Evidence map›Paper›PMID 37303827›Full record

ArticleNature cardiovascular research2022

Apparent Risks of Postural Orthostatic Tachycardia Syndrome Diagnoses After COVID-19 Vaccination and SARS-Cov-2 Infection.

Alan C Kwan, Joseph E Ebinger, Janet Wei, Catherine N Le, Jillian R Oft, Rachel Zabner, Debbie Teodorescu, Patrick G Botting, Jesse Navarrette, David Ouyang and 5 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Nature cardiovascular research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
15.3field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Pooled it
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  8. Neuroimmune pathophysiology of long COVID.Psychiatry and clinical neurosciences · 2025
    Review
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  11. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 1 country.

Alan C KwanDepartment of Cardiology, Smidt Heart Institute, Cedars Sinai Medical Center Los Angeles, CA.
Joseph E EbingerDepartment of Cardiology, Smidt Heart Institute, Cedars Sinai Medical Center Los Angeles, CA.
Janet WeiDepartment of Cardiology, Smidt Heart Institute, Cedars Sinai Medical Center Los Angeles, CA.
Catherine N LeDivision of Infectious Diseases, Department of Medicine, Cedars Sinai Medical Center, Los Angeles, CA.
Jillian R OftDivision of Infectious Diseases, Department of Medicine, Cedars Sinai Medical Center, Los Angeles, CA.
Rachel ZabnerDivision of Infectious Diseases, Department of Medicine, Cedars Sinai Medical Center, Los Angeles, CA.
Debbie TeodorescuDepartment of Cardiology, Smidt Heart Institute, Cedars Sinai Medical Center Los Angeles, CA.
Patrick G BottingDepartment of Cardiology, Smidt Heart Institute, Cedars Sinai Medical Center Los Angeles, CA.
Jesse NavarretteDepartment of Cardiology, Smidt Heart Institute, Cedars Sinai Medical Center Los Angeles, CA.
David OuyangDepartment of Cardiology, Smidt Heart Institute, Cedars Sinai Medical Center Los Angeles, CA.
Matthew DriverDepartment of Cardiology, Smidt Heart Institute, Cedars Sinai Medical Center Los Angeles, CA.
Brian ClaggettDivision of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA.
Brittany N WeberDivision of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA.
Peng-Sheng ChenDepartment of Cardiology, Smidt Heart Institute, Cedars Sinai Medical Center Los Angeles, CA.
Susan ChengDepartment of Cardiology, Smidt Heart Institute, Cedars Sinai Medical Center Los Angeles, CA.
Cedars-Sinai Medical Center · USBrigham and Women's Hospital · US

Funding

Cardiac microstructure and the immune-inflammatory response to SARS-CoV-2R01HL131532 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI CHENG, SUSAN, LI, DEBIAO · 2016 to 2025
$6.6M
SK Current, beta-3 adrenoceptor activation and Sex Differences in Ventricular ArrhythmogenesisR01HL139829 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI PENG-SHENG CHEN, ZHILIN QU · 2018 to 2026
$4.5M
Myocardial Steatosis in Women with Coronary Microvascular Dysfunction: Defining the Pathway to Heart Failure with Preserved Ejection Fraction (HFpEF)R01HL153500 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI WEI, JANET · 2021 to 2025
$3.2M
Vaccine Induced Immune-Inflammatory Response and Cardiovascular RiskR01HL151828 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI CHENG, SUSAN · 2021 to 2024
$3.0M
Using electrical nerve stimulation to control atrial fibrillation.OT2OD028190 · OD · INDIANA UNIVERSITY INDIANAPOLIS · PI CHEN, PENG-SHENG · 2019 to 2021
$2.3M
Advanced CV imaging and immunophenotyping to study coronary vascular health in psoriasisK23HL159276 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI WEBER, BRITTANY NICOLE · 2021 to 2025
$962k
Implementation Science to Improve Cardiovascular Health: Leveraging EHR Systems to Advance Care of Resistant HypertensionK23HL153888 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI EBINGER, JOSEPH · 2020 to 2024
$929k
Doris Duke Charitable Foundation 2020059NHLBI NIH HHS K23 HL153888NHLBI NIH HHS K23 HL159276NHLBI NIH HHS R01 HL131532NHLBI NIH HHS R01 HL139829NHLBI NIH HHS R01 HL151828NHLBI NIH HHS R01 HL153500NIH HHS OT2 OD028190
6 · The paper itself

Abstract

Postural orthostatic tachycardia syndrome (POTS) has been previously described after SARS-CoV-2 infection; however, limited data is available on the relation of POTS with COVID-19 vaccination. Here we show in a cohort of 284,592 COVID-19 vaccinated individuals using a sequence-symmetry analysis, that the odds of POTS are higher 90 days after vaccine exposure than 90 days prior to exposure, and that the odds for POTS are higher than referent conventional primary care diagnoses, but lower than the odds of new POTS diagnosis after SARS-CoV-2 infection. Our results identify a possible association between COVID-19 vaccination and incidence of POTS. Notwithstanding the probable low incidence of POTS after COVID-19 vaccination, particularly when compared to SARS-Cov-2 post-infection odds which were five times higher, our results suggest that further studies, are needed to investigate the incidence and etiology of POTS occurring after COVID-19 vaccination.

Identifiers

PMID37303827
PMCPMC10254901
OpenAlexW4312132281

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.