Evidence map›Paper›PMID 31067240›Full record

Trial reportPloS one2019

Comparison of autonomic stress reactivity in young healthy versus aging subjects with heart disease.

Nil Z Gurel, Andrew M Carek, Omer T Inan, Oleksiy Levantsevych, Naser Abdelhadi, Muhammad Hammadah, Wesley T O'Neal, Heval Kelli, Kobina Wilmot, Laura Ward and 10 more

Registry-linked trialOpen access · goldAbstract readClinical TrialComparative Study
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02657382 (Effects of Biofeedback on Myocardial Blood Flow Changes During Mental Stress in Patients With Coronary Artery Disease), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.5field-weighted citation impact, top 6% 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.

NCT02657382 nacompletednot on this map

Effects of Biofeedback on Myocardial Blood Flow Changes During Mental Stress in Patients With Coronary Artery Disease

TypeinterventionalSponsorEmory UniversityRan2015 to 2020Enrolled25ConditionsCardiovascular Disease, Coronary Artery DiseaseArmsHeart Rate Variability (HRV) Biofeedback (BF), Mental Stress Protocol
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. 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

20 authors at 3 institutions in 2 countries.

Nil Z GurelSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, Georgia, United States of America.ORCID 0000-0002-3702-0449
Andrew M CarekSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, Georgia, United States of America.
Omer T InanSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, Georgia, United States of America.
Oleksiy LevantsevychRollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Naser AbdelhadiDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Muhammad HammadahRollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Wesley T O'NealDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Heval KelliRollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Kobina WilmotDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Laura WardDepartment of Biostatistics & Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Steven RhodesRollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Brad D PearceRollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Puja K MehtaDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Michael KutnerDepartment of Biostatistics & Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Ernest GarciaDepartment of Radiology, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Arshed QuyyumiDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Viola VaccarinoRollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Paolo RaggiMazankowski Alberta Heart Institute, University of Alberta, Edmonton, Canada.
J Douglas BremnerDepartment of Radiology, Emory University School of Medicine, Atlanta, Georgia, United States of America.ORCID 0000-0003-1633-6433
Amit J ShahRollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Emory University · USGeorgia Institute of Technology · USUniversity of Alberta · CA

Funding

Vascular Responses During Mental StressP01HL101398 · NHLBI · EMORY UNIVERSITY · PI SHEPS, DAVID SAMUEL · 2010 to 2015
$11.0M
Neural Circuits in Women with Abuse and PTSDR01MH056120 · NIMH · YALE UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 1999 to 2011
$5.0M
Non-invasive biosensors to detect cardiovascular changes in heart failureR01HL130619 · NHLBI · GEORGIA INSTITUTE OF TECHNOLOGY · PI INAN, OMER TOLGA, KLEIN, LIVIU · 2016 to 2020
$2.9M
Biological Correlates of Traumatic StressK24MH076955 · NIMH · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2006 to 2013
$946k
Emotional Stress as a Risk Factor for Arrhythmia: Ischemic and Genetic MechanismsK23HL127251 · NHLBI · EMORY UNIVERSITY · PI SHAH, AMIT JASVANT · 2016 to 2019
$749k
A KINASE ANCHORING PROTEIN 100 IN ADULT HEARTSF32HL010139 · NHLBI · CLEVELAND CLINIC FOUNDATION · PI YANG, JIACHENG · 1999 to 2000
$13k
NHLBI NIH HHS F32 HL010139NHLBI NIH HHS K23 HL127251NHLBI NIH HHS P01 HL101398NHLBI NIH HHS R01 HL130619NIMH NIH HHS K24 MH076955NIMH NIH HHS R01 MH056120
6 · The paper itself

Abstract

backgroundThe autonomic response to acute emotional stress can be highly variable, and pathological responses are associated with increased risk of adverse cardiovascular events. We evaluated the autonomic response to stress reactivity of young healthy subjects and aging subjects with coronary artery disease to understand how the autonomic stress response differs with aging.

methodsPhysiologic reactivity to arithmetic stress in a cohort of 25 young, healthy subjects (< 30 years) and another cohort of 25 older subjects (> 55 years) with CAD was evaluated using electrocardiography, impedance cardiography, and arterial pressure recordings. Stress-related changes in the pre-ejection period (PEP), which measures sympathetic activity, and high frequency heart rate variability (HF HRV), which measures parasympathetic activity, were analyzed as primary outcomes.

resultsMental stress reduced PEP in both groups (p<0.01), although the decrease was 50% greater in the healthy group. Mean HF HRV decreased significantly in the aging group only (p = 0.01). DISCUSSION: PEP decreases with stress regardless of health and age status, implying increased sympathetic function. Its decline with stress may be attenuated in CAD. The HF HRV (parasympathetic) stress reactivity is more variable and attenuated in younger individuals; perhaps this is related to a protective parasympathetic reflex.

trial registrationClinicalTrials.gov Identifier: NCT02657382.

Indexed as

Autonomic Nervous SystemStress, PsychologicalAdultAgedAge FactorsFemaleHeart DiseasesHeart RateHumansMaleMiddle AgedSympathetic Nervous SystemYoung Adult

Identifiers

PMID31067240
PMCPMC6505888
OpenAlexW2943911670

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.