Evidence map›Paper›PMID 34481982›Full record

ArticleHeart rhythm2021

Skin sympathetic nerve activity as a biomarker of fitness.

Xiao Liu, Awaneesh Kumar, Joseph O'Neil, Johnson Wong, Osama Saadoon, Siri Kadire, Gloria A Mitscher, Xiaochun Li, Peng-Sheng Chen, Michael S Emery and 1 more

Open access · greenAbstract read
In one paragraph

Article in Heart rhythm, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
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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

11 authors at 1 institution in 1 country.

Xiao LiuKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indianapolis, Indiana; Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Awaneesh KumarKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indianapolis, Indiana.
Joseph O'NeilKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indianapolis, Indiana.
Johnson WongKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indianapolis, Indiana.
Osama SaadoonKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indianapolis, Indiana.
Siri KadireKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indianapolis, Indiana.
Gloria A MitscherKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indianapolis, Indiana.
Xiaochun LiDepartment of Biostatistics, Indiana University School of Medicine & Richard M. Fairbanks School of Public Health, Indianapolis, Indiana.
Peng-Sheng ChenKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indianapolis, Indiana; Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Michael S EmeryTomsich Family Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart, Vascular & Thoracic Institute, Cleveland Clinic, Cleveland, Ohio.
Thomas H EverettKrannert Institute of Cardiology and Division of Cardiology, Department of Medicine, Indianapolis, Indiana. Electronic address: theveret@iu.edu.
Indiana University School of Medicine

Funding

SK Current, beta-3 adrenoceptor activation and Sex Differences in Ventricular ArrhythmogenesisR01HL139829 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI PENG-SHENG CHEN, ZHILIN QU · 2018 to 2026
$4.5M
High Resolution, Noninvasive Measurement and Functional Classification of Vagal Nerve Response Patterns in Relation to Gastroparesis Symptom Management using Gastric Electrical Stimulation TherapyOT2OD028183 · OD · PURDUE UNIVERSITY · PI CLEMENTS, ISAAC PERRY, EVERETT, THOMAS H · 2019 to 2021
$2.0M
Skin Sympathetic Nerve Activity and Cardiac ArrhythmiasR42DA043391 · NIDA · ARRHYTHMOTECH, LLC · PI EVERETT, THOMAS H · 2016 to 2017
$1.5M
Subcutaneous nerve stimulation for arrhythmia control.U18TR002208 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI CHEN, PENG-SHENG · 2017 to 2018
$1.4M
NCATS NIH HHS U18 TR002208NHLBI NIH HHS R01 HL139829NIDA NIH HHS R42 DA043391NIH HHS OT2 OD028183
6 · The paper itself

Abstract

backgroundExercise stress testing is frequently used to expose cardiac arrhythmias. Aerobic exercise conditioning has been used as a nonpharmacologic antiarrhythmic intervention.

objectiveThe purpose of this study was to test the hypothesis that noninvasively recorded skin sympathetic nerve activity (SKNA) is increased during exercise and that SKNA response varies according to fitness levels.

methodsOxygen consumption (VO

resultsWith exercise, all patients had a significant increase in average SKNA (aSKNA) (1.58 ± 1.12 μV to 4.50 ± 3.06 μV, P = .000) and heart rate (HR) (87.40 ± 20.42 bpm to 154.13 ± 16.82 bpm, P = .000). A mixed linear model of aSKNA was used with fixed effects of fitness, exercise time, and recovery time, and random effects of subject level intercept and slopes for exercise time and recovery times. The poor fitness group had significantly higher aSKNA than the other groups (P = .0273). For all subjects studied, aSKNA increased by 5% per minute with progression of exercise and decreased by 15% per minute with progression of recovery. The fitness variable encodes information on both comorbidities and body mass index (BMI). Once fitness level is known, comorbidities and BMI are not significantly associated with aSKNA. In all groups, aSKNA positively correlated with HR (R

conclusionFitness level determines the magnitude and time course of SKNA increase during exercise. SKNA may be a useful fitness biomarker in exercise stress testing.

Indexed as

Arrhythmias, CardiacSympathetic Nervous SystemAdultAge FactorsAutonomic PathwaysDiagnostic Techniques, NeurologicalElectrocardiographyExerciseExercise TestFemaleHeartHeart RateHumansMaleOxygen ConsumptionPhysical FitnessExercise stress testingHeart ratePhysical fitnessSympathetic nerve activityVO(2)max

Identifiers

PMID34481982
PMCPMC8629931
OpenAlexW3198253460

What OpenQuestion holds

Textmetadata
LicenceTDM
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.