Evidence map›Paper›PMID 31495251›Full record

ArticleJournal of the American Heart Association2019

Postural Orthostatic Tachycardia Syndrome Is Associated With Elevated G-Protein Coupled Receptor Autoantibodies.

William T Gunning, Heather Kvale, Paula M Kramer, Beverly L Karabin, Blair P Grubb

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed
13.7field-weighted citation impact, top 1% 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

79 citing papers in PubMed, 115 citations in OpenAlex.

  1. Trial
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  3. Treatment of Headache in Children and Adolescents with POTS.Current pain and headache reports · 2026
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19 more citing papers are in PubMed but not listed here.

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

5 authors at 1 institution in 1 country.

William T GunningDepartment of Pathology University of Toledo OH.
Heather KvaleDepartment of Pathology University of Toledo OH.
Paula M KramerDepartment of Pathology University of Toledo OH.
Beverly L KarabinDepartment of Medicine University of Toledo OH.
Blair P GrubbDepartment of Medicine University of Toledo OH.
University of Toledo · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The etiology of postural orthostatic tachycardia syndrome (POTS) is yet to be established. The disorder is often misdiagnosed as chronic anxiety or a panic disorder because the autonomic failure in these patients is not severe. A growing body of evidence suggests that POTS may be an autoimmune disorder. Antinuclear antibodies and elevations of ganglionic, adrenergic, and muscarinic acetylcholine receptor antibodies have all been reported. Methods and Results We collected detailed clinical symptoms of 55 patients diagnosed with POTS. We also evaluated serum levels of autoantibodies against 4 subtypes of G-protein coupled adrenergic receptors and 5 subtypes of G-protein coupled muscarinic acetylcholine receptors by ELISA. Our patients had a multitude of comorbidities, were predominantly young females, and reported viral-like symptoms preceding episodes of syncope. We detected a significant number of patients with elevated levels of autoantibodies against the adrenergic alpha 1 receptor (89%) and against the muscarinic acetylcholine M

Indexed as

AdolescentAdultAutoantibodiesCase-Control StudiesDyspneaFatigueFemaleHeadacheHumansJoint InstabilityMaleMigraine DisordersMyalgiaPostural Orthostatic Tachycardia SyndromeReceptor, Muscarinic M4Receptors, Adrenergic, alpha-1AutoantibodiesReceptor, Muscarinic M4Receptors, Adrenergic, alpha-1Receptors, Adrenergic, alpha-2Receptors, Adrenergic, betaReceptors, G-Protein-CoupledReceptors, Muscarinicadrenergic receptorantibodyautoimmunehypotensionmuscarinic receptorpostural orthostatic tachycardia syndromesyncope

Identifiers

PMID31495251
PMCPMC6818019
OpenAlexW2973003630

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.