Evidence map›Paper›PMID 28391987›Full record

ReviewAutonomic neuroscience : basic & clinical2017

Cardiovascular and autonomic reactivity to psychological stress: Neurophysiological substrates and links to cardiovascular disease.

Annie T Ginty, Thomas E Kraynak, James P Fisher, Peter J Gianaros

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Autonomic neuroscience : basic & clinical, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 68 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT06263452 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

Beta-Blocker Influences on Inflammatory and Neural Responses to Stress

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2024 to 2026Enrolled120ConditionsCardiovascular DiseaseArmsPropranolol, Placebo
NCT06945497 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

School-based Practices in Arts and Resilience for Kids (SPARK Study)

TypeinterventionalSponsorWayne State UniversityRan2025 to 2027Enrolled250ConditionsAnxiety, Posttraumatic Stress Disorder, TraumaArmsArt Therapy, Yoga/Mindfulness
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  13. Brain and cardiovascular responses to acute stress in remitted and recurrent late-life depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
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8 more citing papers are in PubMed but not listed here.

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

4 authors.

Annie T GintyDepartment of Psychology and Neuroscience, Baylor University, Waco, TX, USA. Electronic address: annie_ginty@baylor.edu.
Thomas E KraynakDepartment of Psychology, University of Pittsburgh, Pittsburgh, PA, USA.
James P FisherSchool of Sport, Exercise, and Rehabiliation Sciences, University of Birmingham, Birmingham, West Midlands, UK.
Peter J GianarosDepartment of Psychology, University of Pittsburgh, Pittsburgh, PA, USA.

Funding

CARDIOVASCULAR BEHAVIORAL MEDICINE RESEARCH TRAININGT32HL007560 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Peter J Gianaros, REBECCA C THURSTON · 1985 to 2026
$11.3M
Neurobiological pathways linking stress and emotion to atherosclerosisR01HL089850 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GIANAROS, PETER J · 2008 to 2016
$4.7M
NHLBI NIH HHS L30 HL129334NHLBI NIH HHS R01 HL089850NHLBI NIH HHS T32 HL007560
6 · The paper itself

Abstract

Psychologically stressful experiences evoke changes in cardiovascular physiology that may influence risk for cardiovascular disease (CVD). But what are the neural circuits and intermediate physiological pathways that link stressful experiences to cardiovascular changes that might in turn confer disease risk? This question is important because it has broader implications for our understanding of the neurophysiological pathways that link stressful and other psychological experiences to physical health. This review highlights selected findings from brain imaging studies of stressor-evoked cardiovascular reactivity and CVD risk. Converging evidence across these studies complements animal models and patient lesion studies to suggest that a network of cortical, limbic, and brainstem areas for central autonomic and physiological control are important for generating and regulating stressor-evoked cardiovascular reactivity via visceromotor and viscerosensory mechanisms. Emerging evidence further suggests that these brain areas may play a role in stress-related CVD risk, specifically by their involvement in mediating metabolically-dysregulated or extreme stressor-evoked cardiovascular reactions. Contextually, the research reviewed here offers an example of how brain imaging and health neuroscience methods can be integrated to address open and mechanistic questions about the neurophysiological pathways linking psychological stress and physical health.

Indexed as

AnimalsAutonomic Nervous SystemBlood PressureCardiovascular DiseasesCardiovascular SystemHeart RateHumansStress, PsychologicalCardiovascular diseaseCentral autonomic networkFunctional connectivityStressor-evoked cardiovascular reactivityVisceral prediction errors

Identifiers

PMID28391987
PMCPMC5600671

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

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.