Evidence map›Paper›PMID 29766366›Full record

ReviewClinical autonomic research : official journal of the Clinical Autonomic Research Society2018

Consensus statement on the definition of neurogenic supine hypertension in cardiovascular autonomic failure by the American Autonomic Society (AAS) and the European Federation of Autonomic Societies (EFAS) : Endorsed by the European Academy of Neurology (EAN) and the European Society of Hypertension (ESH).

Alessandra Fanciulli, Jens Jordan, Italo Biaggioni, Giovanna Calandra-Buonaura, William P Cheshire, Pietro Cortelli, Sabine Eschlboeck, Guido Grassi, Max J Hilz, Horacio Kaufmann and 13 more

Registry-linked trialOpen access · hybridAbstract readReviewConsensus Statement
In one paragraph

Review in Clinical autonomic research : official journal of the Clinical Autonomic Research Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04314557 (Renal Arterial Denervation in Sympathetic Dysautonomia), which is not on this map. Cited by 144 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
144citing papers in PubMed, 6 pooled it
24.4field-weighted citation impact, top 1% 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.

NCT04314557 completednot on this mapstarted 2019, after this paper: background citation

Renal Arterial Denervation in Sympathetic Dysautonomia: RANSOM REGISTRY

Typeobservational_patient_registrySponsorSt Carlos Hospital, Madrid, SpainRan2019 to 2025Enrolled13ConditionsHypertension, Renal Denervation, Increased Variability, Blood Pressure DisordersArmsRenal denervation
3 · Its place in the literature

Who cites it

144 citing papers in PubMed, 6 syntheses or guidelines pooled it, 255 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Effects of levodopa/carbidopa intestinal gel infusion on autonomic symptoms in advanced Parkinson's disease: a systematic review.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
    Pooled it
  4. Guideline
  5. Guideline
  6. Guideline
  7. Trial
  8. Atomoxetine on neurogenic orthostatic hypotension: a randomized, double-blind, placebo-controlled crossover trial.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2024
    Trial
  9. Effect of levodopa on postural blood pressure changes in Parkinson disease: a randomized crossover study.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2024
    Trial
  10. Baseline characteristics of the North American prodromal Synucleinopathy cohort.Annals of clinical and translational neurology · 2023
    Trial
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Setting up an autonomic unit within the neurological department: a position statement of the European Federation of Autonomic Societies.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  17. Article
  18. Article
  19. Article
  20. Article

84 more citing papers are in PubMed but not listed here.

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

23 authors at 16 institutions in 9 countries.

Alessandra FanciulliDepartment of Neurology, Innsbruck Medical University, Anichstraße 35, 6020, Innsbruck, Austria.
Jens JordanGerman Aerospace Center and Chair of Aerospace Medicine, Institute of Aerospace Medicine, University of Cologne, Cologne, Germany.
Italo BiaggioniDivision of Clinical Pharmacology, Vanderbilt University, Nashville, USA.
Giovanna Calandra-BuonauraDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
William P CheshireDepartment of Neurology, Mayo Clinic, Jacksonville, USA.
Pietro CortelliDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Sabine EschlboeckDepartment of Neurology, Innsbruck Medical University, Anichstraße 35, 6020, Innsbruck, Austria.
Guido GrassiClinica Medica, University of Milan-Bicocca, Milan, Italy.
Max J HilzDepartment of Neurology, Universitätsklinikum Erlangen, Erlangen, Germany.
Horacio KaufmannDepartment of Neurology, Dysautonomia Center, New York University School of Medicine, New York, USA.
Heinz LahrmannPrivate Practice, Vienna, Austria.
Giuseppe ManciaCentro di Fisiologia Clinica ed Ipertensione, Milan, Italy.
Gert MayerDepartment of Internal Medicine IV, Innsbruck Medical University, Innsbruck, Austria.
Lucy Norcliffe-KaufmannDepartment of Neurology, Dysautonomia Center, New York University School of Medicine, New York, USA.
Anne Pavy-Le TraonDepartment of Neurology, French Reference Centre for Multiple System Atrophy, University Hospital of Toulouse, Toulouse, France.
Satish R RajDepartment of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Canada.
David RobertsonDivision of Clinical Pharmacology, Vanderbilt University, Nashville, USA.
Isabel RochaInstitute of Physiology, Faculty of Medicine, University of Lisbon, Lisbon, Portugal.
Walter StruhalDepartment of Neurology, Karl Landsteiner University of Health Sciences, Site Tulln, Tulln, Austria.
Roland ThijsStichting Epilepsie Instellingen Nederland, Heemstede, The Netherlands.
Konstantinos P Tsioufis1st Department of Cardiology, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
J Gert van DijkDepartment of Neurology, Leiden University Medical Centre, Leiden, The Netherlands.
Gregor K WenningDepartment of Neurology, Innsbruck Medical University, Anichstraße 35, 6020, Innsbruck, Austria. gregor.wenning@i-med.ac.at.
Innsbruck Medical University · ATLeiden University Medical Center · NLNew York University · USVanderbilt University · USIcahn School of Medicine at Mount Sinai · USIstituti di Ricovero e Cura a Carattere Scientifico · ITIstituto di Fisiologia Clinica · ITKarl Landsteiner University of Health Sciences · ATMultiMedica · ITNational and Kapodistrian University of Athens · GRUniversité de Toulouse · FRUniversity of Bologna · ITUniversity of Calgary · CAUniversity of Cologne · DEUniversity of Lisbon · PTWinnMed · US

Funding

Training CoreU54NS065736 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BIAGGIONI, ITALO · 2009 to 2018
$11.6M
NINDS NIH HHS U54 NS065736
6 · The paper itself

Abstract

purposePatients suffering from cardiovascular autonomic failure often develop neurogenic supine hypertension (nSH), i.e., high blood pressure (BP) in the supine position, which falls in the upright position owing to impaired autonomic regulation. A committee was formed to reach consensus among experts on the definition and diagnosis of nSH in the context of cardiovascular autonomic failure.

methodsAs a first and preparatory step, a systematic search of PubMed-indexed literature on nSH up to January 2017 was performed. Available evidence derived from this search was discussed in a consensus expert round table meeting in Innsbruck on February 16, 2017. Statements originating from this meeting were further discussed by representatives of the American Autonomic Society and the European Federation of Autonomic Societies and are summarized in the document presented here. The final version received the endorsement of the European Academy of Neurology and the European Society of Hypertension.

resultsIn patients with neurogenic orthostatic hypotension, nSH is defined as systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg, measured after at least 5 min of rest in the supine position. Three severity degrees are recommended: mild, moderate and severe. nSH may also be present during nocturnal sleep, with reduced-dipping, non-dipping or rising nocturnal BP profiles with respect to mean daytime BP values. Home BP monitoring and 24-h-ambulatory BP monitoring provide relevant information for a customized clinical management.

conclusionsThe establishment of expert-based criteria to define nSH should standardize diagnosis and allow a better understanding of its epidemiology, prognosis and, ultimately, treatment.

Indexed as

Autonomic Nervous System DiseasesCardiovascular DiseasesEuropeHumansHypertensionSupine PositionUnited StatesABPMAutonomic failureNeurogenic orthostatic hypotensionNeurogenic supine hypertensionNocturnal hypertension

Identifiers

PMID29766366
PMCPMC6097730
OpenAlexW2804540727

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.