Evidence map›Paper›PMID 29657079›Full record

ArticleInternational journal of cardiology2018

Functional selectivity of cardiac preganglionic sympathetic neurones in the rabbit heart.

Reshma A Chauhan, John Coote, Emily Allen, Pott Pongpaopattanakul, Kieran E Brack, G Andre Ng

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In one paragraph

Article in International journal of cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 9 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

6 authors at 1 institution in 1 country.

Reshma A ChauhanDepartment of Cardiovascular Sciences, University of Leicester, UK.
John CooteDepartment of Cardiovascular Sciences, University of Leicester, UK; University of Birmingham, UK.
Emily AllenDepartment of Cardiovascular Sciences, University of Leicester, UK.
Pott PongpaopattanakulDepartment of Cardiovascular Sciences, University of Leicester, UK.
Kieran E BrackDepartment of Cardiovascular Sciences, University of Leicester, UK.
G Andre NgDepartment of Cardiovascular Sciences, University of Leicester, UK; NIHR Leicester Biomedical Research Centre, Leicester, UK; University Hospitals of Leicester NHS Trust, Leicester, UK. Electronic address: gan1@le.ac.uk.
University of Leicester · GB

Funding

British Heart Foundation PG/13/57/30385British Heart Foundation RG/17/3/32774
6 · The paper itself

Abstract

backgroundStudies have shown regional and functional selectivity of cardiac postganglionic neurones indicating there might exist a similar heterogeneity in spinal segmental preganglionic neurones, which requires further investigation.

methodsRight and left sympathetic chains were electrically stimulated from T6 to T1 in the innervated isolated rabbit heart preparation (n = 18). Sinus rate, left ventricular pressure, retrograde ventriculo-atrial conduction, monophasic action potential duration, effective refractory period, ventricular fibrillation threshold and electrical restitution were measured.

resultsRight sympathetic stimulation had a greater influence on heart rate (T1-T2: right; 59.9 ± 6.0%, left; 41.1 ± 5.6% P < 0.001) and left stimulation had greater effects on left ventricular pressure (T1-T2: right; 20.7 ± 3.2%, left; 40.3 ± 5.4%, P < 0.01) and ventriculo-atrial conduction (T1-T2: right; -6.8 ± 1.1%, left; -15.5 ± 0.2%) at all levels, with greater effects at rostral levels (T1-T3). Left sympathetic stimulation caused shorter monophasic action potentials at the base (T4-T5: right; 119.3 ± 2.7 ms, left; 114.7 ± 2.5 ms. P < 0.05) and apex (T4-T5: right; 118.8 ± 1.2 ms, left; 114.6 ± 2.6 ms. P < 0.05), greater shortening of effective refractory period (T4-T5: right; -3.6 ± 1.3%, left; -7.7 ± 1.8%. P < 0.05), a steeper maximum slope of restitution (T4-T5 base: right; 1.3 ± 0.2, left; 1.8 ± 0.2. P < 0.01. T4-T5 apex: right; 1.0 ± 0.2, left; 1.6 ± 0.3. P < 0.05) and a greater decrease in ventricular fibrillation threshold (T4-T5: right; -22.3 ± 6.8%, left;-39.0 ± 1.7%), with dominant effects at caudal levels (T4-T6).

conclusionsThe preganglionic sympathetic efferent axons show functionally distinct pathways to the heart. The caudal segments (T4-T6) of the left sympathetic chain had a greater potential for arrhythmia generation and hence could pose a target for more focused clinical treatments for impairments in cardiac function.

Indexed as

Ganglia, SympatheticHeartAction PotentialsAnimalsCardiac ElectrophysiologyElectric StimulationHeart RateModels, AnimalNeurons, EfferentRabbitsVentricular FibrillationCardiac electrophysiologyCardiotopicHeartSympathetic chainSympathetic nervous system

Identifiers

PMID29657079
PMCPMC5968349
OpenAlexW2795274008

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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.