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Heart rate variability and baroreflex sensitivity abnormalities in Guillain–Barré syndrome: a pilot study

Overview of attention for article published in Clinical Autonomic Research, April 2018
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Title
Heart rate variability and baroreflex sensitivity abnormalities in Guillain–Barré syndrome: a pilot study
Published in
Clinical Autonomic Research, April 2018
DOI 10.1007/s10286-018-0525-z
Pubmed ID
Authors

Cheng-Yin Tan, Nortina Shahrizaila, Kee-Ying Yeoh, Khean-Jin Goh, Maw-Pin Tan

Abstract

The current study aimed to investigate autonomic dysfunction in Guillain-Barré syndrome (GBS) patients and describe the results of computational heart rate variability (HRV)/baroreflex sensitivity (BRS) and autonomic challenge tests. GBS patients were consecutively recruited and the results were compared to age- and gender-matched healthy controls. A series of autonomic function tests including computation-dependent tests (power spectrum analysis of HRV and BRS at rest) and challenge maneuvers (deep breathing, eyeball compression, active standing, the Valsalva maneuver, sustained handgrip, and the cold pressor test) were performed. Ten GBS patients (six men; mean age = 40.1 ± 13.9 years) and ten gender- and age-matched healthy controls were recruited. The mean GBS functional grading scale at disease plateau was 3.4 ± 1.0. No patients required intensive care unit admission or mechanical ventilation. Low-frequency HRV (p = 0.027), high-frequency HRV (p = 0.008), and the total power spectral density of HRV (p = 0.015) were significantly reduced in patients compared to controls. The mean up slope (p = 0.034), down slope (p = 0.011), and total slope (p = 0.024) BRS were significantly lower in GBS patients. The diastolic rise in blood pressure in the cold pressor test was significantly lower in GBS patients compared to controls (p = 0.008). Computation-dependent tests (HRV and BRS) were more useful for detecting autonomic dysfunction in GBS patients, whereas the cold pressor test was the only reliable challenge test, making it useful as a bedside measure of autonomic function in GBS patients.

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Geographical breakdown

Country Count As %
Unknown 33 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 15%
Student > Postgraduate 4 12%
Student > Master 4 12%
Unspecified 3 9%
Lecturer 1 3%
Other 3 9%
Unknown 13 39%
Readers by discipline Count As %
Medicine and Dentistry 8 24%
Unspecified 3 9%
Nursing and Health Professions 3 9%
Mathematics 1 3%
Business, Management and Accounting 1 3%
Other 4 12%
Unknown 13 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 April 2018.
All research outputs
#15,505,836
of 23,043,346 outputs
Outputs from Clinical Autonomic Research
#564
of 787 outputs
Outputs of similar age
#209,019
of 327,997 outputs
Outputs of similar age from Clinical Autonomic Research
#16
of 21 outputs
Altmetric has tracked 23,043,346 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 787 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.8. This one is in the 19th percentile – i.e., 19% of its peers scored the same or lower than it.
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We're also able to compare this research output to 21 others from the same source and published within six weeks on either side of this one. This one is in the 23rd percentile – i.e., 23% of its contemporaries scored the same or lower than it.