Evidence map›Paper›PMID 30321200›Full record

ArticlePloS one2018

Dynamic cerebral autoregulation is impaired in Veterans with Gulf War Illness: A case-control study.

Michael J Falvo, Jacob B Lindheimer, Jorge M Serrador

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04586049 (Autonomic Dysfunction, Brain Blood Flow and Cognitive Decline in Veterans With Gulf War Illness), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 19% 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.

NCT04586049 active not recruitingnot on this mapstarted 2023, after this paper: background citation

Autonomic Dysfunction, Brain Blood Flow and Cognitive Decline in Veterans With Gulf War Illness

TypeobservationalSponsorUniversity of Wisconsin, MadisonRan2023 to 2026Enrolled70ConditionsBrain Blood Flow, Neurovascular ControlArmsMRI, Transcranial Doppler Ultrasound, Sympathetic Nerve Activity
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Poster Viewing Sessions PB01-B01 to PB03-V09.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2019
    Article
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

3 authors at 2 institutions in 2 countries.

Michael J FalvoWar Related Illness and Injury Study Center, Department of Veterans Affairs, East Orange, New Jersey, United States of America.
Jacob B LindheimerWilliam S. Middleton Memorial Veterans Hospital, Department of Veterans Affairs, Madison, Wisconsin, United States of America.ORCID 0000-0002-1581-3210
Jorge M SerradorWar Related Illness and Injury Study Center, Department of Veterans Affairs, East Orange, New Jersey, United States of America.
Rutgers, The State University of New Jersey · USUniversity of Wisconsin–Madison · US

Funding

Acute exercise tolerance among Veterans with Gulf War IllnessIK2CX001679 · VA · WM S. MIDDLETON MEMORIAL VETERANS HOSP · PI LINDHEIMER, JACOB · 2018 to 2023
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CSRD VA IK2 CX001679
6 · The paper itself

Abstract

Neurological dysfunction has been reported in Gulf War Illness (GWI), including abnormal cerebral blood flow (CBF) responses to physostigmine challenge. However, it is unclear whether the CBF response to normal physiological challenges and regulation is similarly dysfunctional. The goal of the present study was to evaluate the CBF velocity response to orthostatic stress (i.e., sit-to-stand maneuver) and increased fractional concentration of carbon dioxide. 23 cases of GWI (GWI+) and 9 controls (GWI) volunteered for this study. Primary variables of interest included an index of dynamic autoregulation and cerebrovascular reactivity. Dynamic autoregulation was significantly lower in GWI+ than GWI- both for autoregulatory index (2.99±1.5 vs 4.50±1.5, p = 0.017). In addition, we observed greater decreases in CBF velocity both at the nadir after standing (-18.5±6.0 vs -9.8±4.9%, p = 0.001) and during steady state standing (-5.7±7.1 vs -1.8±3.2%, p = 0.042). In contrast, cerebrovascular reactivity was not different between groups. In our sample of Veterans with GWI, dynamic autoregulation was impaired and consistent with greater cerebral hypoperfusion when standing. This reduced CBF may contribute to cognitive difficulties in these Veterans when upright.

Indexed as

VeteransAdultBaroreflexBlood Flow VelocityBlood PressureBrainCarbon DioxideCase-Control StudiesCognitionEchocardiography, DopplerFemaleGulf WarHeart RateHumansMaleMiddle AgedCarbon Dioxide

Identifiers

PMID30321200
PMCPMC6188758
OpenAlexW2896144090

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

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.