Evidence map›Paper›PMID 38910177›Full record

ArticleScientific reports2024

Vortioxetine's impact on the autonomic nervous system in depressed children and adolescents: analysis of the heart rate variability.

Michaela Krivosova, Peter Hutka, Igor Ondrejka, Zuzana Visnovcova, Dana Funakova, Igor Hrtanek, Nikola Ferencova, Zuzana Mlyncekova, Veronika Kovacova, Andrea Macejova and 3 more

Abstract read
In one paragraph

Article in Scientific reports, 2024. 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
–field-weighted citation impact
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.

  1. Article
  2. 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

13 authors.

Michaela Krivosova *Jessenius Faculty of Medicine in Martin, Biomedical Centre Martin, Comenius University Bratislava, Martin, Slovakia.
Peter Hutka *Jessenius Faculty of Medicine in Martin, Psychiatric Clinic, Comenius University Bratislava, University Hospital Martin, Martin, Slovakia.
Igor OndrejkaJessenius Faculty of Medicine in Martin, Psychiatric Clinic, Comenius University Bratislava, University Hospital Martin, Martin, Slovakia. igor.ondrejka@uniba.sk.
Zuzana VisnovcovaJessenius Faculty of Medicine in Martin, Biomedical Centre Martin, Comenius University Bratislava, Martin, Slovakia.
Dana FunakovaJessenius Faculty of Medicine in Martin, Psychiatric Clinic, Comenius University Bratislava, University Hospital Martin, Martin, Slovakia.
Igor HrtanekJessenius Faculty of Medicine in Martin, Psychiatric Clinic, Comenius University Bratislava, University Hospital Martin, Martin, Slovakia.
Nikola FerencovaJessenius Faculty of Medicine in Martin, Biomedical Centre Martin, Comenius University Bratislava, Martin, Slovakia.
Zuzana MlyncekovaJessenius Faculty of Medicine in Martin, Psychiatric Clinic, Comenius University Bratislava, University Hospital Martin, Martin, Slovakia.
Veronika KovacovaJessenius Faculty of Medicine in Martin, Psychiatric Clinic, Comenius University Bratislava, University Hospital Martin, Martin, Slovakia.
Andrea MacejovaJessenius Faculty of Medicine in Martin, Psychiatric Clinic, Comenius University Bratislava, University Hospital Martin, Martin, Slovakia.
Tomas KukuckaJessenius Faculty of Medicine in Martin, Psychiatric Clinic, Comenius University Bratislava, University Hospital Martin, Martin, Slovakia.
Juraj MokryDepartment of Pharmacology, Jessenius Faculty of Medicine in Martin, Comenius University Bratislava, Martin, Slovakia.
Ingrid TonhajzerovaJessenius Faculty of Medicine in Martin, Psychiatric Clinic, Comenius University Bratislava, University Hospital Martin, Martin, Slovakia.

Funding

Scientific Grant Agency of the Ministry of Education, Science, Research and Sport of the Slovak Republic VEGA 1/0048/24
6 · The paper itself

Abstract

Relationship between depressive disorder and autonomic nervous system has been already discussed. Reduced emotional regulation is supposed to be associated with prefrontal hypofunction and subcortical hyperactivity. The aim of this study was to determine the effect of vortioxetine on heart rate variability (HRV), a parameter of cardiac autonomic regulation, in depressed hospitalized paediatric patients and assess the clinical effectiveness of the drug in this population. We performed repeated polysomnography analyses at admission and after a short treatment in hospital (15.2 days on average) and measured various HRV parameters (RRi, pNN50, RMSSD, LF-HRV, HF-HRV) during wakefulness, N3 and REM sleep stages. Out of 27 study subjects, 67% have improved depression symptoms as well as anxiety and subjective sleep quality after short vortioxetine treatment. We have found a significant decrease in parasympathetic parameters pNN50, RMSSD and HF-HRV during N3 sleep phase, though not exclusively among vortioxetine responders. The anticipated increase in cardiovagal regulation after vortioxetine treatment was not demonstrated in this pilot study, possibly due to the drug's multimodal mechanism and impact on the nucleus tractus solitarii, particularly its antagonism on 5HT-3 receptors. Application of selective drugs could further explain the effect of vortioxetine on HRV in depressed patients.

Indexed as

Autonomic Nervous SystemHeart RateVortioxetineAdolescentAntidepressive AgentsChildDepressionFemaleHumansMalePilot ProjectsPolysomnographyAntidepressive AgentsVortioxetine

Identifiers

PMID38910177
PMCPMC11194280

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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.