Evidence map›Paper›PMID 37026553›Full record

Observational studyJournal of the American Heart Association2023

Twenty-Four-Hour Ambulatory Blood Pressure Profile in Patients With Reflex Syncope and Matched Controls.

Bashaaer Sharad, Giulia Rivasi, Viktor Hamrefors, Madeleine Johansson, Andrea Ungar, Richard Sutton, Michele Brignole, Gianfranco Parati, Artur Fedorowski

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
7.3field-weighted citation impact, top 2% 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

14 citing papers in PubMed, 23 citations in OpenAlex.

  1. Autonomic Dysfunction in Patients withPathogens (Basel, Switzerland) · 2026
    Article
  2. Vasovagal syncope: the role of 24 h ambulatory blood pressure monitoring.European heart journal supplements : journal of the European Society of Cardiology · 2026
    Article
  3. Article
  4. Review
  5. Now is the time to take syncope seriously.The British journal of cardiology · 2026
    Article
  6. Article
  7. Syncope: Advances in Diagnosis and Treatment 2024.Journal of cardiovascular electrophysiology · 2025
    Review
  8. Haemodynamic effects of fludrocortisone and midodrine in patients with symptoms due to hypotension.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
    Article
  9. Observational
  10. Article
  11. Review
  12. Interventions aimed to increase average 24-h systolic blood pressure reduce blood pressure drops in patients with reflex syncope and orthostatic intolerance.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Observational
  13. A cross-sectional nationwide survey of guideline based syncope units in the Netherlands: the SU-19 score-a novel validation for best practices.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
  14. Twenty-five years of research on syncope.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    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

9 authors at 4 institutions in 3 countries.

Bashaaer SharadDepartment of Clinical Sciences Lund University, and Skåne University Hospital Malmö Sweden.ORCID 0000-0003-2969-5902
Giulia RivasiDivision of Geriatric and Intensive Care Medicine University of Florence and Azienda Ospedaliero Universitaria Careggi Florence Italy.ORCID 0000-0002-2736-2242
Viktor HamreforsDepartment of Clinical Sciences Lund University, and Skåne University Hospital Malmö Sweden.ORCID 0000-0002-8475-0866
Madeleine JohanssonDepartment of Clinical Sciences Lund University, and Skåne University Hospital Malmö Sweden.ORCID 0000-0001-9057-9148
Andrea UngarDivision of Geriatric and Intensive Care Medicine University of Florence and Azienda Ospedaliero Universitaria Careggi Florence Italy.ORCID 0000-0002-8965-4523
Richard SuttonDepartment of Clinical Sciences Lund University, and Skåne University Hospital Malmö Sweden.ORCID 0000-0002-5710-1094
Michele BrignoleIRCCS, Istituto Auxologico Italiano, Cardiology Unit S.Luca Hospital Milan Italy.ORCID 0000-0002-1845-5607
Gianfranco ParatiIRCCS, Istituto Auxologico Italiano, Cardiology Unit S.Luca Hospital Milan Italy.ORCID 0000-0001-9402-7439
Artur FedorowskiDepartment of Clinical Sciences Lund University, and Skåne University Hospital Malmö Sweden.ORCID 0000-0002-5352-6327
Lund University · SEAzienda Ospedaliero-Universitaria Careggi · ITIRCCS Istituto Auxologico Italiano · ITKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Ambulatory blood pressure (BP) monitoring has long been used to monitor BP in hypertension and lately emerged as a useful tool to detect hypotensive susceptibility in reflex syncope. However, hemodynamic characteristics in reflex syncope have not been sufficiently explored. The present study investigated the differences between ambulatory BP monitoring profiles associated with reflex syncope and normal population. Methods and Results This is an observational study comparing ambulatory BP monitoring data from 50 patients with reflex syncope and 100 controls without syncope, age- and sex-matched 1:2. Mean 24-hour systolic (SBP) and diastolic BP, pulse pressure (24-hour PP), dipping status, and number of daytime SBP drops <90 to 100 mm Hg were analyzed. Variables associated with reflex syncope were investigated using multivariable logistic regression. Patients with reflex syncope displayed significantly lower 24-hour SBP (112.9±12.6 versus 119.3±11.5 mm Hg,

Indexed as

HypertensionSyncope, VasovagalBlood PressureBlood Pressure Monitoring, AmbulatoryHumansReflexSyncopeambulatory monitoringblood pressurehypotensionsyncopevasovagal syncope

Identifiers

PMID37026553
PMCPMC10227244
OpenAlexW4362693000

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.