Evidence map›Paper›PMID 29180481›Full record

ArticlePhysiological reports2017

Validity and variability of xBRS: instantaneous cardiac baroreflex sensitivity.

Karel H Wesseling, John M Karemaker, Paolo Castiglioni, Emil Toader, Andrei Cividjian, Jos J Settels, Luc Quintin, Berend E Westerhof

Abstract read
In one paragraph

Article in Physiological reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

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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

20 citing papers in PubMed.

  1. Article
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  6. Association between temporal patterns of baroreflex sensitivity after traumatic brain injury and prognosis: a preliminary study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
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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.

Karel H WesselingBMEye, Amsterdam, The Netherlands.
John M KaremakerDepartment of Medical Biology (Section Systems Physiology), Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands j.m.karemaker@amc.uva.nl.
Paolo CastiglioniIRCCS Don C. Gnocchi Foundation, Milan, Italy.
Emil ToaderDepartment of Physiology, University of Lyon, Lyon, France.
Andrei CividjianDepartment of Physiology, University of Lyon, Lyon, France.
Jos J SettelsEdwards Lifesciences BMEYE, Amsterdam, The Netherlands.
Luc QuintinDepartment of Physiology, University of Lyon, Lyon, France.
Berend E WesterhofDepartment of Medical Biology (Section Systems Physiology), Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous oscillations of blood pressure (BP) and interbeat interval (IBI) may reveal important information on the underlying baroreflex control and regulation of BP We evaluated the method of continuously measured instantaneous baroreflex sensitivity by cross correlation (xBRS) validating its mean value against the gold standard of phenylephrine (Phe) and nitroprusside (SNP) bolus injections, and focusing on its spontaneous changes quantified as variability around the mean. For this purpose, we analyzed data from an earlier study of eight healthy males (aged 25-46 years) who had received Phe and SNP in conditions of baseline and autonomic blocking agents: atropine, propranolol, and clonidine. Average xBRS corresponds well to Phe/SNP-BRS, with xBRS levels ranging from 1.2 (atropine) to 102 msec/mmHg (subject asleep under clonidine). Time shifts from BP- to IBI-signal increased from ≤1 sec (maximum correlations within the current heartbeat) to 3-5 sec (under atropine). Plotted on a logarithmic vertical scale, xBRS values show 40% variability (defined as SD/mean) over the whole range in the various conditions, except twice when the subjects had fallen asleep and it dropped to 20%. The xBRS oscillates at frequencies of 0.1 Hz and lower, dominant between 0.02-0.05 Hz. Although xBRS is the result of IBI/BP-changes, no linear coherence was found in the cross-spectra of the xBRS-signal and IBI or BP We speculate that the level of variability in the xBRS-signal may act as a probe into the central nervous condition, as evidenced in the two subjects who fell asleep with high xBRS and only 20% of relative variation.

Indexed as

BaroreflexBlood PressureAdultAntihypertensive AgentsAtropineAutonomic Nervous SystemBlood Pressure DeterminationClonidineHeartHumansMaleNitroprussidePhenylephrinePropranololVasoconstrictor AgentsAntihypertensive AgentsAtropineClonidineNitroprussidePhenylephrinePropranololVasoconstrictor AgentsAtropineautonomic variabilitycardiac autonomic blockadecardiac baroreflexcardiac–respiratory interactionclonidinecross‐correlation baroreflexpropranololxBRS

Identifiers

PMID29180481
PMCPMC5704083

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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.