Evidence map›Paper›PMID 39505004›Full record

ArticleArquivos de neuro-psiquiatria2024

Heart rate variability in chronic ischemic stroke: analysis during the sleep-wake cycle.

Natalia Buitrago-Ricaurte, Fatima Dumas Cintra, Jean Faber, Gisele Sampaio Silva

Abstract read
In one paragraph

Article in Arquivos de neuro-psiquiatria, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

4 authors.

Natalia Buitrago-RicaurteUniversidade Federal de São Paulo, São Paulo SP, Brazil.ORCID 0000-0003-2894-2203
Fatima Dumas CintraUniversidade Federal de São Paulo, Departamento de Cardiologia, São Paulo SP, Brazil.ORCID 0000-0002-3361-7061
Jean FaberUniversidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, São Paulo SP, Brazil.ORCID 0000-0002-2129-8251
Gisele Sampaio SilvaUniversidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, São Paulo SP, Brazil.ORCID 0000-0002-3247-3123

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlterations of the autonomic nervous system (ANS) in the chronic stage of ischemic stroke (IS) are not well understood. Heart rate variability (HRV) provides a noninvasive approach to assess autonomic function.

objectiveTo compare the HRV parameters during the sleep-wake cycle between patients with IS in the chronic stage and healthy subjects.

methodsWe conducted a retrospective transversal study based on clinical records and 24-hour electrocardiogram (EKG) monitoring registries of 179 patients with a confirmed IS diagnosis and 184 age- and sex-matched healthy subjects. Circadian variation was calculated according to the variation of the total autonomic activity (VTAI) and the parasympathetic activity (VPAI) indexes. Comparisons were performed using nonparametric tests. Multivariable analyses were performed with canonical discriminant analysis (CDA) and a three-way analysis of variance (ANOVA). Statistical significance was established with a confidence level of 95%.

resultsDuring waking hours, the healthy group exhibited higher variability in the time domain and frequency domain parameters: standard deviation of NN intervals (SDNN,

conclusionThere was diminished heart vagal activity among IS patients, as measured through HRV. During sleep, this is likely caused by an imbalance in the sympathetic and parasympathetic systems shifting through the sleep phases. These imbalances could persist over time in patients with IS, lasting months after the initial injury.

Indexed as

Autonomic Nervous SystemCircadian RhythmHeart RateIschemic StrokeSleepAdultAgedAnalysis of VarianceCase-Control StudiesChronic DiseaseCross-Sectional StudiesFemaleHumansMaleMiddle AgedReference Values

Identifiers

PMID39505004
PMCPMC11540469

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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.