Evidence map›Paper›PMID 31187400›Full record

ArticleMedical & biological engineering & computing2019

Repolarization variability independent of heart rate during sympathetic activation elicited by head-up tilt.

Fatima El-Hamad, Michal Javorka, Barbora Czippelova, Jana Krohova, Zuzana Turianikova, Alberto Porta, Mathias Baumert

Abstract read
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Article in Medical & biological engineering & computing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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 3 institutions in 3 countries.

Fatima El-HamadSchool of Electrical and Electronic Engineering, The University of Adelaide, Adelaide, SA, 5005, Australia.
Michal JavorkaDepartment of Physiology and Biomedical Center BioMed Martin, Jessenius Faculty of Medicine, Comenius University, Mala Hora 4C, 036 01, Martin, Slovakia.
Barbora CzippelovaDepartment of Physiology and Biomedical Center BioMed Martin, Jessenius Faculty of Medicine, Comenius University, Mala Hora 4C, 036 01, Martin, Slovakia.
Jana KrohovaDepartment of Physiology and Biomedical Center BioMed Martin, Jessenius Faculty of Medicine, Comenius University, Mala Hora 4C, 036 01, Martin, Slovakia.
Zuzana TurianikovaDepartment of Physiology and Biomedical Center BioMed Martin, Jessenius Faculty of Medicine, Comenius University, Mala Hora 4C, 036 01, Martin, Slovakia.
Alberto PortaDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy.
Mathias BaumertSchool of Electrical and Electronic Engineering, The University of Adelaide, Adelaide, SA, 5005, Australia. mathias.baumert@adelaide.edu.au.ORCID http://orcid.org/0000-0003-2984-2167
Comenius University Bratislava · SKThe University of Adelaide · AUUniversity of Milan · IT

Funding

Australian Research Council DP110102049
6 · The paper itself

Abstract

The fraction of repolarization variability independent of RR interval variability is of clinical interest. It has been linked to direct autonomic nervous system (ANS) regulation of the ventricles in healthy subjects and seems to reflect the instability of the ventricular repolarization process in heart disease. In this study, we sought to identify repolarization measures that best reflect the sympathetic influences on the ventricles independent of the RR interval. ECG was recorded in 46 young subjects during supine and then following 45 degrees head-up tilt. RR intervals and five repolarization features (QTend, QTpeak, RTend, RTpeak, and TpTe) were extracted from the ECG recordings. Repolarization variability was separated into RR-dependent and RR-independent variability using parametric spectral analysis. Results show that LF power of TpTe is independent of RR in both supine and tilt, while the LF power of QTend and RTend independent of RR and respiration increases following tilt. We conclude that TpTe is independent of RR and is highly affected by respiration. QTend and RTend LF power might reflect the sympathetic influences on the ventricles elicited by tilt. Graphical abstract.

Indexed as

AdolescentElectrocardiographyFemaleHeadHealthy VolunteersHeart RateHeart VentriclesHumansMaleSignal Processing, Computer-AssistedSupine PositionSympathetic Nervous SystemYoung AdultAutonomic nervous systemHead-up tiltHeart rate variabilityQT intervalRepolarizationSympathetic activationTpeak-Tend

Identifiers

PMID31187400
OpenAlexW2950558746

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.