Evidence map›Paper›PMID 31522172›Full record

ArticleRespiration; international review of thoracic diseases

Respiratory Sinus Arrhythmia Attenuation via Targeted Lung Denervation in Sheep and Humans.

Arschang Valipour, Martin L Mayse, Alexander D Peterson, Philip J Johnson, Kristina T Rouw, Sherwin Asadi, James P Hummel

Open access · hybridAbstract read
In one paragraph

Article in Respiration; international review of thoracic diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
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 4 institutions in 2 countries.

Arschang ValipourDepartment of Respiratory and Critical Care Medicine, Karl-Landsteiner-Institute for Lung Research and Pulmonary Oncology, Krankenhaus Nord-Klinik Floridsdorf, Vienna, Austria, arschang.valipour@wienkav.at.
Martin L MayseNuvaira Inc., Minneapolis, Minnesota, USA.
Alexander D PetersonNuvaira Inc., Minneapolis, Minnesota, USA.
Philip J JohnsonNuvaira Inc., Minneapolis, Minnesota, USA.
Kristina T RouwNuvaira Inc., Minneapolis, Minnesota, USA.
Sherwin AsadiDepartment of Pediatrics, SMZO Wien, Vienna, Austria.
James P HummelDivision of Cardiovascular Medicine, University of Wisconsin, Madison, Wisconsin, USA.
Nuvaira (United States) · USKarl Landsteiner Society · ATUniversity of Wisconsin–Madison · USWiener Krankenanstaltenverbund · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTargeted lung denervation (TLD) is a novel bronchoscopic therapy that disrupts parasympathetic pulmonary nerve input to the lung. Parasympathetic input to the heart originating from the lungs contributes to respiratory sinus arrhythmia (RSA) and disruption of pulmonary nerves via TLD may impact RSA.

objectiveThe aim of this study was to assess the potential of TLD to affect RSA in sheep and humans.

methodsTLD was performed in 5 sheep and 9 humans using a novel lung denervation system (Nu-vaira Inc., Minneapolis, MN, USA) with an electrocardiogram collected before and after the procedure. Frequency domain analysis of heart rate variability was performed in 5 sheep and 6 humans with presence of RSA approximated as high-frequency power (HF power).

resultsHF power decreased in 3 of 5 sheep with 1 animal reaching less than 7% of its baseline HF power 30 days after TLD. The average treatment location was more distal in the remaining 2 animals, which did not exhibit RSA attenuation, suggesting diminished denervation. HF power decreased in 5 of 6 humans, with 3 subjects reaching less than 50% of their baseline HF power 90 days after TLD.

conclusionsTLD appeared to attenuate RSA in both sheep and human cohorts of this sub-study. Further confirmation in humans is necessary to allow for RSA attenuation to be used as a marker of successful lung denervation via TLD.

Indexed as

Respiratory Sinus ArrhythmiaAnimalsHumansLungSheepVagotomyCOPD therapyParasympatheticRespiratory sinus arrhythmiaTargeted lung denervation

Identifiers

PMID31522172
PMCPMC6888888
OpenAlexW2973066419

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.