Evidence map›Paper›PMID 40588382›Full record

ArticleBMJ open2025

Assessing symptom improvement in patients with postural orthostatic tachycardia syndrome (POTS) following a 16-week structured exercise programme: a protocol for a randomised cross-over trial in a clinical outpatient setting.

Isabella Kharraziha, Rafael Zulj, Hannes Holm, Artur Fedorowski, Viktor Hamrefors

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05554107 (The Effect of Physical Activity on Postural Orthostatic Tachycardia Syndrome), which is not on this map. Not yet cited in PubMed.

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

NCT05554107 narecruitingnot on this map

The Effect of Physical Activity on Postural Orthostatic Tachycardia Syndrome

TypeinterventionalSponsorLund UniversityRan2022 to 2028Enrolled200ConditionsPOTS - Postural Orthostatic Tachycardia SyndromeArmsTraining program
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Isabella KharrazihaDepartment of Cardiology, Skåne University Hospital, Malmo, Sweden isabella.kharraziha@med.lu.se.ORCID http://orcid.org/0000-0001-9150-1289
Rafael ZuljDepartment of Cardiology, Skåne University Hospital, Malmo, Sweden.
Hannes HolmDepartment of Cardiology, Skåne University Hospital, Malmo, Sweden.
Artur FedorowskiDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Viktor HamreforsDepartment of Cardiology, Skåne University Hospital, Malmo, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionExercise training is recommended as a complementary treatment in postural orthostatic tachycardia syndrome (POTS) according to international guidelines. However, less is known regarding how exercise training could successfully be implemented in clinical practice in patients with POTS. Thus, in the current study, we aim to assess the effect of a 16-week tailored exercise training programme in POTS. METHODS AND ANALYSIS: A total of 200 patients diagnosed with POTS will be recruited. The study will be conducted as a randomised cross-over study. POTS symptoms will be evaluated using the Malmö POTS Symptom Score, Orthostatic Hypotension Questionnaire and 36-item Short Form Health Survey. Haemodynamic parameters will be evaluated by orthostatic tests and maximum working capacity evaluated by bicycle exercise test. Symptoms, haemodynamic parameters and exercise capacity will be assessed before and after a 16-week training programme. ETHICS AND DISSEMINATION: The study was approved by the Swedish ethical review authority (2022-03186-01) and all procedures will be performed in accordance with the Helsinki Declaration. Results will be made available to patients with POTS, healthcare professionals, the funders and other researchers in publicly available (open access) medical journals. TRIAL REGISTRATION DETAILS: NCT05554107, registered on 26 September 2022.

Indexed as

Exercise TherapyPostural Orthostatic Tachycardia SyndromeAdultCross-Over StudiesExercise TestFemaleHumansMaleRandomized Controlled Trials as TopicCardiovascular DiseaseExerciseSurveys and Questionnaires

Identifiers

PMID40588382
PMCPMC12211820

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.