Evidence map›Paper›PMID 29198900›Full record

ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2018

Time Course of Flow-Mediated Dilation and Vascular Endothelial Growth Factor following Acute Stroke.

Sandra A Billinger, Jason-Flor V Sisante, Alicen A Whitaker, Michael G Abraham

Open access · greenAbstract read
In one paragraph

Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 24% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Peripheral vascular function in stroke: systematic review and meta-analysis.Journal of applied physiology (Bethesda, Md. : 1985) · 2024
    Pooled it
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  10. Exercise intensity and middle cerebral artery dynamics in humans.Respiratory physiology & neurobiology · 2019
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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

4 authors at 1 institution in 1 country.

Sandra A BillingerDepartment of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, Kansas. Electronic address: sbillinger@kumc.edu.
Jason-Flor V SisanteDepartment of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, Kansas.
Alicen A WhitakerDepartment of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, Kansas.
Michael G AbrahamDepartment of Neurology, University of Kansas Medical Center, Kansas City, Kansas; Department of Radiology, University of Kansas Medical Center, Kansas City, Kansas.
University of Kansas Medical Center · US

Funding

Research Design and Analysis Core (RDAC)P30HD002528 · NICHD · UNIVERSITY OF KANSAS LAWRENCE · PI COLOMBO, JOHN A. · 1985 to 2015
$22.1M
Heartland Institute for Clinical and Translational ResearchUL1TR000001 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BAROHN, RICHARD J. · 2012 to 2015
$13.0M
Participant Recruitment and ManagementP30DC005803 · NIDCD · UNIVERSITY OF KANSAS LAWRENCE · PI KEMPER, SUSAN J. · 2002 to 2016
$5.8M
Kansas University Training Program in Neurological and Rehabilitation SciencesT32HD057850 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Jacob J. Sosnoff · 2009 to 2026
$3.4M
Examining Vascular Regulation Following Acute StrokeK01HD067318 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BILLINGER, SANDRA A · 2011 to 2015
$505k
NCATS NIH HHS UL1 TR000001NICHD NIH HHS K01 HD067318NICHD NIH HHS P30 HD002528NICHD NIH HHS T32 HD057850NIDCD NIH HHS P30 DC005803
6 · The paper itself

Abstract

objectivesPeople after stroke demonstrate alterations in vascular endothelial function measured by flow-mediated dilation. Limited information is available in the literature on possible protective factors following stroke. The aims of the secondary analysis were (1) to characterize the time course of vascular endothelial function using flow-mediated dilation at 72 hours after stroke and 1 week later during inpatient stroke rehabilitation and (2) to determine whether flow-mediated dilation was related to vascular endothelial growth factor, brain-derived neurotrophic factor, or estimated prestroke peak oxygen uptake.

methodsFlow-mediated dilation using Doppler ultrasound was assessed in bilateral brachial arteries at the defined time points. Flow-mediated dilation and blood draws occurred on the same day between 7:30 am and 9:00 am following an overnight fast. Enzyme-linked immunosorbent assay was used to quantify plasma vascular endothelial growth factor and brain-derived neurotrophic factor values. A nonexercise estimate was used to calculate prestroke peak oxygen uptake.

resultsWe have shown that between-limb differences are evident within 72 hours after stroke and remain 1 week later during inpatient rehabilitation. Higher values for vascular endothelial growth factor were associated with increased flow-mediated dilation at both time points. Higher estimated prestroke peak oxygen uptake was related to flow-mediated dilation. Brain-derived neurotrophic factor was not related to any outcome measures.

conclusionsUnique vascular adaptations start early after stroke in the stroke-affected limb and remain through inpatient stroke rehabilitation. Vascular endothelial growth factor and prestroke physical activity may have a protective role in vascular function following stroke. Future work should focus on mechanistic pathways for preservation of vascular health.

Indexed as

VasodilationAdaptation, PhysiologicalAgedBiomarkersBrachial ArteryEnzyme-Linked Immunosorbent AssayExerciseFemaleHumansMaleMiddle AgedOxygen ConsumptionRegional Blood FlowStrokeStroke RehabilitationTime FactorsBiomarkersVascular Endothelial Growth Factor AVEGFA protein, humanacute strokeechocardiographyFlow-mediated dilationrehabilitationultrasoundvascular endothelial function

Identifiers

PMID29198900
PMCPMC7196440
OpenAlexW2774722614

What OpenQuestion holds

Textmetadata
LicenceTDM
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.