Evidence map›Paper›PMID 30603645›Full record

ArticleAnnals of translational medicine2018

Sphenopalatine ganglion block: an external gate to modulate cardiac autonomic tone and suppress premature ventricular beats?

Dimitrios N Katsaras, Chrysa K Arvaniti, Panayota G Flevari, Georgios V Giannopoulos, Chrysanthi Z Batistaki, Vassilios E Stassinos, Georgia G Kostopanagiotou, Spyridon G Deftereos, Efstathios K Iliodromitis, Dionyssios I Leftheriotis

Open access · hybridAbstract read
In one paragraph

Article in Annals of translational medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 38% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
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

10 authors at 2 institutions in 1 country.

Dimitrios N KatsarasDepartment of Cardiology, "Attikon" University Hospital of Athens, Athens, Greece.
Chrysa K ArvanitiDepartment of Neurology, "Attikon" University Hospital of Athens, Athens, Greece.
Panayota G FlevariDepartment of Cardiology, "Attikon" University Hospital of Athens, Athens, Greece.
Georgios V GiannopoulosDepartment of Cardiology, "Georgios Gennimatas" General Hospital of Athens, Athens, Greece.
Chrysanthi Z BatistakiDepartment of Anesthesiology, "Attikon" University Hospital of Athens, Athens, Greece.
Vassilios E StassinosDepartment of Cardiology, "Attikon" University Hospital of Athens, Athens, Greece.
Georgia G KostopanagiotouDepartment of Anesthesiology, "Attikon" University Hospital of Athens, Athens, Greece.
Spyridon G DeftereosDepartment of Cardiology, "Attikon" University Hospital of Athens, Athens, Greece.
Efstathios K IliodromitisDepartment of Cardiology, "Attikon" University Hospital of Athens, Athens, Greece.
Dionyssios I LeftheriotisDepartment of Cardiology, "Attikon" University Hospital of Athens, Athens, Greece.
University General Hospital Attikon · GRGeneral Hospital of Athens G. Genimatas · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutonomic modulation is used for treating various cardiovascular diseases, such as cardiac arrhythmias. Sphenopalatine ganglion (SPG) block is an easy, non-invasive therapy for migraine with a potential cardiovascular impact that remains unclear. In this study, we sought to assess the effect of SPG block on cardiac autonomic tone, as expressed by heart rate variability (HRV), and on ventricular arrhythmogenesis.

methodsForty patients (14 male and 26 female) suffering from migraine were randomized by 1:1 to SPG block or placebo (controls) and HRV parameters were evaluated 1 hour before and hourly after the intervention. Twenty-four additional patients (11 men and 13 women) with premature ventricular contractions (PVCs) from the right ventricular outflow tract underwent the same randomization and the number of PVCs was assessed during 1 hour before and every hour after treatment. Values were summarized as median (1st-3rd quartile).

resultsDuring the first four hours after SPG block, an increase in mean RR [883 (IQR, 869-948)

conclusionsSPG block is associated with a transient increase in those HRV parameters that mainly express parasympathetic activity. It is also followed by a significant decrease in ventricular arrhythmic burden. These findings imply an effect on cardiac autonomic tone with a potential favorable clinical impact on arrhythmogenesis.

Indexed as

autonomic toneheart rate variability (HRV)premature ventricular beatsSphenopalatine ganglion (SPG)

Identifiers

PMID30603645
PMCPMC6312803
OpenAlexW2900766568

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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.