Evidence map›Paper›PMID 38374172›Full record

ArticleCommunications medicine2024

Carotid body dysregulation contributes to Long COVID symptoms.

Ahmed El-Medany, Zoe H Adams, Hazel C Blythe, Katrina A Hope, Adrian H Kendrick, Ana Paula Abdala Sheikh, Julian F R Paton, Angus K Nightingale, Emma C Hart

Open access · goldAbstract read
In one paragraph

Article in Communications medicine, 2024. 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
4.8field-weighted citation impact, top 4% 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, 12 citations in OpenAlex.

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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

9 authors at 4 institutions in 2 countries.

Ahmed El-Medany *School of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, UK.
Zoe H Adams *School of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, UK.
Hazel C Blythe *School of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0002-7824-4019
Katrina A HopeSchool of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, UK.
Adrian H KendrickSchool of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, UK.
Ana Paula Abdala SheikhSchool of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0001-6051-2591
Julian F R PatonManaaki Manawa, The Centre for Heart Research, University of Auckland, Auckland, New Zealand.
Angus K NightingaleSchool of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0001-9435-726X
Emma C HartSchool of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, UK. Emma.hart@bristol.ac.uk.ORCID http://orcid.org/0000-0002-4534-9586
University of Bristol · GBNorth Bristol NHS Trust · GBUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity of Auckland · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe symptoms of long COVID, which include fatigue, breathlessness, dysregulated breathing, and exercise intolerance, have unknown mechanisms. These symptoms are also observed in heart failure and are partially driven by increased sensitivity of the carotid chemoreflex. As the carotid body has an abundance of ACE2 (the cell entry mechanism for SARS-CoV-2), we investigated whether carotid chemoreflex sensitivity was elevated in participants with long COVID.

methodsNon-hositalised participants with long-COVID (n = 14) and controls (n = 14) completed hypoxic ventilatory response (HVR; the measure of carotid chemoreflex sensitivity) and cardiopulmonary exercise tests. Parametric and normally distributed data were compared using Student's unpaired t-tests or ANOVA. Nonparametric equivalents were used where relevant. Peason's correlation coefficient was used to examine relationships between variables.

resultsDuring cardiopulmonary exercise testing the V

conclusionsThe carotid chemoreflex is sensitised in long COVID and may explain dysregulated breathing and exercise intolerance in these participants. Tempering carotid body excitability may be a viable treatment option for long COVID patients.

Identifiers

PMID38374172
PMCPMC10876702
OpenAlexW4391928660

What Socratic holds

Textmetadata
LicenceCC BY
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.