Evidence map›Paper›PMID 23227137›Full record

ArticleBrain imaging and behavior2009

A fMRI Study of Verbal Working Memory, Cardiac Output, and Ejection Fraction in Elderly Patients with Cardiovascular Disease.

Farzin Irani, Lawrence H Sweet, Andreana P Haley, John J Gunstad, Beth A Jerskey, Richard C Mulligan, Angela L Jefferson, Athena Poppas, Ronald A Cohen

Open access · greenAbstract read
In one paragraph

Article in Brain imaging and behavior, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Impact of Cardiovascular Hemodynamics on Cognitive Aging.Arteriosclerosis, thrombosis, and vascular biology · 2021
    Review
  7. Article
  8. Article
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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 5 institutions in 1 country.

Farzin IraniDepartment of Psychiatry and Human Behavior, Brown University, Providence, RI, USA. Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
Lawrence H Sweet
Andreana P Haley
John J Gunstad
Beth A Jerskey
Richard C Mulligan
Angela L Jefferson
Athena Poppas
Ronald A Cohen
Brown University · USBoston University · USButler Hospital · USKent State University · USThe University of Texas at Austin · US

Funding

HEART DISEASE, CNS DYSFUNCTION &OUTCOME IN THE ELDERLYR01AG017975 · NIA · MIRIAM HOSPITAL · PI COHEN, RONALD A · 2000 to 2004
$1.5M
Brown University Dementia Research FellowshipT32AG020498 · NIA · BROWN UNIVERSITY · PI MALLOY, PAUL F · 2003 to 2007
$976k
Cardiac integrity and the aging brainK23AG030962 · NIA · VANDERBILT UNIVERSITY · PI JEFFERSON, ANGELA L. · 2007 to 2011
$864k
Cardiovascular disease and neurocognition in the elderlyF32AG022773 · NIA · MIRIAM HOSPITAL · PI JEFFERSON, ANGELA L. · 2003 to 2004
$83k
Health and Perceived Cognition in Post-CABG PatientsF32HL074568 · NHLBI · MIRIAM HOSPITAL · PI GUNSTAD, JOHN J · 2003 to 2004
$83k
Cognitive speed and working memory in multiple sclerosisF32NS042404 · NINDS · MIRIAM HOSPITAL · PI SWEET, LAWRENCE H · 2001 to 2002
$72k
NHLBI NIH HHS F32 HL074568NIA NIH HHS F32 AG022773NIA NIH HHS K23 AG030962NIA NIH HHS R01 AG017975NIA NIH HHS T32 AG020498NINDS NIH HHS F32 NS042404
6 · The paper itself

Abstract

Cardiovascular disease (CVD) is associated with cognitive deficits even in the absence of stroke. We examined the relationship between cardiac performance, as measured by cardiac output (CO) and ejection fraction (EF), and brain activity during a verbal working memory (VWM) task in elderly CVD patients who tend to be at increased risk for vascular cognitive impairments. Seventeen patients were recruited from a cohort participating in an ongoing prospective study examining the effects of CVD on cognitive function in the elderly. Participants were diagnosed with CVD (age 68±8) and completed a 2-back VWM task in a 1.5T fMRI paradigm. CO and EF were calculated from echocardiogram measures. Task-related activation was averaged in a priori regions of interest. The relationship between CO, EF, and 2-back-related activity was modeled using partial correlations (two-tailed p<.05) controlling for age and 2-back accuracy. All participants were globally cognitively intact as indicated by Mini-Mental Status Exam and Dementia Rating Scale scores. Mean accuracy on the 2-back was 78±9% while reaction time averaged 1,027±192 ms. Mean CO and EF values showed a large range (CO: 3.55 to 6.31; EF: 0.36 to 0.76) but average values were within the normal range. After controlling for age and 2-back accuracy, lower EF was related to decrease in left insula activity (r=0.61, p=0.03). There were trends for EF to be related to accuracy (r=0.47, p=0.09) and reaction time (r=-0.48, p=0.09). CO was also related to insula activity (r=0.60, p=0.04) and activity in the supplementary motor area activity (r=0.66, p=0.01). Cardiac performance was related to decreased efficiency in task related brain areas and tended to be related to performance on a VWM task in elderly patients with CVD. Results have implications for a line of investigation indicating that cardiac and systemic vascular indices could be used as proxy measures to examine mechanisms of cerebrovascular dysfunction in the elderly.

Identifiers

PMID23227137
PMCPMC3514458
OpenAlexW2086971492

What OpenQuestion holds

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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 OpenQuestion graph.