Evidence map›Paper›PMID 40241345›Full record

Trial reportActa anaesthesiologica Scandinavica2025

The impact of blood pressure targets on venous return physiology during post cardiac arrest care.

Simon Schneekloth, Rasmus Paulin Beske, Johannes Grand, Jesper Kjaergaard, Jacob Eifer Møller, Henrik Schmidt, Anders Aneman, Christian Hassager

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta anaesthesiologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
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

8 authors.

Simon SchneeklothDepartment of Cardiology, The Heart Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.ORCID 0009-0000-2786-3736
Rasmus Paulin BeskeDepartment of Cardiology, The Heart Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Johannes GrandDepartment of Cardiology, The Heart Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0002-5511-4668
Jesper KjaergaardDepartment of Cardiology, The Heart Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Jacob Eifer MøllerDepartment of Cardiology, The Heart Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Henrik SchmidtDepartment of Cardiothoracic Intensive Care Unit, Odense University Hospital, Odense, Denmark.
Anders AnemanIntensive Care Unit, Liverpool Hospital, South Western Sydney Local Health District and South Western Sydney Clinical School, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0003-2096-5304
Christian HassagerDepartment of Cardiology, The Heart Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

Funding

Grosserer L. F. Foghts FondHjerteforeningenLundbeck FoundationNovo Nordisk Foundation NNF17OC0028706
6 · The paper itself

Abstract

backgroundVenous return (VR) physiology may be elucidated using a calculated mean systemic filling pressure analogue (P

methodsThis exploratory study used data from the BOX trial that investigated a higher (MAP of 77 mmHg, MAP77) versus a lower (63 mmHg, MAP63) blood pressure target during intensive care of survivors from out-of-hospital cardiac arrest. Data from 730 patients (MAP63, n = 362 and MAP77, n = 368) were used to calculate P

resultsThe P

conclusionIn conclusion, a higher MAP target effectively increased the stressed intravascular volume to sustain a higher CO. EDITORIAL COMMENT: This post-hoc analysis of the BOX trial explores VR physiology and how it is influenced by the use of various doses of noradrenaline and dopamine. A higher blood pressure target appears to increase VR by increasing the stressed intravascular volume. This results in an increase in the CO. These findings are important given the worry about the effect of a higher afterload on cardiac function.

Indexed as

Blood PressureOut-of-Hospital Cardiac ArrestAgedArterial PressureCardiac OutputCentral Venous PressureCritical CareFemaleHemodynamicsHumansMaleMiddle AgedVasoconstrictor AgentsVasoconstrictor Agentscardiac arrestmean systemic filling pressurevenous return

Identifiers

PMID40241345
PMCPMC12004033

What OpenQuestion holds

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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.