiana University School of MedicineIndiana University – Purdue University Indianapolis · USCedars-Sinai Smidt Heart Institute · USChina Medical University · CNMayo Clinic · USNational Yang Ming Chiao Tung University · TWRenmin Hospital of Wuhan University · CNXinHua Hospital · CN

Funding

WAVE DYNAMICS IN NORMAL AND DISEASED RABBIT HEARTSP01HL078931 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WEISS, JAMES · 2005 to 2015
$20.7M
Barber-Pharmacist Coordination to Improve Blood Pressure Management in Black MenR01HL117983 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI ALBERT, CHRISTINE M · 2014 to 2018
$8.6M
Thoracic Veins and Sustained Atrial FibrillationR01HL071140 · NHLBI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI CHEN, PENG-SHENG · 2002 to 2014
$4.7M
Skin Sympathetic Nerve Activity and Cardiac ArrhythmiasR42DA043391 · NIDA · ARRHYTHMOTECH, LLC · PI EVERETT, THOMAS H · 2016 to 2017
$1.5M
Neuromodulation for Atrial Fibrillation ControlR56HL071140 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI CHEN, PENG-SHENG · 2016 to 2016
$461k
Sympathetic Nerve Activity Recorded From the Skin and Cardiac ArrhythmiasR41HL124741 · NHLBI · ARRHYTHMOTECH, LLC · PI EVERETT, THOMAS H · 2014 to 2014
$213k
NHLBI NIH HHS P01 HL078931NHLBI NIH HHS R01 HL071140NHLBI NIH HHS R01 HL117983NHLBI NIH HHS R41 HL124741NHLBI NIH HHS R56 HL071140NIDA NIH HHS R42 DA043391
6 · The paper itself

Abstract

backgroundSympathetic nerve activity is important to cardiac arrhythmogenesis.

objectiveThe purpose of this study was to develop a method for simultaneous noninvasive recording of skin sympathetic nerve activity (SKNA) and electrocardiogram (ECG) using conventional ECG electrodes. This method (neuECG) can be used to adequately estimate sympathetic tone.

methodsWe recorded neuECG signals from the skin of 56 human subjects. The signals were low-pass filtered to show the ECG and high-pass filtered to show nerve activity. Protocol 1 included 12 healthy volunteers who underwent cold water pressor test and Valsalva maneuver. Protocol 2 included 19 inpatients with epilepsy but without known heart diseases monitored for 24 hours. Protocol 3 included 22 patients admitted with electrical storm and monitored for 39.0 ± 28.2 hours. Protocol 4 included 3 patients who underwent bilateral stellate ganglion blockade with lidocaine injection.

resultsIn patients without heart diseases, spontaneous nerve discharges were frequently observed at baseline and were associated with heart rate acceleration. SKNA recorded from chest leads (V

conclusionSKNA is detectable using conventional ECG electrodes in humans and may be useful in estimating sympathetic tone.

Indexed as

AgedCase-Control StudiesElectrocardiographyElectrodesFemaleHeart RateHumansMaleMiddle AgedReference ValuesSkinStellate GanglionSympathetic Nervous SystemTachycardia, VentricularCold water pressor testMicroneurographySympathetic nerve activityVentricular tachycardia

Identifiers

PMID27670627
PMCPMC5182108
OpenAlexW2521102010

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

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.