Evidence map›Paper›PMID 29552429›Full record

ArticleCureus2018

Influence of Acute Antipsychotic Treatment on Cardiorespiratory Coupling and Heart Rate Variability.

Roboam R Aguirre, Mixel Z Mustafa, Alessandra Dumenigo, Steffen Schulz, Andreas Voss, Bishoy Goubran, Rhaisa Dumenigo, Marcos A Sanchez-Gonzalez

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

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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 at 3 institutions in 3 countries.

Roboam R AguirreDivision of Clinical and Translational Research, Larkin Community Hospital.
Mixel Z MustafaDepartment of Psychiatry, Larkin Community Hospital.
Alessandra DumenigoDivision of Clinical and Translational Research, Larkin Community Hospital.
Steffen SchulzInstitute of Innovative Health Technologies, University of Applied Sciences Jena, Jena, Germany.
Andreas VossInstitute of Innovative Health Technologies, University of Applied Sciences Jena, Jena, Germany.
Bishoy GoubranDivision of Clinical and Translational Research, Larkin Community Hospital.
Rhaisa DumenigoDepartment of Psychiatry, Larkin Community Hospital.
Marcos A Sanchez-GonzalezDivision of Clinical and Translational Research, Larkin Community Hospital.
Technologies pour la Santé · FRLarkin Community Hospital · USJena University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A major contributing factor associated with increased cardiac mortality in patients with schizophrenia (SCZ) seems to be a dysfunction of the autonomic nervous system (ANS). The link between ANS dysfunction and SCZ is multifactorial, but some reports suggest that the use of antipsychotics could be implicated. This case illustrates the time course of autonomic improvement in response to antipsychotic treatment in an inpatient with SCZ in acute psychosis. To this end, we documented markers of autonomic function during hospitalization. Heart rate variability (HRV; cardiac autonomic modulation) analysis showed an increased variability over time (from Day 1 to Day 3), with strongest reaction at Day 3. The respiration analysis showed an increased respiratory variability over time (from Day 1 to Day 3) suggesting improved autonomic modulation in response to the pharmacotherapy. Cardiorespiratory coupling (CRC; surrogate of cardiorespiratory synchrony and cardiovagal modulation) showed an increasing influence of heart rate on respiration and increased from Day 1 to Day 3. The concurrent improvement of psychosis and autonomic function in response to antipsychotic treatment in this patient suggest a potential cardio protective role of antipsychotics in the acute setting. Prospective trials aimed at examining the cardiovascular implications of acute psychosis treatment in patients with schizophrenia are warranted.

Indexed as

autonomic functioncardiorespiratory couplingheart rate variabilityrespiratory rate variabilityschizophrenia

Identifiers

PMID29552429
PMCPMC5854318
OpenAlexW2783688835

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.