Evidence map›Paper›PMID 29721647›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2018

Cardiac autonomic modulation impairments in advanced breast cancer patients.

Claudia Arab, Luiz Carlos Marques Vanderlei, Laércio da Silva Paiva, Kyle Levi Fulghum, Carlos Elias Fristachi, Afonso Celso Pinto Nazario, Simone Elias, Luiz Henrique Gebrim, Celso Ferreira Filho, Yori Gidron and 1 more

Open access · greenAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

22 citing papers in PubMed, 29 citations in OpenAlex.

  1. Long-term effects of device-guided slow breathing in stable heart failure patients with reduced ejection fraction.Clinical research in cardiology : official journal of the German Cardiac Society · 2019
    Trial
  2. Key role of the autonomic nervous system in breast cancer (Review).Experimental and therapeutic medicine · 2026
    Review
  3. Article
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  5. Long-Term Prognostic Value ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
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  16. FIFA World Cup 2018: effect of emotional stress on conventional heart rate variability metrics.Clinical research in cardiology : official journal of the German Cardiac Society · 2020
    Article
  17. The role of heart rate in the assessment of cardiac autonomic modulation with heart rate variability.Clinical research in cardiology : official journal of the German Cardiac Society · 2019
    Article
  18. Reply to the letter "The role of heart rate in the assessment of cardiac autonomic modulation with heart rate variability".Clinical research in cardiology : official journal of the German Cardiac Society · 2019
    Article
  19. Epicardial fat accumulation is an independent marker of impaired heart rate recovery in obese patients with obstructive sleep apnea.Clinical research in cardiology : official journal of the German Cardiac Society · 2019
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  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 3 countries.

Claudia ArabDepartamento de Medicina, Disciplina de Cardiologia, Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, 715 Napoleão de Barros St, São Paulo, 04024002, SP, Brazil. ac.arabclaudia@gmail.com.
Luiz Carlos Marques VanderleiDepartamento de Fisioterapia, Faculdade de Ciência e Tecnologia, Universidade do Estado de São Paulo, 305 Roberto Símonsen St, Presidente Prudente, SP, 19060-900, Brazil.
Laércio da Silva PaivaFaculdade de Medicina do ABC, Laboratório de Epidemiologia e Análise de Dados, 2000 Lauro Gomes Av, Santo André, SP, 09060-870, Brazil.
Kyle Levi FulghumDepartment of Physiology and Institute of Molecular Cardiology, School of Medicine, University of Louisville, Baxter Biomedical Research Building II, 590 S Preston St, Louisville, KY, 40202, USA.
Carlos Elias FristachiInstituto do Câncer Doutor Arnaldo Vieira de Carvalho, 66 Largo do Arouche, São Paulo, SP, 01219-011, Brazil.
Afonso Celso Pinto NazarioDepartamento de Ginecologia, Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
Simone EliasDepartamento de Ginecologia, Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
Luiz Henrique GebrimCentro de Referência da Saúde da Mulher, Hospital Pérola Byington, 683 Brigadeiro Luís Antônio Ave, São Paulo, SP, 01317-000, Brazil.
Celso Ferreira FilhoDepartamento de Medicina, Disciplina de Clínica Médica, Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
Yori GidronFree University of Brussels (VUB), Boulevard de la Plaine 2, 1050, Ixelles, Belgium.
Celso FerreiraDepartamento de Medicina, Disciplina de Cardiologia, Hospital São Paulo, Escola Paulista de Medicina, Universidade Federal de São Paulo, 715 Napoleão de Barros St, São Paulo, 04024002, SP, Brazil.
Universidade Federal de São Paulo · BRHospital São Paulo · BRBaxter (United States) · USFaculdade de Medicina do ABC · BRHospital Pérola Byington · BRInstituto do Câncer do Estado de São Paulo · BRUniversité Libre de Bruxelles · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare cardiac autonomic modulation in early- versus advanced-stage breast cancer patients before any type of cancer treatment and investigate associated factors. METHODS AND

resultsThis cross-sectional study included women (30-69 years old) with primary diagnosis of breast cancer and women with benign breast tumors. We evaluated cardiac modulation by heart rate variability and assessed factors of anxiety, depression, physical activity, and other relevant medical variables. Patients were divided into three groups based on TNM staging of cancer severity: early-stage cancer (n = 42), advanced-stage cancer (n = 37), or benign breast tumors to serve as a control (n = 37). We analyzed heart rate variability in time and frequency domains. The advanced-stage cancer group had lower vagal modulation than early-stage and benign groups; also, the advance-stage group had lower overall heart rate variability when compared to benign conditions. Heart rate variability was influenced by age, menopausal status, and BMI.

conclusionsHeart rate variability seems to be a promising, non-invasive tool for early diagnosis of autonomic dysfunction in breast cancer and detection of cardiovascular impairments at cancer diagnosis. Cardiac autonomic modulation is inversely associated with breast cancer staging.

Indexed as

AdultAgedArrhythmias, CardiacBiopsyBreast NeoplasmsCross-Sectional StudiesElectrocardiographyFemaleHeart RateHumansMiddle AgedNeoplasm StagingVagus NerveAutonomic nervous systemBreast tumorCardiologyTNM classification

Identifiers

PMID29721647
OpenAlexW2801092820

What OpenQuestion holds

Textmetadata
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.