Evidence map›Paper›PMID 35043657›Full record

ArticleJournal of the American Heart Association2022

Blood Pressure Complexity Discriminates Pathological Beat-to-Beat Variability as a Marker of Vascular Aging.

Yun-Kai Lee, Sara Mazzucco, Peter M Rothwell, Stephen J Payne, Alastair J S Webb

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Prognostic value of beat-to-beat blood pressure variability parameters in patients after mechanical thrombectomy.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
  4. Review
  5. Article
  6. 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

5 authors at 2 institutions in 1 country.

Yun-Kai LeeInstitute of Biomedical Engineering Department of Engineering Science University of Oxford UK.ORCID 0000-0003-4060-2930
Sara MazzuccoWolfson Centre for Prevention of Stroke and DementiaNuffield Department of Clinical NeurosciencesJohn Radcliffe HospitalUniversity of Oxford UK.ORCID 0000-0002-1582-6724
Peter M RothwellWolfson Centre for Prevention of Stroke and DementiaNuffield Department of Clinical NeurosciencesJohn Radcliffe HospitalUniversity of Oxford UK.ORCID 0000-0001-9739-9211
Stephen J PayneInstitute of Biomedical Engineering Department of Engineering Science University of Oxford UK.ORCID 0000-0003-1156-2810
Alastair J S WebbWolfson Centre for Prevention of Stroke and DementiaNuffield Department of Clinical NeurosciencesJohn Radcliffe HospitalUniversity of Oxford UK.ORCID 0000-0002-0630-8204
John Radcliffe Hospital · GBUniversity of Oxford · GB

Funding

British Heart Foundation PG/16/38/32080Department of HealthWellcome Trust 206589/Z/17/Z
6 · The paper itself

Abstract

Background Beat-to-beat blood pressure variability (BPV) is associated with an increased risk of stroke but can be driven by both healthy physiological processes and failure of compensatory mechanisms. Blood pressure (BP) complexity measures structured, organized variations in BP, as opposed to random fluctuations, and its reduction may therefore identify pathological beat-to-beat BPV. Methods and Results In the prospective, population-based OXVASC (Oxford Vascular Study) Phenotyped Cohort with transient ischemic attack or minor stroke, patients underwent at least 5 minutes of noninvasive beat-to-beat monitoring of BP (Finometer) and ECG to derive the following: BPV (coefficient of variation) and complexity (modified multiscale entropy) of systolic BP and diastolic BP, heart rate variability (SD of R-R intervals), and baroreflex sensitivity (BRS; Welch's method), in low- (0.04-0.15 Hz) and high-frequency (0.15-0.4 Hz) bands. Associations between BPV or BP complexity with autonomic indexes and arterial stiffness were determined (linear regression), unadjusted, and adjusted for age, sex, and cardiovascular risk factors. In 908 consecutive, consenting patients, BP complexity was inversely correlated with BPV coefficient of variation (

Indexed as

Pulse Wave AnalysisStrokeAgingBaroreflexBiomarkersBlood PressureHeart RateHumansProspective StudiesBiomarkersarterial stiffnessbaroreflex sensitivityblood pressure variabilitycomplexityheart rate variabilitystroketransient ischemic attack

Identifiers

PMID35043657
PMCPMC9238484
OpenAlexW4206524782

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.