Evidence map›Paper›PMID 31076939›Full record

ReviewClinical autonomic research : official journal of the Clinical Autonomic Research Society2019

A practical guide to active stand testing and analysis using continuous beat-to-beat non-invasive blood pressure monitoring.

Ciarán Finucane, V K van Wijnen, C W Fan, C Soraghan, L Byrne, B E Westerhof, R Freeman, A Fedorowski, M P M Harms, W Wieling and 1 more

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Clinical autonomic research : official journal of the Clinical Autonomic Research Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05566379 (Effects of a Mindfulness Intervention on Physical and Psychological Well-Being and Quality of Life in Patients With Post Acute Sequelae of SARS-CoV-2 Infection), which is not on this map. Cited by 70 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT05566379 nacompletednot on this mapstarted 2023, after this paper: background citation

Effects of a Mindfulness Intervention on Physical and Psychological Well-Being and Quality of Life in Patients With Post Acute Sequelae of SARS-CoV-2 Infection (PASC) Dysautonomia

TypeinterventionalSponsorUniversity of California, Los AngelesRan2023 to 2023Enrolled20ConditionsLong COVID, DysautonomiaArmsMindfulness - Mindful Awareness Practices ( MAPs)
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Cardiovascular Disorders and Falls Among Older Adults: A Systematic Review and Meta-Analysis.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Pooled it
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  5. A Closed-Loop Cardiovascular Model of the Supine-To-Stand Manoeuvre: Implications for Falls.International journal for numerical methods in biomedical engineering · 2026
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  9. Linguistic validation and reliability of the Brazilian Portuguese version of the Composite Autonomic Symptom Score 31 (COMPASS 31).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Ciarán FinucaneDepartment of Medical Physics and Bioengineering, Mercer's Institute for Successful Ageing, St. James's Hospital, Dublin 8, Ireland. cfinucane@stjames.ie.
V K van WijnenDepartment of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
C W FanDepartment of Gerontology, Mater Misericordiae University Hospital, Dublin, Ireland.
C SoraghanDepartment of Medical Physics and Bioengineering, Mercer's Institute for Successful Ageing, St. James's Hospital, Dublin 8, Ireland.
L ByrneMercer's Institute for Successful Ageing, St. James's Hospital, Dublin 8, Ireland.
B E WesterhofAmsterdam UMC, Vrije Universiteit Amsterdam, Pulmonary Medicine, Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.
R FreemanNeurology Department, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, USA.
A FedorowskiDepartment of Clinical Sciences, Clinical Research Center, Lund University, Malmö, Sweden.
M P M HarmsDepartment of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
W WielingDepartment of Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands.
R KennyMercer's Institute for Successful Ageing, St. James's Hospital, Dublin 8, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe average adult stands approximately 50-60 times per day. Cardiovascular responses evoked during the first 3 min of active standing provide a simple means to clinically assess short-term neural and cardiovascular function across the lifespan. Clinically, this response is used to identify the haemodynamic correlates of patient symptoms and attributable causes of (pre-)syncope, and to detect autonomic dysfunction, variants of orthostatic hypotension, postural orthostatic tachycardia syndrome and orthostatic hypertension.

methodsThis paper provides a set of experience/expertise-based recommendations detailing current state-of-the-art measurement and analysis approaches for the active stand test, focusing on beat-to-beat BP technologies. This information is targeted at those interested in performing and interpreting the active stand test to current international standards.

resultsThis paper presents a practical step-by-step guide on (1) how to perform active stand measurements using beat-to-beat continuous blood pressure measurement technologies, (2) how to conduct an analysis of the active stand response and (3) how to identify the spectrum of abnormal blood pressure and heart rate responses which are of clinical interest.

conclusionImpairments in neurocardiovascular control are an attributable cause of falls and syncope across the lifespan. The simple active stand test provides the clinician with a powerful tool for assessing individuals at risk of such common disorders. However, its simplicity belies the complexity of its interpretation. Care must therefore be taken in administering and interpreting the test in order to maximise its clinical benefit and minimise its misinterpretation.

Indexed as

Standing PositionAdultBlood PressureBlood Pressure DeterminationFemaleHeart RateHumansHypotension, OrthostaticMalePractice Guidelines as TopicSupine PositionActive standAutonomic dysfunctionContinuous blood pressureFalls and syncopeOrthostatic hypotension

Identifiers

What OpenQuestion holds

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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.