Summary
| Direction in ME/CFS | ↓ Reduced — lower than in the comparison group |
|---|---|
| Category | Autonomic |
| Also described as | Cardiovascular reflex |
| Compared against | HC (healthy controls) |
| Associated symptoms | Orthostatic symptoms |
| Test type | Clinical or physiological test |
| Source | Nelson et al. 2019 — doi:10.1186/s12967-019-02100-4 |
| Condition atlas | ME/CFS Biomarker Atlas |
Related Autonomic markers in ME/CFS
- Blood pressure variability ↑
- Orthostatic heart rate increment ↑
- LF/HF ratio ↕
- Heart rate variability (SDNN) ↓
- Heart rate variability (RMSSD) ↓
Full list: ME/CFS Biomarker Atlas.
Frequently asked questions
Is Baroreflex sensitivity high or low in ME/CFS?
Reduced. Studies summarised in the OSMF atlas report lower Baroreflex sensitivity in ME/CFS than in healthy controls. Source: Nelson et al. 2019.
What symptoms is Baroreflex sensitivity associated with in ME/CFS?
The cited literature associates this marker with Orthostatic symptoms. These are population-level associations and do not mean the marker causes the symptoms.
Which test measures Baroreflex sensitivity?
It is measured as a clinical or physiological test. Many of the cited studies used research-grade assays, so clinical availability may vary.
Is one abnormal Baroreflex sensitivity result diagnostic of ME/CFS?
No. No single biomarker is diagnostic of ME/CFS. Baroreflex sensitivity findings come from group comparisons, overlap considerably between patients and controls, and vary with study design, timing and comparison group. A result should be interpreted by a clinician alongside symptoms, history and other tests.
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Last reviewed: 2026-06-29 · Page generated from me-cfs.json · Browse: ME/CFS atlas · Biomarker Index · All marker pages
Disclaimer: This page is an educational synthesis of published, peer-reviewed research and is not medical advice. Biomarker findings vary across studies with case definitions, comparison groups, timing and assay methods. Direction of change reflects the predominant finding in the cited source and does not establish a diagnostic threshold. Discuss any test result with a qualified clinician.