Evidence map›Paper›PMID 37449573›Full record

Trial reportJournal of the American Heart Association2023

Splanchnic Nerve Modulation Effects on Surrogate Measures of Venous Capacitance.

Veraprapas Kittipibul, Arun Ganesh, Aubrie Coburn, Brian J Coyne, James Matthew Gray, Jeroen Molinger, Neil Ray, Mihai Podgoreanu, Sharon L McCartney, Negmeldeen Mamoun and 6 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Heart Failure: a Punch from the Gut.Current heart failure reports · 2024
    Review
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

16 authors at 3 institutions in 2 countries.

Veraprapas KittipibulDivision of Cardiology, Department of Medicine Duke University Durham NC.ORCID 0000-0002-9107-1837
Arun GaneshDepartment of Anesthesiology Duke University Medical Center Durham NC.
Aubrie CoburnDivision of Cardiology, Department of Medicine Duke University Durham NC.
Brian J CoyneDivision of Cardiology, Department of Medicine Duke University Durham NC.ORCID 0000-0001-9305-6473
James Matthew GrayDivision of Cardiology, Department of Medicine Duke University Durham NC.ORCID 0000-0001-6857-9934
Jeroen MolingerDivision of Cardiology, Department of Medicine Duke University Durham NC.ORCID 0000-0003-0608-3305
Neil RayDepartment of Anesthesiology Duke University Medical Center Durham NC.
Mihai PodgoreanuDepartment of Anesthesiology Duke University Medical Center Durham NC.ORCID 0000-0001-5539-4674
Sharon L McCartneyDepartment of Anesthesiology Duke University Medical Center Durham NC.
Negmeldeen MamounDepartment of Anesthesiology Duke University Medical Center Durham NC.ORCID 0000-0003-4022-487X
Robert Curtis FitzhughDivision of Cardiology, Department of Medicine Duke University Durham NC.
Philipp LurzHeart Center Leipzig at University Leipzig Leipzig Germany.ORCID 0000-0002-5993-4487
Cynthia L GreenBiostatistics and Bioinformatics Duke University Medical Center Durham NC.ORCID 0000-0002-0186-5191
Adrian F HernandezDivision of Cardiology, Department of Medicine Duke University Durham NC.ORCID 0000-0003-3387-9616
Manesh R PatelDivision of Cardiology, Department of Medicine Duke University Durham NC.ORCID 0000-0002-2393-0855
Marat FudimDivision of Cardiology, Department of Medicine Duke University Durham NC.ORCID 0000-0002-8671-7007
Duke University · USDuke Medical Center · USLeipzig Heart Institute · DE

Funding

Congestion Phenotypes and Splanchnic Nerve Modulation in Chronic Heart FailureK23HL151744 · NHLBI · DUKE UNIVERSITY · PI FUDIM, MARAT · 2021 to 2022
$376k
NHLBI NIH HHS K23 HL151744
6 · The paper itself

Abstract

Background Splanchnic nerve modulation (SNM) is an emerging procedure to reduce cardiac filling pressures in heart failure. Although the main contributor to reduction in cardiac preload is thought to be increased venous capacitance in the splanchnic circulation, supporting evidence is limited. We examined changes in venous capacitance surrogates pre- and post-SNM. Methods and Results This is a prespecified analysis of a prospective, open-label, single-arm interventional study evaluating the effects of percutaneous SNM with ropivacaine in chronic heart failure with elevated filling pressures at rest and with exercise. Patients underwent cardiopulmonary exercise testing with invasive hemodynamic assessment pre- and post-SNM. Blood pressure changes with modified Valsalva maneuver and hemoconcentration, pre- and post-SNM were compared using a repeated measures model. Inferior vena cava diameter and collapsibility (>50% decrease in size with inspiration), and presence of bendopnea pre- and post-SNM were also compared. Fifteen patients undergoing SNM (age 58 years, 47% women, 93% with left ventricular ejection fraction ≤35%) were included. After SNM, changes in systolic blood pressure during Valsalva (peak-to-trough) were greater (41 versus 48 mm Hg,

Indexed as

Heart FailureVentricular Function, LeftFemaleHumansMaleMiddle AgedProspective StudiesSplanchnic NervesStroke Volumeheart failuresplanchnic nerve modulationsympathetic nervous systemvenous capacitance

Identifiers

PMID37449573
PMCPMC10382122
OpenAlexW4384339646

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.