Evidence map›Paper›PMID 41514842›Full record

ArticleBiology2025

Long COVID Patients with Orthostatic Intolerance Have Reduced Heart Rate Variability and Preserved Physiological Response to Active Standing.

J Antonio González-Hermosillo González, Claudia Lerma, Dulce Andrea Celestino Montelongo, María Del Carmen Alba Lorenzo, Emiliano Salas Santos, Atziri Gun Cuninghame Ballesteros, Esteban Jorge-Galarza, María Del Rocío Martínez-Alvarado

Abstract read
In one paragraph

Article in Biology, 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

8 authors.

J Antonio González-Hermosillo GonzálezDepartment of Cardiovascular Dysautonomia, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City 14080, Mexico.ORCID 0000-0002-3563-3081
Claudia LermaLaboratory of Cardiovascular Dynamics, Department of Molecular Biology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City 14080, Mexico.ORCID 0000-0002-4679-7751
Dulce Andrea Celestino MontelongoDepartment of Cardiovascular Dysautonomia, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City 14080, Mexico.
María Del Carmen Alba LorenzoDepartment of Cardiovascular Dysautonomia, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City 14080, Mexico.
Emiliano Salas SantosDepartment of Cardiovascular Dysautonomia, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City 14080, Mexico.
Atziri Gun Cuninghame BallesterosDepartment of Cardiovascular Dysautonomia, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City 14080, Mexico.
Esteban Jorge-GalarzaDepartment of Outpatients Care, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City 14080, Mexico.
María Del Rocío Martínez-AlvaradoDepartment of Cardiovascular Dysautonomia, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City 14080, Mexico.

Funding

Dirección General de Políticas de Investigación en Salud DGPIS-FPIS 2024/ INCAR-7116
6 · The paper itself

Abstract

The aim of this study was to assess the heart rate variability (HRV) at rest and during active orthostatic challenge in long COVID patients with orthostatic intolerance symptoms (dizziness, pre-syncope, and syncope). We performed a cross-sectional, observational, comparative study of 60 subjects of both sexes, aged 18 to 60 years (31 met the criteria of long COVID, 15 were infected individuals without symptoms, and 14 who had neither infection nor symptoms formed the age-matched control group). HRV was obtained from continuous electrocardiograms in a supine position and active standing with spontaneous breathing. The time from SARS-CoV-2 infection to testing in the COVID-19 group was 573 ± 289 days. The resting (supine position) values of SDNN, RMSSD, SD1, and SD2 were lower in long COVID patients than in control participants, while all other HRV indexes were similar between groups. In response to active standing, both groups had similar changes in all HRV indices. In conclusion, an active orthostatic test was not able to exhibit an autonomic dysregulation in these patients with long COVID, suggesting that cardiac autonomic modulation may have recovered due to the long time that elapsed after SARS-CoV-2 infection.

Indexed as

autonomic nervous systemheart rate variabilitylong COVID

Identifiers

PMID41514842
PMCPMC12784901

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.