Evidence map›Paper›PMID 36992793›Full record

ArticleFrontiers in human neuroscience2023

Reduced cardiovagal baroreflex sensitivity is associated with postural orthostatic tachycardia syndrome (POTS) and pain chronification in patients with headache.

Bridget R Mueller, Carly Ray, Alyha Benitez, Jessica Robinson-Papp

Open access · goldFull text read
In one paragraph

Article in Frontiers in human neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Beyond the headache: autonomic reflex dysfunction and heightened sensory sensitivity contribute to orthostatic intolerance in migraine.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  4. Article
  5. Long-COVID and postural orthostatic tachycardia syndrome: a preliminary comparison of neuropsychological performance.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
    Article
  6. Review
  7. Similar Patterns of Dysautonomia in Myalgic Encephalomyelitis/Chronic Fatigue and Post-COVID-19 Syndromes.Pathophysiology : the official journal of the International Society for Pathophysiology · 2024
    Article
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

4 authors at 1 institution in 1 country.

Bridget R MuellerDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York City, NY, United States.
Carly RayDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York City, NY, United States.
Alyha BenitezDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York City, NY, United States.
Jessica Robinson-PappDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York City, NY, United States.
Icahn School of Medicine at Mount Sinai · US

Funding

Effects of Vagal Dysfunction on Gastrointestinal and Inflammatory Pathways in HIVR01DK122853 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI ROBINSON-PAPP, JESSICA · 2020 to 2024
$4.3M
NIDDK NIH HHS R01 DK122853
6 · The paper itself

Abstract

Background: Non-cephalgic symptoms including orthostatic intolerance, fatigue, and cognitive impairment, are common in patients with chronic headache disorders and may result from alterations in the autonomic nervous system. However, little is known about the function of autonomic reflexes, which regulate cardiovascular homeostasis and cerebral perfusion in patients with headache. Methods: Autonomic function testing data from patients with headache collected between January 2018 and April 2022 was retrospectively analyzed. Through review of EMR we determined headache pain chronicity and patient self-report of orthostatic intolerance, fatigue, and cognitive impairment. Composite Autonomic Severity Score (CASS), CASS subscale scores, and cardiovagal and adrenergic baroreflex sensitivities were used to quantify autonomic reflex dysfunction. Descriptive analyses (Mann-Whitney- Results: We identified 34 patients meeting inclusion criteria, of whom there were 16 (47.0%) with orthostatic intolerance, 17 (50.0%) with fatigue, 11 (32.4%) with cognitive complaints, and 11 (32.4%) with Postural Orthostatic Tachycardia Syndrome (POTS). The majority of participants had migraine ( Conclusion: Abnormal autonomic reflexes may play an important role in pain chronification and the development of POTS in patients with headache.

Indexed as

autonomic nervous systembaroreflexcardiac reflexesdysautonomiaorthostatic intolerance

Identifiers

PMID36992793
PMCPMC10040804
OpenAlexW4324087770

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read11
measurements read26
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.