Evidence map›Paper›PMID 28835356›Full record

ArticleJournal of the American Heart Association2017

A Brain Phenotype for Stressor-Evoked Blood Pressure Reactivity.

Peter J Gianaros, Lei K Sheu, Fatma Uyar, Jayanth Koushik, J Richard Jennings, Tor D Wager, Aarti Singh, Timothy D Verstynen

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06263452 (Beta-Blocker Influences on Inflammatory and Neural Responses to Stress), which is not on this map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 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
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Remission is insufficient: predictors and mechanistic models of recurrence in late-life depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
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  14. Psychological stress and the longitudinal progression of subclinical atherosclerosis.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024
    Article
  15. Article
  16. Article
  17. Subjective Social Status and Longitudinal Changes in Systemic Inflammation.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Peter J GianarosDepartment of Psychology, University of Pittsburgh, Pittsburgh, PA gianaros@pitt.edu.
Lei K SheuDepartment of Psychology, University of Pittsburgh, Pittsburgh, PA.
Fatma UyarDepartment of Psychology, Carnegie Mellon University, Pittsburgh, PA.
Jayanth KoushikMachine Learning Department, Carnegie Mellon University, Pittsburgh, PA.
J Richard JenningsDepartments of Psychology and Psychiatry, University of Pittsburgh, Pittsburgh, PA.
Tor D WagerDepartments of Psychology and Neuroscience, University of Colorado at Boulder, CO.
Aarti SinghMachine Learning Department, Carnegie Mellon University, Pittsburgh, PA.
Timothy D VerstynenCenter for the Neural Basis of Cognition, University of Pittsburgh and Carnegie Mellon University, Pittsburgh, PA.

Funding

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 R01 HL089850
6 · The paper itself

Abstract

backgroundIndividuals who exhibit large-magnitude blood pressure (BP) reactions to acute psychological stressors are at risk for hypertension and premature death by cardiovascular disease. This study tested whether a multivariate pattern of stressor-evoked brain activity could reliably predict individual differences in BP reactivity, providing novel evidence for a candidate neurophysiological source of stress-related cardiovascular risk. METHODS AND

resultsCommunity-dwelling adults (N=310; 30-51 years; 153 women) underwent functional magnetic resonance imaging with concurrent BP monitoring while completing a standardized battery of stressor tasks. Across individuals, the battery evoked an increase systolic and diastolic BP relative to a nonstressor baseline period (M ∆systolic BP/∆diastolic BP=4.3/1.9 mm Hg [95% confidence interval=3.7-5.0/1.4-2.3 mm Hg]). Using cross-validation and machine learning approaches, including dimensionality reduction and linear shrinkage models, a multivariate pattern of stressor-evoked functional magnetic resonance imaging activity was identified in a training subsample (N=206). This multivariate pattern reliably predicted both systolic BP (

conclusionsA novel multivariate pattern of stressor-evoked brain activity may comprise a phenotype that partly accounts for individual differences in BP reactivity, a stress-related cardiovascular risk factor.

Indexed as

Blood PressureAdultBrainBrain MappingCardiovascular SystemDiscriminant AnalysisFemaleHumansLinear ModelsMachine LearningMagnetic Resonance ImagingMaleMiddle AgedMultivariate AnalysisNeuropsychological TestsPhenotypecardiovascular reactivityfunctional magnetic resonance imagingmachine learningmental stresspsychology and behaviorstress

Identifiers

PMID28835356
PMCPMC5634271

What OpenQuestion holds

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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.