Evidence map›Paper›PMID 34186274›Full record

ArticleAutonomic neuroscience : basic & clinical2021

Sympathoinhibitory effect of sacubitril-valsartan in heart failure with reduced ejection fraction: A pilot study.

Kanokwan Bunsawat, Stephen M Ratchford, Jeremy K Alpenglow, Josef Stehlik, Adam S Smith, Russell S Richardson, D Walter Wray

Open access · greenAbstract read
In one paragraph

Article in Autonomic neuroscience : basic & clinical, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Kanokwan BunsawatDepartment of Internal Medicine, Division of Geriatrics, University of Utah, Salt Lake City, UT, United States of America. Electronic address: kanokwan.bunsawat@hsc.utah.edu.
Stephen M RatchfordDepartment of Internal Medicine, Division of Geriatrics, University of Utah, Salt Lake City, UT, United States of America; Geriatric Research, Education, and Clinical Center, George E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City, UT, United States of America; Department of Health and Exercise Science, Appalachian State University, Boone, NC, United States of America.
Jeremy K AlpenglowDepartment of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, UT, United States of America.
Josef StehlikDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Utah, Salt Lake City, UT, United States of America.
Adam S SmithDepartment of Pharmacy Services, University of Utah, Salt Lake City, UT, United States of America.
Russell S RichardsonDepartment of Internal Medicine, Division of Geriatrics, University of Utah, Salt Lake City, UT, United States of America; Geriatric Research, Education, and Clinical Center, George E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City, UT, United States of America; Department of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, UT, United States of America.
D Walter WrayDepartment of Internal Medicine, Division of Geriatrics, University of Utah, Salt Lake City, UT, United States of America; Geriatric Research, Education, and Clinical Center, George E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City, UT, United States of America; Department of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, UT, United States of America.
University of Utah · USAppalachian State University · USGeorge E. Wahlen Department of VA Medical Center · USGeriatric Research Education and Clinical Center · US

Funding

Peripheral Vasoconstriction in Heart Failure: Mechanisms & Modulatory InfluencesR01HL118313 · NHLBI · UNIVERSITY OF UTAH · PI WRAY, D. WALTER · 2014 to 2018
$1.9M
Cardiovasomobility Research Training ProgramT32HL139451 · NHLBI · UNIVERSITY OF UTAH · PI SUPIANO, MARK A, WRAY, D. WALTER · 2018 to 2022
$1.4M
Exercise and Cognitive Function in Alzheimers Disease Progression: Role of the Vascular EndotheliumR56AG057584 · NIA · UNIVERSITY OF UTAH · PI RICHARDSON, RUSSELL S. · 2018 to 2018
$658k
Overcoming Exercise Intolerance in Veterans with Heart Failure: The Role of NO.I01RX001311 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI WRAY, D. WALTER · 2017 to 2020
–
Targeting Oxidative Stress to Prevent Vascular and Skeletal Muscle Dysfunction during DisuseI01CX001999 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI TRINITY, JOEL DOUGLAS · 2019 to 2023
–
Passive limb movement: A tool to assess vascular health and guide rehabilitationI01RX001697 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI RICHARDSON, RUSSELL S. · 2015 to 2018
–
Novel Approaches for Improving Vascular Function in Veterans with HFpEFI01CX002152 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI D. Walter Wray · 2021 to 2026
–
Oxidative stress links aging, activity, and mobility limitationI01RX000182 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI RICHARDSON, RUSSELL S. · 2012 to 2014
–
NHLBI NIH HHS R01 HL118313NHLBI NIH HHS T32 HL139451NIA NIH HHS R56 AG057584RRD VA I01 RX000182RRD VA I01 RX001311RRD VA I01 RX001697
6 · The paper itself

Abstract

Chronic sympathetic nervous system (SNS) overactivity, characteristic of heart failure (HF) with reduced ejection fraction (HFrEF), is associated with poor prognosis and contributes to increased mortality risk. Sacubitril-valsartan is a recently approved, first-in-class, angiotensin receptor neprilysin inhibitor (ARNI) drug that markedly reduces the risks of death from cardiovascular causes and hospitalization for HF in patients with HFrEF, but the physiological mechanisms underlying these benefits are not fully understood. This single-arm, open-label, prospective study sought to test the hypothesis that short-term treatment with sacubitril-valsartan reduces SNS activity, measured directly via muscle sympathetic nerve activity (MSNA), in patients with HFrEF. MSNA, heart rate (HR), and arterial blood pressure (BP) were assessed in stable Class II and III patients with HFrEF (n = 9, 69 ± 8 yrs.; 28.6 ± 3.6 kg/m

Indexed as

Heart FailureAminobutyratesAngiotensin Receptor AntagonistsBiphenyl CompoundsDrug CombinationsHumansPilot ProjectsProspective StudiesStroke VolumeTreatment OutcomeValsartanAminobutyratesAngiotensin Receptor AntagonistsBiphenyl CompoundsDrug Combinationssacubitril and valsartan sodium hydrate drug combinationValsartanEntrestoHeart failureMuscle sympathetic nerve activitySympathetic nervous system

Identifiers

PMID34186274
PMCPMC8455423
OpenAlexW3175826800

What OpenQuestion holds

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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.