Evidence map›Paper›PMID 31093927›Full record

ArticleTranslational stroke research2020

Association Between Systemic Inflammation, Carotid Arteriosclerosis, and Autonomic Dysfunction.

Sven Rupprecht, S Finn, D Hoyer, A Guenther, O W Witte, T Schultze, M Schwab

Abstract read
PubMed Publisher
In one paragraph

Article in Translational stroke research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  7. Adiposity and cardiac autonomic function in children with a family history of obesity.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2024
    Observational
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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

7 authors at 1 institution in 1 country.

Sven RupprechtHans Berger Department of Neurology, Jena University Hospital, Erlanger Allee 101, 07740, Jena, Germany. Sven.Rupprecht@med.uni-jena.de.
S FinnHans Berger Department of Neurology, Jena University Hospital, Erlanger Allee 101, 07740, Jena, Germany.
D HoyerHans Berger Department of Neurology, Jena University Hospital, Erlanger Allee 101, 07740, Jena, Germany.
A GuentherHans Berger Department of Neurology, Jena University Hospital, Erlanger Allee 101, 07740, Jena, Germany.
O W WitteHans Berger Department of Neurology, Jena University Hospital, Erlanger Allee 101, 07740, Jena, Germany.
T SchultzeHans Berger Department of Neurology, Jena University Hospital, Erlanger Allee 101, 07740, Jena, Germany.
M SchwabHans Berger Department of Neurology, Jena University Hospital, Erlanger Allee 101, 07740, Jena, Germany.
Jena University Hospital · DE

Funding

Else Kröner-Fresenius-Stiftung **Reinhard Löwenstein Stiftung **
6 · The paper itself

Abstract

Systemic inflammation is associated with arteriosclerotic disease progression and worse stroke outcome in patients with carotid arteriosclerotic disease. We hypothesize that systemic inflammation is mediated by impaired carotid baroreceptor and chemoreceptor function induced by carotid arteriosclerosis rather than by the generalized inflammatory arteriosclerotic process.Heart rate variability (HRV), serum levels of inflammatory markers, demographic and life style factors, and concomitant diseases with potential impact on systemic inflammation were determined in 105 patients with asymptomatic carotid stenosis of varying degree. Multivariate linear regression analyses were performed to ascertain independent determinants of carotid stenosis severity, autonomic function, and inflammation.Systemic inflammation (C-reactive protein, beta = .255; P = .014), age (beta = .232; P < .008), and arterial hypertension (beta = .206; P = .032) were associated with carotid stenosis severity. Only carotid stenosis severity and not generalized arteriosclerotic disease, concomitant diseases (arterial hypertension, diabetes mellitus, dyslipidemia, hypothyroidism), life style factors (smoking, obesity), or age was associated with a reduction in vagal tone (HRV HF band power beta = - .193; P < 0.049). Systemic inflammation was related to a reduction in vagal tone (HRV HF band power, beta = - .214; P = .031), and not to generalized arteriosclerotic disease, concomitant diseases (arterial hypertension, diabetes mellitus, dyslipidemia), life style factors (smoking, obesity), and age.In conclusion, systemic inflammation is associated with carotid rather than with generalized arteriosclerotic disease. The association between systemic inflammation and carotid arteriosclerosis is mediated by a reduction in vagal tone which indicates a major role of carotid arteriosclerosis-mediated autonomic dysfunction in the pathogenesis of systemic inflammation in arteriosclerotic disease.

Indexed as

AdultAgedAged, 80 and overArteriosclerosisAutonomic Nervous System DiseasesCarotid StenosisFemaleHeart RateHumansInflammationLife StyleMaleMiddle AgedAtherosclerosisAutonomic nervous systemCarotid stenosisInflammation

Identifiers

PMID31093927
OpenAlexW2946284639

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.