Evidence map›Paper›PMID 39144845›Full record

ArticleCureus2024

A Cross-Sectional Study of Cardiovascular Autonomic Reactivity in Ehlers-Danlos Syndrome.

Waqas Alauddin, Shahnawaz Alam, Mohit Mishra, Prajakta M Radke, Rishika Shree, Brishabh R Prajesh, Aparna Chaturvedi, Anant Patil, Tarun Kumar Singh, Malik Faizan Ahmad

Abstract read
In one paragraph

Article in Cureus, 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. 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

10 authors.

Waqas AlauddinPhysiology, Naraina Medical College and Research Centre, Kanpur, IND.
Shahnawaz AlamPhysiology, Naraina Medical College and Research Centre, Kanpur, IND.
Mohit MishraPhysiology, Naraina Medical College and Research Centre, Kanpur, IND.
Prajakta M RadkePhysiology, MGM Medical College, Navi Mumbai, IND.
Rishika ShreeMedicine, Naraina Medical College and Research Centre, Kanpur, IND.
Brishabh R PrajeshMedicine, Naraina Medical College and Research Centre, Kanpur, IND.
Aparna ChaturvediMedicine, Naraina Medical College and Research Centre, Kanpur, IND.
Anant PatilPharmacology, D. Y. Patil University School of Medicine, Navi Mumbai, IND.
Tarun Kumar SinghForensic Medicine, Naraina Medical College and Research Centre, Kanpur, IND.
Malik Faizan AhmadCommunity Medicine, Naraina Medical College and Research Centre, Kanpur, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEhlers-Danlos syndrome (EDS) may be linked to dysfunction in the autonomic nervous system, affecting collagen production and processing. These collagen abnormalities lead to a condition called dysautonomia. Findings underscore the need for further investigation into autonomic nervous system function in EDS which involves larger studies to strengthen the evidence of non-invasive screening tools like cardiovascular reflex tests. These tests might offer a valuable way to assess an individual's risk for future complications.

objectiveThis study aimed to assess autonomic reactivity in EDS patients using cardiovascular reflex tests.

methodsThis study was conducted at the Department of Physiology, Naraina Medical College and Research Centre, Kanpur (Uttar Pradesh). The cardiovascular reflex test was used to identify 60 individuals, 30 of whom were EDS patients and 30 were healthy controls, with a common age limit of 18-25 years. Cardiovascular reflex tests, such as the delta heart rate, lying-to-standing test (LST), deep breathing test (DBT), and Valsalva maneuver, were performed and recorded for each subject. IBM SPSS Statistics for Windows, Version 21.0 (Released 2012; IBM Corp., Armonk, New York, United States) was used for the compilation and analysis of data.

resultsThe expiration-to-inspiration (E:I) ratio and delta heart rate of the EDS patients both significantly decreased as compared to the healthy control group (1.10±0.02 versus 1.22±0.77 and 14.03±0.31 versus 15.52±0.32). The Valsalva ratio of the EDS patients decreased (1.28±0.01) as compared to the healthy control group (1.46±0.01), which was statistically significant. The 30:15 ratio in the EDS patients was significantly decreased compared to the healthy control group (1.08±0.01 versus 1.15±0.01). The handgrip test and cold pressor test results were statistically insignificant.

conclusionThe study suggests a connection between EDS and autonomic nervous system dysfunction, causing symptoms like tachycardia and hypotension. It recommends exploring non-invasive cardiovascular reflex tests as a tool to identify autonomic dysfunction in EDS patients and predict long-term cardiovascular complications. These tests offer valuable insights into autonomic function.

Indexed as

autonomic dysfunctioncardiovascular reflex testsehlers-danlos syndromeparasympathetic reactivitysympathetic reactivity

Identifiers

PMID39144845
PMCPMC11323960

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Registered trials

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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.