Evidence map›Paper›PMID 32673517›Full record

Trial reportJournal of the American Heart Association2020

Splanchnic Venous Compression Enhances the Effects of ß-Blockade in the Treatment of Postural Tachycardia Syndrome.

Emily C Smith, André Diedrich, Satish R Raj, Alfredo Gamboa, Cyndya A Shibao, Bonnie K Black, Amanda Peltier, Sachin Y Paranjape, Italo Biaggioni, Luis E Okamoto

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Systematic literature review: treatment of postural orthostatic tachycardia syndrome (POTS).Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Abdominal Compression as a Treatment for Postural Tachycardia Syndrome.Journal of the American Heart Association · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Emily C SmithVanderbilt Autonomic Dysfunction Center Vanderbilt University School of Medicine Nashville TN.
André DiedrichVanderbilt Autonomic Dysfunction Center Vanderbilt University School of Medicine Nashville TN.
Satish R RajVanderbilt Autonomic Dysfunction Center Vanderbilt University School of Medicine Nashville TN.
Alfredo GamboaVanderbilt Autonomic Dysfunction Center Vanderbilt University School of Medicine Nashville TN.
Cyndya A ShibaoVanderbilt Autonomic Dysfunction Center Vanderbilt University School of Medicine Nashville TN.
Bonnie K BlackVanderbilt Autonomic Dysfunction Center Vanderbilt University School of Medicine Nashville TN.
Amanda PeltierVanderbilt Autonomic Dysfunction Center Vanderbilt University School of Medicine Nashville TN.
Sachin Y ParanjapeVanderbilt Autonomic Dysfunction Center Vanderbilt University School of Medicine Nashville TN.
Italo BiaggioniVanderbilt Autonomic Dysfunction Center Vanderbilt University School of Medicine Nashville TN.
Luis E OkamotoVanderbilt Autonomic Dysfunction Center Vanderbilt University School of Medicine Nashville TN.
Vanderbilt University · USUniversity of Calgary · CA

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Structural genomics of norepinephrine transportersP01HL056693 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BIAGGIONI, ITALO · 1997 to 2016
$30.8M
Training CoreU54NS065736 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI LOW, PHILLIP A · 2009 to 2018
$11.6M
The Vanderbilt Institute for Clinical and Translational Research (VICTR) KL2KL2RR024977 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$3.0M
Sympathetic Mechanisms in the Cardiovascular and Metabolic Alterations of ObesityR01HL149386 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BIAGGIONI, ITALO · 2019 to 2023
$3.0M
Automated Abdominal Binder for Orthostatic HypotensionR01HL144568 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI OKAMOTO, LUIS ENRIQUE · 2020 to 2024
$2.7M
Autonomic Determinants of Postural Tachycardia SyndromeR01HL142583 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DIEDRICH, ANDRE · 2019 to 2022
$1.7M
Splanchnic Circulation and Blood Pressure RegulationR01HL122847 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BIAGGIONI, ITALO · 2015 to 2018
$1.6M
NCATS NIH HHS UL1 TR000445NCRR NIH HHS KL2 RR024977NHLBI NIH HHS P01 HL056693NHLBI NIH HHS R01 HL122847NHLBI NIH HHS R01 HL142583NHLBI NIH HHS R01 HL144568NHLBI NIH HHS R01 HL149386NINDS NIH HHS U54 NS065736
6 · The paper itself

Abstract

Background Splanchnic venous pooling induced by upright posture triggers a compensatory increase in heart rate (HR), a response that is exaggerated in patients with postural tachycardia syndrome. To assess whether abdominal compression attenuates orthostatic tachycardia and improves symptoms, 18 postural tachycardia syndrome patients (32±2 years) were randomized to receive either abdominal compression (40 mm Hg applied with an inflatable binder ≈2 minutes before standing) or propranolol (20 mg) in a placebo-controlled, crossover study. Methods and Results Systolic blood pressure, HR, and symptoms were assessed while seated and standing, before and 2 hours postdrug. As expected, propranolol decreased standing HR compared with placebo (81±2 versus 98±4 beats per minute;

Indexed as

Compression BandagesSplanchnic CirculationAdrenergic beta-AntagonistsAdultBlood PressureCross-Over StudiesFemaleHeart RateHumansPostural Orthostatic Tachycardia SyndromePropranololAdrenergic beta-AntagonistsPropranololabdominal binderabdominal compressionpostural tachycardia syndromepropranololsplanchnic circulation

Identifiers

PMID32673517
PMCPMC7660715
OpenAlexW3042843506

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.