Evidence map›Paper›PMID 35930723›Full record

ArticleAge and ageing2022

New horizons in the ageing autonomic nervous system: orthostatic hypotension and supine hypertension.

Melanie Dani, Patricia Taraborrelli, Dimitrios Panagopoulos, Andreas Dirksen, Miriam Torocastro, Richard Sutton, Phang Boon Lim

Open access · hybridAbstract read
In one paragraph

Article in Age and ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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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

7 authors at 2 institutions in 1 country.

Melanie DaniImperial Syncope Unit, Imperial College Healthcare NHS Trust, London W12 0HS, UK.
Patricia TaraborrelliImperial Syncope Unit, Imperial College Healthcare NHS Trust, London W12 0HS, UK.
Dimitrios PanagopoulosImperial Syncope Unit, Imperial College Healthcare NHS Trust, London W12 0HS, UK.
Andreas DirksenImperial Syncope Unit, Imperial College Healthcare NHS Trust, London W12 0HS, UK.
Miriam TorocastroImperial Syncope Unit, Imperial College Healthcare NHS Trust, London W12 0HS, UK.
Richard SuttonNational Heart and Lung Institute, Imperial College London, London, UK.
Phang Boon LimImperial Syncope Unit, Imperial College Healthcare NHS Trust, London W12 0HS, UK.
Imperial College Healthcare NHS Trust · GBImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blood pressure regulation is an automatic, moment-by-moment buffering of the blood pressure in response to physiological changes such as orthostasis, exercise and haemorrhage. This finely orchestrated reflex is called the baroreflex. It is a regulated arc of afferent, central and efferent arms. Multiple physiological changes occur with ageing that can disrupt this reflex, making blood pressure regulation less effective. In addition, multiple changes can occur with ageing-related diseases such as neurodegeneration, atherosclerosis, deconditioning and polypharmacy. These changes commonly result in orthostatic hypotension, hypertension or both, and are consistently associated with multiple adverse outcomes. In this article, we discuss the healthy baroreflex, and physiological and pathophysiological reasons for impaired baroreflex function in older people. We discuss why the common clinical manifestations of orthostatic hypotension and concomitant supine hypertension occur, and strategies for balancing these conflicting priorities. Finally, we discuss strategies for treating them, outlining our practice alongside consensus and expert guidance.

Indexed as

HypertensionHypotension, OrthostaticAgedAgingAutonomic Nervous SystemBaroreflexBlood PressureHumansautonomic nervous systembaroreflexhypertensionolder peopleorthostatic hypotensionparasympatheticsympathetic

Identifiers

PMID35930723
PMCPMC9724614
OpenAlexW4290244010

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.