Evidence map›Paper›PMID 34196464›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2021

A two-sample Mendelian randomization analysis of heart rate variability and cerebral small vessel disease.

Danyang Tian, Linjing Zhang, Zhenhuang Zhuang, Tao Huang, Dongsheng Fan

Abstract read
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Relationship between cerebral white matter hyperintensities and autonomic function in older individuals with cerebral small vessel disease.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
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  2. Endocrine modulation of cortical and retinal baseline perfusion across the menstrual cycle.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Danyang TianDepartment of Neurology, Peking University Third Hospital, Beijing, China.
Linjing ZhangDepartment of Neurology, Peking University Third Hospital, Beijing, China.
Zhenhuang ZhuangDepartment of Epidemiology & Biostatistics, School of Public Health, Peking University, Beijing, China.
Tao HuangDepartment of Epidemiology & Biostatistics, School of Public Health, Peking University, Beijing, China.
Dongsheng FanDepartment of Neurology, Peking University Third Hospital, Beijing, China.ORCID 0000-0002-3129-9821

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cerebral small vessel disease (cSVD) is correlated with a high risk of stroke and cognitive impairment. Previous studies between heart rate variability (HRV) and cSVD revealed paradoxical results. The authors aimed to investigate the relationship between HRV and cSVD using Mendelian randomization analysis. Genetic instruments for HRV were obtained from previous genome-wide association studies. They applied inverse variance-weighted analysis, weighted median analysis, simple median analysis, and Mendelian randomization-Egger regression to evaluate the associations of HRV with white matter hyperintensity (WMH) and small vessel stroke (SVS) in the UK Biobank neuroimaging dataset and the MEGASTROKE genome-wide association study dataset. Two genetically predicted traits of HRV (the root mean square of the successive differences of inter beat intervals [RMSSD] and the peak-valley respiratory sinus arrhythmia or high frequency power [pvRSA/HF]) were suggestively associated with WMH (β 0.26, 95% confidence interval [CI] 0.04-0.49, p = .02; β 0.14, 95% CI 0.02-0.27, p = .03, respectively). Genetically predicted traits of HRV were not significantly associated with SVS. This study provides genetic support for a suggestive causal effect of HRV (RMSSD, pvRSA/HF) on WMH but not SVS.

Indexed as

Cerebral Small Vessel DiseasesHypertensionGenome-Wide Association StudyHeart RateHumansMendelian Randomization Analysiscerebral small vessel diseaseheart rate variabilityMendelian randomizationwhite matter hyperintensity

Identifiers

PMID34196464
PMCPMC8678680

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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.