Evidence map›Paper›PMID 33544152›Full record

ReviewHerz2021

Heart and brain interactions : Pathophysiology and management of cardio-psycho-neurological disorders.

Renate B Schnabel, Gert Hasenfuß, Sylvia Buchmann, Kai G Kahl, Stefanie Aeschbacher, Stefan Osswald, Christiane E Angermann

Abstract readReview
In one paragraph

Review in Herz, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 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.

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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. The brain and heart-axis in neurodegeneration and cardiovascular disease.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  4. [Psychocardiology].Der Nervenarzt · 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

7 authors.

Renate B SchnabelUniversitäres Herz- und Gefäßzentrum Hamburg, Klinik und Poliklinik für Kardiologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.
Gert HasenfußHerzzentrum, Klinik für Kardiologie und Pneumologie, Georg-August-Universität Göttingen, Göttingen, Germany.
Sylvia BuchmannKlinik für Anästhesie, operative Intensivmedizin und Schmerztherapie, Vivantes Klinikum Spandau-Berlin, Berlin, Germany.
Kai G KahlKlinik für Psychiatrie, Sozialpsychiatrie und Psychotherapie, Medizinische Hochschule Hannover (MHH), Hannover, Germany.
Stefanie AeschbacherKlinik für Kardiologie, Universitätsspital Basel, Basel, Switzerland.
Stefan OsswaldKlinik für Kardiologie, Universitätsspital Basel, Basel, Switzerland.
Christiane E AngermannDeutsches Zentrum für Herzinsuffizienz, Universität und Universitätsklinikum Würzburg, Am Schwarzenberg 15, 97078, Würzburg, Germany. Angermann_C@ukw.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular diseases (CVD) and mental health disorders (MHD; e.g. depression, anxiety and cognitive dysfunction) are highly prevalent and are associated with significant morbidity and mortality and impaired quality of life. Currently, possible interactions between pathophysiological mechanisms in MHD and CVD are rarely considered during the diagnostic work-up, prognostic assessment and treatment planning in patients with CVD, and research addressing bidirectional disease mechanisms in a systematic fashion is scarce. Besides some overarching pathogenetic principles shared by CVD and MHD, there are specific syndromes in which pre-existing neurological or psychiatric illness predisposes and contributes to CVD development (as in Takotsubo syndrome), or in which the distorted interplay between innate immune and central nervous systems and/or pre-existing CVD leads to secondary MHD and brain damage (as in peripartum cardiomyopathy or atrial fibrillation). Clinical manifestations and phenotypes of cardio-psycho-neurological diseases depend on the individual somatic, psychosocial, and genetic risk profile as well as on personal resilience, and differ in many respects between men and women. In this article, we provide arguments on why, in such conditions, multidisciplinary collaborations should be established to allow for more comprehensive understanding of the pathophysiology as well as appropriate and targeted diagnosis and treatment. In addition, we summarize current knowledge on the complex interactions between the cardiovascular and central nervous systems in Takotsubo syndrome and peripartum cardiomyopathy, and on the neurological and psychiatric complications of atrial fibrillation.

Indexed as

CardiomyopathiesNervous System DiseasesAnxiety DisordersBrainFemaleHumansMaleQuality of LifeAtrial fibrillationHeart-and-brain axisMental health disordersPeripartum cardiomyopathyTakotsubo syndrome

Identifiers

PMID33544152
PMCPMC7966144

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.