Evidence map›Paper›PMID 34465186›Full record

ArticleJournal of the American Heart Association2021

Cardiac Hypertrophy Is Associated With Advanced Brain Aging in the General Population.

Stefan Frenzel, Katharina Wittfeld, Robin Bülow, Henry Völzke, Nele Friedrich, Mohamad Habes, Stephan B Felix, Marcus Dörr, Hans J Grabe, Martin Bahls

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

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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 2 institutions in 2 countries.

Stefan FrenzelDepartment of Psychiatry and Psychotherapy University Medicine Greifswald Greifswald Germany.ORCID 0000-0001-5087-5970
Katharina WittfeldDepartment of Psychiatry and Psychotherapy University Medicine Greifswald Greifswald Germany.
Robin BülowInstitute of Diagnostic Radiology and Neuroradiology University Medicine Greifswald Greifswald Germany.ORCID 0000-0003-1884-5784
Henry VölzkeInstitute for Community Medicine University Medicine Greifswald Greifswald Germany.
Nele FriedrichGerman Centre for Cardiovascular Research (DZHK), Partner Site Greifswald Greifswald Germany.
Mohamad HabesNeuroimage Analytics Laboratory (NAL) and the Biggs Institute Neuroimaging Core (BINC) Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases University of Texas Health Science Center San Antonio (UTHSCSA) San Antonio TX.ORCID 0000-0001-9447-5805
Stephan B FelixGerman Centre for Cardiovascular Research (DZHK), Partner Site Greifswald Greifswald Germany.
Marcus DörrGerman Centre for Cardiovascular Research (DZHK), Partner Site Greifswald Greifswald Germany.ORCID 0000-0001-7471-475X
Hans J GrabeDepartment of Psychiatry and Psychotherapy University Medicine Greifswald Greifswald Germany.
Martin BahlsGerman Centre for Cardiovascular Research (DZHK), Partner Site Greifswald Greifswald Germany.ORCID 0000-0002-2016-5852
Universitätsmedizin Greifswald · DEThe University of Texas Health Science Center at San Antonio · US

Funding

South Texas Alzheimer's Disease Research CenterP30AG066546 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Mohamad Habes · 2021 to 2026
$24.0M
Cognitively Healthy Nonagenarians in the Cross Cohort Collaboration (CCC)RF1AG059421 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI SESHADRI, SUDHA · 2018 to 2018
$6.1M
Cognitively Healthy Nonagenarians in the Cross Cohort Collaboration (CCC)R01AG059421 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Stephanie Anne-Carine Debette, Carole Dufouil · 2026 to 2026
$4.7M
NIA NIH HHS P30 AG066546NIA NIH HHS R01 AG059421NIA NIH HHS RF1 AG059421
6 · The paper itself

Abstract

Background Hypertrophy of the left ventricle (LV) has recently been associated with adverse changes of brain structure in older adults, notably increased burden of white matter hyperintensities (WMHs). Whether greater LV size or mass is also related to WMH burden in middle-aged adults is currently unclear. In addition, its relation with alterations in cortical thickness (CT) has not been studied to date. Methods and Results Data from 1602 participants of the population-based SHIP (Study of Health in Pomerania) with LV ejection fraction >40% and no history of myocardial infarction were included (aged 21-82 years; median age, 49 years; 53% women). Participants underwent both echocardiography and magnetic resonance imaging of the head. Imaging markers of brain aging (ie, CT and WMH volume) were determined from magnetic resonance imaging scans. LV mass and diameter were associated with lower global CT and greater WMH volume, while adjusting for age, sex, body height, fat-free body mass, and intracranial volume. Moreover, thicknesses of the interventricular septum and posterior wall were also associated with lower global CT. These associations could not be explained by cardiovascular risk factors (including hypertension), inflammatory markers, or sociodemographic factors. Regional analyses showed distinct spatial patterns of lower CT in association with LV diameter and posterior wall thickness. Conclusions LV diameter and mass are associated with lower global and regional CT as well as greater WMH burden in the general population. These findings highlight the brain structural underpinnings of the associations of LV hypertrophy with cognitive decline and dementia.

Indexed as

AgingBrainHypertrophy, Left VentricularAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedSociodemographic FactorsVentricular Function, LeftYoung Adultbrain imagingepidemiologyleft ventricular hypertrophy

Identifiers

PMID34465186
PMCPMC8649275
OpenAlexW3197816370

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.