Evidence map›Paper›PMID 37167264›Full record

ArticleJournal of applied physiology (Bethesda, Md. : 1985)2023

Cardiovascular responses to static handgrip exercise and postexercise ischemia in heart failure with preserved ejection fraction.

Kanokwan Bunsawat, Heather L Clifton, Stephen M Ratchford, Jennifer R Vranish, Jeremy K Alpenglow, Mark J Haykowsky, Joel D Trinity, John J Ryan, Paul J Fadel, D Walter Wray

Open access · greenAbstract read
In one paragraph

Article in Journal of applied physiology (Bethesda, Md. : 1985), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Maintained sympathetic reactivity but blunted pressor response to static handgrip exercise in heart failure with preserved ejection fraction.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
    Article
  5. Review
  6. 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

10 authors at 4 institutions in 2 countries.

Kanokwan BunsawatDivision of Geriatrics, Department of Internal Medicine, University of Utah, Salt Lake City, Utah, United States.ORCID 0000-0002-5950-6634
Heather L CliftonDivision of Geriatrics, Department of Internal Medicine, University of Utah, Salt Lake City, Utah, United States.
Stephen M RatchfordDivision of Geriatrics, Department of Internal Medicine, University of Utah, Salt Lake City, Utah, United States.ORCID 0000-0002-6300-7600
Jennifer R VranishDepartment of Kinesiology, College of Nursing and Health Innovation, University of Texas at Arlington, Arlington, Texas, United States.ORCID 0000-0002-4252-6639
Jeremy K AlpenglowDepartment of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, Utah, United States.ORCID 0000-0001-9769-4966
Mark J HaykowskyDepartment of Kinesiology, College of Nursing and Health Innovation, University of Texas at Arlington, Arlington, Texas, United States.
Joel D TrinityDivision of Geriatrics, Department of Internal Medicine, University of Utah, Salt Lake City, Utah, United States.ORCID 0000-0001-8271-6536
John J RyanDivision of Cardiovascular Medicine, Department of Internal Medicine, University of Utah, Salt Lake City, Utah, United States.
Paul J FadelDepartment of Kinesiology, College of Nursing and Health Innovation, University of Texas at Arlington, Arlington, Texas, United States.ORCID 0000-0002-0115-0743
D Walter WrayDivision of Geriatrics, Department of Internal Medicine, University of Utah, Salt Lake City, Utah, United States.ORCID 0000-0002-6907-1734
University of Utah · USAlma College · USThe University of Texas at Arlington · USUniversity of Alberta · CA

Funding

Role of Sensory Neurons in Human Cardiovascular DiseaseR01HL116579 · NHLBI · UNIVERSITY OF UTAH · PI AMANN, MARKUS · 2013 to 2021
$3.4M
Autonomic Dysfunction in Patients with HFpEFR01HL162856 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI MARKUS AMANN, D. Walter Wray · 2023 to 2026
$2.7M
Cardiovasomobility Research Training ProgramT32HL139451 · NHLBI · UNIVERSITY OF UTAH · PI SUPIANO, MARK A, WRAY, D. WALTER · 2018 to 2022
$1.4M
Mechanisms and management of exercise intolerance in older heart failure patients with preserved ejection fraction (HFpEF)R15NR016826 · NINR · UNIVERSITY OF TEXAS ARLINGTON · PI HAYKOWSKY, MARK · 2017 to 2017
$308k
Mechanisms of Impaired Skeletal Muscle Blood Flow and Exercise Intolerance in Veterans with Heart Failure with Preserved Ejection Fraction: Efficacy of Knee Extensor TrainingIK2RX003670 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI Kanokwan Bunsawat · 2022 to 2026
–
Efficacy of exercise training in patients with HFpEFI01RX003343 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI MARKUS AMANN · 2021 to 2026
–
Overcoming Exercise Intolerance in Veterans with Heart Failure: The Role of NO.I01RX001311 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI WRAY, D. WALTER · 2017 to 2020
–
Novel Approaches for Improving Vascular Function in Veterans with HFpEFI01CX002152 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI D. Walter Wray · 2021 to 2026
–
CSRD VA I01 CX002152NHLBI NIH HHS R01 HL116579NHLBI NIH HHS R01 HL162856NHLBI NIH HHS T32 HL139451NINR NIH HHS R15 NR016826RRD VA I01 RX001311RRD VA I01 RX003343RRD VA IK2 RX003670
6 · The paper itself

Abstract

Heart failure with preserved ejection fraction (HFpEF) is characterized by reduced ability to sustain physical activity that may be due partly to disease-related changes in autonomic function that contribute to dysregulated cardiovascular control during muscular contraction. Thus, we used a combination of static handgrip exercise (HG) and postexercise ischemia (PEI) to examine the pressor response to exercise and isolate the skeletal muscle metaboreflex, respectively. Mean arterial pressure (MAP), heart rate (HR), cardiac output (CO), and total peripheral resistance (TPR) were assessed during 2-min of static HG at 30 and 40% of maximum voluntary contraction (MVC) and subsequent PEI in 16 patients with HFpEF and 17 healthy, similarly aged controls. Changes in MAP were lower in patients with HFpEF compared with controls during both 30%MVC (Δ11 ± 7 vs. Δ15 ± 8 mmHg) and 40%MVC (Δ19 ± 14 vs. Δ30 ± 8 mmHg), and a similar pattern of response was evident during PEI (30%MVC: Δ8 ± 5 vs. Δ12 ± 8 mmHg; 40%MVC: Δ13 ± 10 vs. Δ18 ± 9 mmHg) (group effect:

Indexed as

Heart FailureBlood PressureExerciseHand StrengthHumansIschemiaMuscle, SkeletalReflexStroke Volumeblood pressureexercise pressor reflexHFpEFisometric exercisemetaboreflex

Identifiers

PMID37167264
PMCPMC10259865
OpenAlexW4376130817

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.