Evidence map›Paper›PMID 27766316›Full record

ArticleJACC. Basic to translational science2016

Unilateral Carotid Body Resection in Resistant Hypertension: A Safety and Feasibility Trial.

Krzysztof Narkiewicz, Laura E K Ratcliffe, Emma C Hart, Linford J B Briant, Marzena Chrostowska, Jacek Wolf, Anna Szyndler, Dagmara Hering, Ana P Abdala, Nathan Manghat and 9 more

Abstract read
In one paragraph

Article in JACC. Basic to translational science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

89 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The effect of hyperoxia on muscle sympathetic nerve activity: a systematic review and meta-analysis.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2024
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Pacemaker-Mediated Programmable Hypertension Control Therapy.Journal of the American Heart Association · 2017
    Trial
  6. Interventional Treatment of Arterial Hypertension in The Modern Era: An Updated Review from the Young Investigator Group of the European Society of Hypertension.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. The Japanese Society of Hypertension Guidelines for the management of elevated blood pressure and hypertension 2025 (JSH2025).Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

29 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

19 authors.

Krzysztof NarkiewiczDepartment of Hypertension and Diabetology, Medical University of Gdansk, Gdansk, Poland.
Laura E K RatcliffeCardioNomics Research Group, Clinical Research & Imaging Centre, University of Bristol and University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom.
Emma C HartCardioNomics Research Group, Clinical Research & Imaging Centre, University of Bristol and University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom; School of Physiology, Pharmacology & Neuroscience, Biomedical Sciences, University of Bristol, Bristol, United Kingdom.
Linford J B BriantCardioNomics Research Group, Clinical Research & Imaging Centre, University of Bristol and University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom.
Marzena ChrostowskaDepartment of Hypertension and Diabetology, Medical University of Gdansk, Gdansk, Poland.
Jacek WolfDepartment of Hypertension and Diabetology, Medical University of Gdansk, Gdansk, Poland.
Anna SzyndlerDepartment of Hypertension and Diabetology, Medical University of Gdansk, Gdansk, Poland.
Dagmara HeringDepartment of Hypertension and Diabetology, Medical University of Gdansk, Gdansk, Poland.
Ana P AbdalaSchool of Physiology, Pharmacology & Neuroscience, Biomedical Sciences, University of Bristol, Bristol, United Kingdom.
Nathan ManghatCardioNomics Research Group, Clinical Research & Imaging Centre, University of Bristol and University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom.
Amy E BurchellCardioNomics Research Group, Clinical Research & Imaging Centre, University of Bristol and University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom.
Claire DurantCardioNomics Research Group, Clinical Research & Imaging Centre, University of Bristol and University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom.
Melvin D LoboNIHR Barts Cardiovascular Biomedical Research Unit, William Harvey Research Institute, QMUL, Charterhouse Square, London, United Kingdom.
Paul A SobotkaDepartment of Internal Medicine, Division of Cardiovascular Diseases, The Ohio State University, Columbus, Ohio.
Nikunj K PatelNeurosurgery, North Bristol NHS Trust, Southmead Hospital, Bristol, United Kingdom.
James C LeiterDepartment of Physiology and Neurobiology, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Zoar J EngelmanCibiem, Los Altos, California.
Angus K NightingaleCardioNomics Research Group, Clinical Research & Imaging Centre, University of Bristol and University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom.
Julian F R PatonSchool of Physiology, Pharmacology & Neuroscience, Biomedical Sciences, University of Bristol, Bristol, United Kingdom.

Funding

CRCNS: Modeling the respiratory-sympathetic coupling in neurogenic hypertensionR01AT008632 · NCCIH · INDIANA UNIVERSITY INDIANAPOLIS · PI MOLKOV, YAROSLAV · 2015 to 2019
$1.4M
British Heart Foundation FS/11/1/28400British Heart Foundation RG/12/6/29670NCCIH NIH HHS R01 AT008632
6 · The paper itself

Abstract

Animal and human data indicate pathological afferent signaling emanating from the carotid body that drives sympathetically mediated elevations in blood pressure in conditions of hypertension. This first-in-man, proof-of-principle study tested the safety and feasibility of unilateral carotid body resection in 15 patients with drug-resistant hypertension. The procedure proved to be safe and feasible. Overall, no change in blood pressure was found. However, 8 patients showed significant reductions in ambulatory blood pressure coinciding with decreases in sympathetic activity. The carotid body may be a novel target for treating an identifiable subpopulation of humans with hypertension.

Indexed as

ABP, ambulatory blood pressureafferent driveASBP, ambulatory systolic blood pressurebaroreceptor reflexBRS, baroreceptor reflex sensitivityCB, carotid bodyHRV, heart rate variabilityHVR, hypoxic ventilatory responsehypertensionhypoxiaMSNA, muscle sympathetic nerve activityOBP, office blood pressureOSBP, office systolic blood pressureperipheral chemoreceptorsympathetic nervous systemuCB, unilateral carotid body

Identifiers

PMID27766316
PMCPMC5063532

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.