Evidence map›Paper›PMID 38926194›Full record

ArticleClinical autonomic research : official journal of the Clinical Autonomic Research Society2024

Rapid changes in cerebrovascular compliance during vasovagal syncope.

Leena N Shoemaker, Aleena Sajid, Ronald Schondorf, J Kevin Shoemaker

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Article in Clinical autonomic research : official journal of the Clinical Autonomic Research Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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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

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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
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4 · The record

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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.

Leena N ShoemakerSchool of Kinesiology, Western University, London, ON, Canada.ORCID http://orcid.org/0000-0003-3924-0717
Aleena SajidSchool of Kinesiology, Western University, London, ON, Canada.ORCID http://orcid.org/0000-0002-9731-5038
Ronald SchondorfDepartment of Neurology, McGill University Jewish General Hospital, Montreal, QC, Canada.ORCID http://orcid.org/0000-0001-7727-9933
J Kevin ShoemakerSchool of Kinesiology, Western University, London, ON, Canada. kshoemak@uwo.ca.ORCID http://orcid.org/0000-0002-6794-5979

Funding

Natural Sciences and Engineering Research Council of Canada RGPIN-2018-06255
6 · The paper itself

Abstract

purposeThe compensatory mechanisms supporting cerebral perfusion throughout head-up tilt (HUT) in patients with vasovagal syncope (VVS) remain unclear. We tested the hypothesis that increased cerebrovascular compliance (Ci) and decreased cerebrovascular resistance (CVR) support cerebral blood velocity (CBV) during pre-syncope in VVS.

methodsFinger arterial blood pressure (ABP) and right middle cerebral artery blood velocity (CBV) were recorded in 15 individuals diagnosed with VVS (n = 11 female, mean age: 40 ± 16 years, mean body mass index: 24.9 ± 4.0 kg/m

resultsDiastolic ABP, systolic ABP, mean ABP (72 ± 11 to 51 ± 12 mmHg), and CVR decreased progressively during presyncope (all P ≤ 0.04). As expected, systolic CBV was sustained (all P ≥ 0.29) while diastolic and mean CBV (51 ± 13 to 38 ± 13 mmHg) fell during presyncope (all P ≤ 0.04). Both Ci and Pi increased during presyncope (128 ± 97 and 60 ± 41%, respectively; all P ≤ 0.049) and were positively correlated (R

conclusionsThese data provide evidence that Ci increases during presyncope in patients with VVS and is likely involved in the maintenance of systolic CBV during a fall in diastolic CBV. However, this regulation is not sufficient to preserve CBV in the presence of such extreme and progressive reductions in ABP.

Indexed as

Cerebrovascular CirculationSyncope, VasovagalTilt-Table TestAdultBlood Flow VelocityBlood PressureFemaleHumansMaleMiddle AgedMiddle Cerebral ArteryVascular ResistanceYoung AdultBlood pressureCerebrovascularComplianceHypotensionPulsatility indexVasovagal syncope

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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.