Evidence map›Paper›PMID 32098169›Full record

ReviewJournal of clinical medicine2020

Sleep Apnea, Hypertension and the Sympathetic Nervous System in the Adult Population.

Shreyas Venkataraman, Soumya Vungarala, Naima Covassin, Virend K Somers

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05438446 (Effect of Renal Denervation on Stress, Hypertension and Anxiety Management), which is not on this map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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.

NCT05438446 phase2completednot on this mapstarted 2021, after this paper: background citation

Effect of Renal Denervation on Stress, Hypertension and Anxiety Management (ERSHAM Study) in Patients With Uncontrolled Hypertension

TypeinterventionalSponsorHippocration General HospitalRan2021 to 2026Enrolled60ConditionsHypertension Arterial, Anxiety, StressArmsEndovascular ultrasound renal denervation (Paradise renal denervation system, ReCor, CA, USA) (RDN)
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. D-dimer in Marfan syndrome: effect of obstructive sleep apnea induced blood pressure surges.American journal of physiology. Heart and circulatory physiology · 2022
    Trial
  4. Pleiotropic effects of renal denervation beyond blood pressure reduction.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Observational
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Resistant Hypertension: A Brief Review of Pathophysiology.Journal of general internal medicine · 2025
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

4 authors at 1 institution in 1 country.

Shreyas VenkataramanDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, NY 55901, USA.
Soumya VungaralaDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, NY 55901, USA.
Naima CovassinDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, NY 55901, USA.
Virend K SomersDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, NY 55901, USA.
Mayo Clinic · US

Funding

NIH HHS 65176
6 · The paper itself

Abstract

Sleep apnea is very common in patients with cardiovascular disease, especially in patients with hypertension. Over the last few decades a number of discoveries have helped support a causal relationship between the two and even resistant hypertension. The role neurogenic mechanisms play has gathered more attention in the recent past due to their immediate bedside utility. Several innovative discoveries in pathogenesis including those exploring the role of baroreflex gain, cardiovascular variability, chemoreceptor reflex activation and the sympathetic nervous system have emerged. In this review, we discuss the epidemiology of sleep apnea and hypertension and the pathogenic mechanisms contributing to neurogenic hypertension. Furthermore, recent management strategies in addition to continuous positive airway pressure (CPAP), such as upper airway stimulation and renal denervation that target these pathogenic mechanisms, are also discussed.

Indexed as

hypertensionneurogenicobstructive sleep apnearesistant hypertensionsleep apneasympathetic nervous system

Identifiers

PMID32098169
PMCPMC7073618
OpenAlexW3007060293

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.