Evidence map›Paper›PMID 40352124›Full record

ArticleCirculation reports2025

Effects of Transcutaneous Auricular Vagus Nerve Stimulation on Hemodynamics and Autonomic Function During Exercise Stress Tests in Healthy Volunteers.

Yosuke Yoshida, Satoshi Okayama, Daisuke Fujihara, Midori Taniyama, Ayami Yamada, Megumi Fukui, Naoki Doi, Runa Takahashi, Akihiro Tanabe, Shingo Ogaki and 5 more

Abstract read
In one paragraph

Article in Circulation reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Transcutaneous vagus nerve stimulation and exercise-induced autonomic regulation: a systematic review.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Pooled it
  2. Trial
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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

15 authors.

Yosuke YoshidaDepartment of Rehabilitation, Nara Prefectural Seiwa Medical Center Nara Japan.
Satoshi OkayamaDepartment of Cardiovascular Medicine, Nara Prefectural Seiwa Medical Center Nara Japan.
Daisuke FujiharaDepartment of Rehabilitation, Nara Prefectural Seiwa Medical Center Nara Japan.
Midori TaniyamaDepartment of Rehabilitation, Nara Prefectural Seiwa Medical Center Nara Japan.
Ayami YamadaDepartment of Rehabilitation, Nara Prefectural Seiwa Medical Center Nara Japan.
Megumi FukuiDepartment of Rehabilitation, Nara Prefectural Seiwa Medical Center Nara Japan.
Naoki DoiDepartment of Rehabilitation, Nara Prefectural Seiwa Medical Center Nara Japan.
Runa TakahashiDepartment of Rehabilitation, Nara Prefectural Seiwa Medical Center Nara Japan.
Akihiro TanabeDepartment of Rehabilitation, Nara Prefectural Seiwa Medical Center Nara Japan.
Shingo OgakiDepartment of Rehabilitation, Nara Prefectural Seiwa Medical Center Nara Japan.
Satoharu HattoriDepartment of Cardiovascular Medicine, Nara Prefectural Seiwa Medical Center Nara Japan.
Atsushi IwaiDepartment of Cardiovascular Medicine, Nara Prefectural Seiwa Medical Center Nara Japan.
Michitaka NakamuraDivision of Critical Care Medicine, Nara Prefectural Seiwa Medical Center Nara Japan.
Naofumi DoiDepartment of Cardiovascular Medicine, Nara Prefectural Seiwa Medical Center Nara Japan.
Yoshihiko SaitoDepartment of Cardiovascular Medicine, Nara Prefectural Seiwa Medical Center Nara Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Transcutaneous auricular vagus nerve stimulation (taVNS) is a potential treatment for cardiovascular disease, but data on its effects on physiological function during exercise are lacking. We investigated the effects of taVNS on hemodynamics and autonomic nervous system function during exercise stress tests. Methods and Results: Sixteen healthy volunteers underwent exercise stress tests with and without taVNS in this study, with a randomized crossover design and with a washout period of at least 7 days. taVNS was set to a frequency of 100 Hz and maximum current intensity without causing discomfort. Hemodynamics and autonomic nervous system function were evaluated using plethysmography and heart rate (HR) variability, respectively. After exclusion of an outlier, data of 15 participants were analyzed. In tests with taVNS, HR was significantly reduced at maximum exercise (136.0±9.7 vs. 132.0±9.2; P<0.001) and 1 min after exercise (115.0±11.4 vs. 104.0±15.0; P<0.001), with minimal changes in blood pressure. The stroke volume and total peripheral resistance at maximum exercise significantly increased and decreased, respectively. Furthermore, low/high frequency ratio reflecting sympathetic dominance decreased at rest (3.7±2.5 vs. 1.6±1.3; P<0.001) and at maximum exercise (4.5±4.5 vs. 1.2±0.9; P<0.001). Conclusions: taVNS can reduce HR with minimal effect on blood pressure by inducing parasympathetic dominance during exercise stress tests.

Indexed as

Heart rate variabilityNeuromodulationParasympathetic nervous systemSympathetic nervous system

Identifiers

PMID40352124
PMCPMC12061502

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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.