Evidence map›Paper›PMID 36908200›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2023

Symptoms of postural orthostatic tachycardia syndrome in pregnancy: a cross-sectional, community-based survey.

Kate M Bourne, Kara A Nerenberg, Lauren E Stiles, Cyndya A Shibao, Luis E Okamoto, Emily M Garland, Alfredo Gamboa, Amanda Peltier, André Diedrich, Italo Biaggioni and 4 more

Open access · greenAbstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2023. 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
1.9field-weighted citation impact, top 15% 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, 6 citations in OpenAlex.

  1. Review
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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

14 authors at 3 institutions in 2 countries.

Kate M BourneDepartment of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0002-8355-0002
Kara A NerenbergDepartment of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0003-3243-5765
Lauren E StilesStony Brook University School of Medicine, Stony Brook, New York, USA.ORCID 0000-0002-2090-3149
Cyndya A ShibaoVanderbilt Autonomic Dysfunction Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0002-4518-6801
Luis E OkamotoVanderbilt Autonomic Dysfunction Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0001-6914-7287
Emily M GarlandVanderbilt Autonomic Dysfunction Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0001-9525-2929
Alfredo GamboaVanderbilt Autonomic Dysfunction Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0002-8676-687X
Amanda PeltierVanderbilt Autonomic Dysfunction Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0003-1097-7715
André DiedrichVanderbilt Autonomic Dysfunction Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0001-5643-0294
Italo BiaggioniVanderbilt Autonomic Dysfunction Center, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0001-7667-7083
Robert S SheldonDepartment of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0003-0742-8379
Paul S GibsonDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.
Angela J KealeyDepartment of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.
Satish R RajDepartment of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0002-5890-3785
Vanderbilt University Medical Center · USUniversity of Calgary · CADysautonomia Foundation · US

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 DIEDRICH, ANDRE · 1997 to 2016
$30.8M
Autonomic Determinants of Postural Tachycardia SyndromeR01HL142583 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DIEDRICH, ANDRE · 2019 to 2022
$1.7M
NCATS NIH HHS UL1 TR000445NHLBI NIH HHS P01 HL056693NHLBI NIH HHS R01 HL142583
6 · The paper itself

Abstract

objectiveTo evaluate the relationship between postural orthostatic tachycardia syndrome (POTS) and pregnancy.

designCross-sectional survey.

settingInternational. SAMPLE: A total of 8941 female patients with a diagnosis of POTS.

methodsData from the survey were analysed using descriptive measures and stratified for comparisons.

main outcome measuresSymptom course of POTS during pregnancy. Secondary outcomes included pregnancy loss, POTS onset during pregnancy and the impacts of a comorbid diagnosis of Ehlers-Danlos syndrome or an autoimmune disorder on symptoms during pregnancy.

resultsOverall, 40.8% (n = 3652) of participants reported one or more pregnancies. Most participants experienced worsening of symptoms in the first (62.6%) and third (58.9%) trimesters and 3 months after pregnancy (58.7%), and 81.1% experienced worsening symptoms at any point in their pregnancy. Most participants with worsening symptoms in the first trimester also experienced worsening symptoms in the second (61.6%) and third (68.1%) trimesters, but if they improved in the first trimester then this improvement persisted in the second and third trimesters. Of participants who reported that POTS was triggered by a specific event (41.3%), 8.1% reported pregnancy as the trigger for the onset.

conclusionsPostural orthostatic tachycardia syndrome symptoms in the first trimester of pregnancy may help predict symptom course throughout the duration of pregnancy. Some individuals may experience an initial onset of POTS during pregnancy. This novel information may guide clinicians in counselling patients with POTS who are planning pregnancy.

Indexed as

Abortion, SpontaneousEhlers-Danlos SyndromePostural Orthostatic Tachycardia SyndromeComorbidityCross-Sectional StudiesFemaleHumansPregnancyautoimmune disorderEhlers-Danlos syndromefirst trimestergestationpostural orthostatic tachycardia syndromepregnancysurveysymptoms

Identifiers

PMID36908200
PMCPMC10363219
OpenAlexW4321497704

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.