Evidence map›Paper›PMID 27672029›Full record

Trial reportHypertension (Dallas, Tex. : 1979)2016

The Role of the Autonomic Nervous System in the Regulation of Aortic Stiffness.

Kaisa M Mäki-Petäjä, Sharon M L Barrett, Sarah V Evans, Joseph Cheriyan, Carmel M McEniery, Ian B Wilkinson

Open access · hybridAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Hypertension (Dallas, Tex. : 1979), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

33 citing papers in PubMed, 57 citations in OpenAlex.

  1. Trial
  2. Acute psychological stress, autonomic function, and arterial stiffness among women.International journal of psychophysiology : official journal of the International Organization of Psychophysiology · 2020
    Trial
  3. Article
  4. Article
  5. Acute cardiovascular responses to the 100-mi Western States Endurance Run.Journal of applied physiology (Bethesda, Md. : 1985) · 2024
    Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. 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 2 institutions in 2 countries.

Kaisa M Mäki-PetäjäFrom the Division of Experimental Medicine and Immunotherapeutics, University of Cambridge, United Kingdom. km391@medschl.cam.ac.uk.
Sharon M L BarrettFrom the Division of Experimental Medicine and Immunotherapeutics, University of Cambridge, United Kingdom.
Sarah V EvansFrom the Division of Experimental Medicine and Immunotherapeutics, University of Cambridge, United Kingdom.
Joseph CheriyanFrom the Division of Experimental Medicine and Immunotherapeutics, University of Cambridge, United Kingdom.
Carmel M McEnieryFrom the Division of Experimental Medicine and Immunotherapeutics, University of Cambridge, United Kingdom.
Ian B WilkinsonFrom the Division of Experimental Medicine and Immunotherapeutics, University of Cambridge, United Kingdom.
Oncotherapeutics (United States) · USOSE Immunotherapeutics (France) · FR

Funding

British Heart Foundation FS/12/8/29377
6 · The paper itself

Abstract

The autonomic nervous system is important in regulating blood pressure, but whether it regulates aortic stiffness is more contentious. We conducted 3 studies in young, healthy individuals to address this important question. Study 1 was a cross-sectional study of 347 subjects with detailed measurements of hemodynamics and heart rate variability. In study 2, 9 subjects were given a bolus of intravenous nicotinic ganglion blocker, pentolinium, or saline in a random order and hemodynamics and heart rate variability were assessed before and after. In study 3, changes in hemodynamics and heart rate variability were assessed during stimulation of the sympathetic nervous system with the use of isometric handgrip exercise in 12 subjects. Study 1: aortic pulse wave velocity (P=0.003) was lowest in the subjects with the highest parasympathetic activity, but after adjusting for mean arterial pressure, the effect was abolished (P=0.3). Study 2: after pentolinium, sympathetic and parasympathetic activity fell (P=0.001 for both), mean arterial pressure, and heart rate increased (P=0.004 and P=0.04, respectively), but there was no change in pulse wave velocity in comparison to placebo (P=0.1). Study 3: during handgrip exercise, sympathetic activity (P=0.003), mean arterial pressure (P<0.0001), and aortic pulse wave velocity increased (P=0.013). However, pulse wave velocity adjusted for mean arterial pressure did not change (P=0.1). The main finding of these studies is that in young healthy subjects, the autonomic nervous system does not have a pressure-independent role in the regulation of aortic stiffness. However, these findings may not apply to patients with increased sympathetic tone or hypertension.

Indexed as

Arterial PressureAutonomic Nervous SystemHeart RateHemodynamicsHypertensionVascular StiffnessAdultCross-Over StudiesCross-Sectional StudiesDouble-Blind MethodFemaleHand StrengthHealthy VolunteersHumansMalePentolinium TartratePentolinium Tartrateaortic stiffnessautonomic nervous systemblood pressurehealthy volunteersheart ratehemodynamics

Identifiers

PMID27672029
PMCPMC5058641
OpenAlexW2527116806

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.