Evidence mapPaperPMID 24152821Full record

Trial reportJournal of human hypertension2014

Effect of supine versus sitting position on noninvasive assessment of aortic pressure waveform: a randomized cross-over study.

D Vrachatis, T G Papaioannou, A Konstantopoulou, E G Nasothimiou, S Millasseau, J Blacher, M E Safar, P P Sfikakis, G S Stergiou, A D Protogerou

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of human hypertension, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 12% of its field
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, 28 citations in OpenAlex.

  1. Neurobiological and Anti-Inflammatory Effects of a Deep Diaphragmatic Breathing Technique Based on Neofunctional Psychotherapy: A Pilot RCT.Stress and health : journal of the International Society for the Investigation of Stress · 2024
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  7. Postural Changes in Measures of Arterial Stiffness in Hypertensive Subjects on Antihypertensive Drug Therapy: A Prospective, Pilot Study.The International journal of angiology : official publication of the International College of Angiology, Inc · 2017
    Article
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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

10 authors at 6 institutions in 3 countries.

D Vrachatis1] Hypertension Center and Cardiovascular Research Laboratory, 1st Department of Propaedeutic Medicine, 'Laiko' Hospital Medical School, National and Kapodistrian University of Athens, Athens, Greece [2] Biomedical Engineering Unit, 1st Department of Cardiology, 'Hippokration' Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
T G PapaioannouBiomedical Engineering Unit, 1st Department of Cardiology, 'Hippokration' Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
A KonstantopoulouHypertension Center and Cardiovascular Research Laboratory, 1st Department of Propaedeutic Medicine, 'Laiko' Hospital Medical School, National and Kapodistrian University of Athens, Athens, Greece.
E G Nasothimiou1] Hypertension Center and Cardiovascular Research Laboratory, 1st Department of Propaedeutic Medicine, 'Laiko' Hospital Medical School, National and Kapodistrian University of Athens, Athens, Greece [2] Hypertension Center, 3rd University Department of Medicine, 'Sotiria' Hospital, Athens, Greece.
S MillasseauParis Descartes University; AP-HP; Diagnosis and Therapeutic Center, Hôtel-Dieu, Paris, France.
J BlacherParis Descartes University; AP-HP; Diagnosis and Therapeutic Center, Hôtel-Dieu, Paris, France.
M E SafarParis Descartes University; AP-HP; Diagnosis and Therapeutic Center, Hôtel-Dieu, Paris, France.
P P SfikakisHypertension Center and Cardiovascular Research Laboratory, 1st Department of Propaedeutic Medicine, 'Laiko' Hospital Medical School, National and Kapodistrian University of Athens, Athens, Greece.
G S StergiouHypertension Center, 3rd University Department of Medicine, 'Sotiria' Hospital, Athens, Greece.
A D Protogerou1] Hypertension Center and Cardiovascular Research Laboratory, 1st Department of Propaedeutic Medicine, 'Laiko' Hospital Medical School, National and Kapodistrian University of Athens, Athens, Greece [2] Hypertension Center, 3rd University Department of Medicine, 'Sotiria' Hospital, Athens, Greece.
National and Kapodistrian University of Athens · GRSotiria General Hospital · GRAssistance Publique – Hôpitaux de Paris · FRHotel Dieu Hospital · CALaiko General Hospital of Athens · GRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Biomarkers derived noninvasively from the aortic blood pressure (BP) waveform provide information regarding cardiovascular (CV) risk independently of brachial BP (bBP). Although body position has significant impact on the assessment of bBP, its effect on aortic hemodynamics remains unknown. This study investigated the changes in both brachial and aortic hemodynamics, between the supine and sitting position. In this randomized cross-over study, the bBP and the aortic pressure waveform were assessed after a 5 min rest (sitting and supine in randomized order); aortic BP, pulse pressure (PP) amplification, augmentation index (AIx) and subendocardial viability index (SEVR) were assessed. Sixty-one subjects were examined (36 males, mean age 50±12 years). Mean BP did not differ between the sitting and supine position (110.8±13.7 vs 110.9±14.9, respectively, P=0.945). However, significant difference between the sitting and supine position in brachial PP (45.9±16.0 vs 52.6±15.6, respectively, P<0.001), aortic PP (36.7±15.2 vs 43.1±13.9, P<0.001), PP amplification (1.28±0.1 vs 1.23±0.1, P<0.001), AIx (26.9±11.9 vs 31.1±10.2, P<0.001) and SEVR (179.6±25.7 vs 161.2±25.8, P<0.001) were found. Review of the literature identified underestimation of the role of body position on aortic hemodynamics. In conclusion, increased PP in both the aorta and brachial artery were found in the supine compared to the sitting position. Reduced PP amplification and SEVR were further observed in the supine position, due to increased pressure wave reflections (AIx).

Indexed as

AdultAortaBlood PressureBrachial ArteryCross-Over StudiesFemaleHemodynamicsHumansMaleManometryMiddle AgedPosturePulse Wave AnalysisSphygmomanometersSupine Position

Identifiers

PMID24152821
OpenAlexW2041915261

What Socratic holds

Textmetadata
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 Socratic graph.