Evidence map›Paper›PMID 41350697›Full record

ArticleBMC neurology2025

Association between altered baroreflex control and pain intensity in fibromyalgia.

Christoph Best, Ana L Sayegh, Anna Mueck, Julia Emde, Kati Thieme, Heidrun H Krämer

Abstract read
In one paragraph

Article in BMC neurology, 2025. 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

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

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

6 authors.

Christoph BestDepartment of Neurology, Philipps-University, Marburg, Germany.
Ana L SayeghDepartment of Neurology, Justus Liebig University, Klinikstraße 33, Giessen, 35392, Germany.
Anna MueckDepartment of Neurology, Justus Liebig University, Klinikstraße 33, Giessen, 35392, Germany.
Julia EmdeDepartment of Neurology, Justus Liebig University, Klinikstraße 33, Giessen, 35392, Germany.
Kati ThiemeDepartment of Medical Psychology, Philipps-University, Marburg, Germany.
Heidrun H KrämerDepartment of Neurology, Justus Liebig University, Klinikstraße 33, Giessen, 35392, Germany. heidrun.kraemer@neuro.med.uni-giessen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of the sympathetic nervous system dysfunction in fibromyalgia (FM) is unclear. A large series of studies has shown that various abnormalities of the autonomic nervous system are present in fibromyalgia and contribute at least in part to the patients’ complaints and symptoms.

methodsIn FM patients (n = 10) and healthy controls (HC; n = 11) pain intensity (numeric rating scale; NRS), cardiac baroreflex sensitivity (BRS) and muscle sympathetic nerve activity (MSNA) via microneurography at rest and during baroreflex stimulation (lower body negative pressure; LBNP) were assessed.

resultsResting sympathetic activity was higher in FM at baseline (FM patients: 31.1 ± 2.3 bursts/min; HC: 24.3 ± 1.5 bursts/ min, F = 5.736; p = 0.028) and during baroreflex stimulation (F = 5.057; p = 0.044). Pain intensity correlated with MSNA activity (r = 0.760; p = 0.018) and showed a tendency to a negative correlation with BRS (r=-0.641; p = 0.063).

conclusionChanges in the baroreflex circuit with increased sympathetic outflow are associated with increased pain perception in FM.

Indexed as

BaroreflexFibromyalgiaPainSympathetic Nervous SystemAdultFemaleHeart RateHumansMiddle AgedPain MeasurementAutonomic nervous systemFibromyalgiaLower body negative pressure (LBNP)MicroneurographyMuscle sympathetic nerve activity (MSNA)Pain control

Identifiers

PMID41350697
PMCPMC12699904

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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.