Evidence map›Paper›PMID 30865927›Full record

ArticleEndocrine connections2019

Effects of chronically high levels of aldosterone on different cognitive dimensions: an investigation in patients with primary aldosteronism.

Lukas Engler, Christian Adolf, Daniel A Heinrich, Anna-Katharine Brem, Anna Riester, Anna Franke, Felix Beuschlein, Martin Reincke, Axel Steiger, Heike Künzel

Open access · goldAbstract read
In one paragraph

Article in Endocrine connections, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. A modifiable driver of dementia: cognitive impairment in primary aldosteronism.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
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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

10 authors at 4 institutions in 2 countries.

Lukas EnglerMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, LMU München, Munchen, Germany.
Christian AdolfMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, LMU München, Munchen, Germany.
Daniel A HeinrichMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, LMU München, Munchen, Germany.
Anna-Katharine BremMax-Planck-Institute of Psychiatry, Munich, Germany.
Anna RiesterMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, LMU München, Munchen, Germany.
Anna FrankeMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, LMU München, Munchen, Germany.
Felix BeuschleinMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, LMU München, Munchen, Germany.
Martin ReinckeMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, LMU München, Munchen, Germany.
Axel SteigerMax-Planck-Institute of Psychiatry, Munich, Germany.
Heike KünzelMedizinische Klinik und Poliklinik IV, Klinikum der Universität München, LMU München, Munchen, Germany.
LMU Klinikum · DELudwig-Maximilians-Universität München · DEBerenson Allen Center for Noninvasive Brain Stimulation · USMax Planck Institute of Psychiatry · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary aldosteronism is a natural model for chronic aldosterone excess in humans and associated with symptoms of anxiety and depression. Cognitive deficits are inherent to the symptomatology of depression and anxiety disorders. Mineralocorticoid receptors and aldosterone appear to play a role in memory. Aldosterone was additionally supposed to be a risk factor for cognitive decline in patients with essential hypertension. The objective of this study was to investigate possible effects of chronically high aldosterone concentrations on cognitive function. A range of cognitive dimensions were assessed in 19 patients (9 males, 10 females); mean age 47.1 (12.5) under standardized treatment and several rating scales for anxiety, depression, quality of life and sleep were administered. Cognitive parameters were compared to standard norms from a large, healthy standardization sample. Patients showed increased levels of anxiety and depression without meeting diagnostic criteria for a disorder. Besides a numerically lower attention score, patients did not show any significant differences in the cognitive dimensions. Anxiety and depression were negatively correlated with quantitative performance in males. In females, a negative correlation between sleep disturbances and abstract reasoning and a positive correlation with quantitative performance were found. Our data showed no specific effect of chronic aldosterone in the tested cognitive parameters overall at least in younger patients, but they indicate sexually dimorphic regulation processes.

Indexed as

aldosteroneanxietycognitiondepressionmineralocorticoid receptorprimary aldosteronism

Identifiers

PMID30865927
PMCPMC6454298
OpenAlexW2921827830

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.