Evidence map›Paper›PMID 41816148›Full record

ArticleJournal of family medicine and primary care2026

Assessment of heart rate variability, baroreceptor sensitivity and its association with serum catestatin in vertigo patients: An observational study.

Prethissha Sundar, Dhanalakshmi Yerrabelli, Pravati Pal, R Kalaiarasi, Kavitha Natarajan

Abstract read
In one paragraph

Article in Journal of family medicine and primary care, 2026. 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

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2 · The registry

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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

5 authors.

Prethissha SundarDepartment of Physiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Dhanalakshmi YerrabelliDepartment of Physiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Pravati PalDepartment of Physiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
R KalaiarasiDepartment of E.N.T, JIPMER, Puducherry, India.
Kavitha NatarajanDepartment of Physiology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Vertigo, characterized by an illusion of motion, affects 5% of the population. The vestibular system regulates blood pressure during postural changes via the vestibulo-sympathetic reflex, which gets activated by linear acceleration, stimulating otolith organs, increasing blood pressure transiently via sympathetic discharge. Catestatin regulates cardiac function, enhancing baroreflex sensitivity, increasing cardiac vagal, reducing sympathetic activity and modulating blood pressure acting on the nucleus tractus solitarius. Aim: The study aimed to evaluate heart rate variability (HRV), baroreceptor sensitivity (BRS) and their association with serum catestatin levels in vertigo subjects. Methods: Seventy-three newly diagnosed vertigo patients were recruited. HRV parameters and BRS were assessed to evaluate autonomic function. Serum catestatin levels were measured using an enzyme-linked immunosorbent assay. Correlation analysis was done to investigate the relationship between serum catestatin and HRV indices. Results: The time-domain HRV parameters, mean RR intervals and mean heart rate (HR) indicated resting parasympathetic activity in the study group. Low-frequency power was reduced in vertigo patients, indicating diminished sympathetic activity. High-frequency power was elevated, indicating marked cardiac vagal dominance. Total power showed reduced autonomic tone in the vertigo group. Sympathovagal balance shifted towards increased vagal activity. BRS was reduced, leading to impaired autonomic balance. Serum catestatin levels were at the lower range of normal, expressing an association with autonomic parameters and maintaining blood pressure homeostasis. Conclusion: Serum catestatin plays a compensatory role in maintaining blood pressure in early-stage vertigo. Study reports that autonomic imbalance, characterized by increased vagal tone and reduced sympathetic drive, is evident in the early stages of vertigo, predisposing patients to orthostatic intolerance.

Indexed as

Autonomic nervous systembaroreceptor sensitivitycatestatinheart rate variabilityvertigo

Identifiers

PMID41816148
PMCPMC12975044

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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.