Evidence map›Paper›PMID 33739123›Full record

Trial reportJournal of the American Heart Association2021

Local Passive Heat for the Treatment of Hypertension in Autonomic Failure.

Luis E Okamoto, Jorge E Celedonio, Emily C Smith, Alfredo Gamboa, Cyndya A Shibao, André Diedrich, Sachin Y Paranjape, Bonnie K Black, James A S Muldowney, Amanda C Peltier and 3 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Article
  3. Supine blood pressure measurement and its emerging role in cardiovascular risk stratification.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
  4. Article
  5. How to treat cardiovascular autonomic failure in Parkinson's disease.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  6. Review
  7. Review
  8. A reset on our reclined position-a call to prioritize neurogenic supine hypertension in the synucleinopathies.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
    Review
  9. Approaches for treating cardiovascular symptoms in Parkinson's disease.Therapeutic advances in neurological disorders · 2025
    Review
  10. Orthostatic hypotension in Parkinson's disease: therapeutic considerations.Therapeutic advances in neurological disorders · 2025
    Review
  11. Review
  12. Review
  13. Engaging patients in the management of orthostatic intolerance.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
    Review
  14. All orthostatic hypotension is neurogenic.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Orthostatic Hypotension: Management of a Complex, But Common, Medical Problem.Circulation. Arrhythmia and electrophysiology · 2022
    Review
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

13 authors at 2 institutions in 1 country.

Luis E OkamotoVanderbilt Autonomic Dysfunction Center Vanderbilt University Medical Center Nashville TN.
Jorge E CeledonioVanderbilt Autonomic Dysfunction Center Vanderbilt University Medical Center Nashville TN.
Emily C SmithVanderbilt Autonomic Dysfunction Center Vanderbilt University Medical Center Nashville TN.
Alfredo GamboaVanderbilt Autonomic Dysfunction Center Vanderbilt University Medical Center Nashville TN.
Cyndya A ShibaoVanderbilt Autonomic Dysfunction Center Vanderbilt University Medical Center Nashville TN.
André DiedrichVanderbilt Autonomic Dysfunction Center Vanderbilt University Medical Center Nashville TN.
Sachin Y ParanjapeVanderbilt Autonomic Dysfunction Center Vanderbilt University Medical Center Nashville TN.
Bonnie K BlackVanderbilt Autonomic Dysfunction Center Vanderbilt University Medical Center Nashville TN.
James A S MuldowneyVanderbilt Autonomic Dysfunction Center Vanderbilt University Medical Center Nashville TN.
Amanda C PeltierVanderbilt Autonomic Dysfunction Center Vanderbilt University Medical Center Nashville TN.
Ralf HabermannVanderbilt Autonomic Dysfunction Center Vanderbilt University Medical Center Nashville TN.
Craig G CrandallInstitute for Exercise and Environmental Medicine Texas Health Presbyterian Hospital and UT Southwestern Medical Center Dallas TX.
Italo BiaggioniVanderbilt Autonomic Dysfunction Center Vanderbilt University Medical Center Nashville TN.
Vanderbilt University Medical Center · USPresbyterian Hospital · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Structural genomics of norepinephrine transportersP01HL056693 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BIAGGIONI, ITALO · 1997 to 2016
$30.8M
Training CoreU54NS065736 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BIAGGIONI, ITALO · 2009 to 2018
$11.6M
Sympathetic Mechanisms in the Cardiovascular and Metabolic Alterations of ObesityR01HL149386 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BIAGGIONI, ITALO · 2019 to 2023
$3.0M
Automated Abdominal Binder for Orthostatic HypotensionR01HL144568 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI OKAMOTO, LUIS ENRIQUE · 2020 to 2024
$2.7M
Autonomic Determinants of Postural Tachycardia SyndromeR01HL142583 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DIEDRICH, ANDRE · 2019 to 2022
$1.7M
Splanchnic Circulation and Blood Pressure RegulationR01HL122847 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BIAGGIONI, ITALO · 2015 to 2018
$1.6M
NCATS NIH HHS UL1 TR000445NHLBI NIH HHS P01 HL056693NHLBI NIH HHS R01 HL122847NHLBI NIH HHS R01 HL142583NHLBI NIH HHS R01 HL144568NHLBI NIH HHS R01 HL149386NINDS NIH HHS U54 NS065736
6 · The paper itself

Abstract

Background Supine hypertension affects a majority of patients with autonomic failure; it is associated with end-organ damage and can worsen daytime orthostatic hypotension by inducing pressure diuresis and volume loss during the night. Because sympathetic activation prevents blood pressure (BP) from falling in healthy subjects exposed to heat, we hypothesized that passive heat had a BP-lowering effect in patients with autonomic failure and could be used to treat their supine hypertension. Methods and Results In Protocol 1 (n=22), the acute effects of local heat (40-42°C applied with a heating pad placed over the abdomen for 2 hours) versus sham control were assessed in a randomized crossover fashion. Heat acutely decreased systolic BP by -19±4 mm Hg (versus 3±4 with sham,

Indexed as

Autonomic Nervous SystemBlood PressureHypertensionHyperthermia, InducedPure Autonomic FailureAgedCross-Over StudiesFemaleHot TemperatureHumansMaleTreatment Outcomeautonomic failureheatorthostatic hypotensionsupine hypertensionthermoregulation

Identifiers

PMID33739123
PMCPMC8174330
OpenAlexW3137828208

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.