Evidence map›Paper›PMID 35708302›Full record

ReviewDepression and anxiety2022

Involvement of the brain-heart axis in the link between PTSD and cardiovascular disease.

Antonia V Seligowski, Theresa K Webber, Paul J Marvar, Kerry J Ressler, Noah S Philip

Open access · greenAbstract readReview
In one paragraph

Review in Depression and anxiety, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. The brain and heart-axis in neurodegeneration and cardiovascular disease.Journal of neural transmission (Vienna, Austria : 1996) · 2026
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  18. Sympathetic and parasympathetic central autonomic networks.Imaging neuroscience (Cambridge, Mass.) · 2024
    Article
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  20. Pain mechanisms in the transgender individual: a review.Frontiers in pain research (Lausanne, Switzerland) · 2024
    Review
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

5 authors at 4 institutions in 1 country.

Antonia V SeligowskiDepartment of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0001-6946-6376
Theresa K WebberDivision of Depression & Anxiety Disorders, McLean Hospital, Belmont, Massachusetts, USA.
Paul J MarvarDepartment of Pharmacology and Physiology, George Washington University, Washington, District of Columbia, USA.
Kerry J ResslerDepartment of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.
Noah S PhilipVA RR&D Center for Neurorestoration and Neurotechnology, Providence VA Medical Center, Providence, Rhode Island, USA.ORCID 0000-0002-4889-8775
Harvard University · USBrown University · USGeorge Washington University · USMcLean Hospital · US

Funding

SPARED CenterP50MH115874 · NIMH · MCLEAN HOSPITAL · PI ROSSO, ISABELLE M · 2019 to 2023
$13.7M
Sex Differences in Major Depression, Part II: Impact of Prenatal Immune, Autonomic and Neurovascular FunctionU54MH118919 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI JILL M GOLDSTEIN · 2020 to 2026
$12.7M
Neuroimaging and Neuromodulation CoreP20GM130452 · NIGMS · BUTLER HOSPITAL (PROVIDENCE, RI) · PI JONES, RICHARD N · 2019 to 2023
$11.3M
Psychiatric Genomics Consortium for PTSDR01MH106595 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KARESTAN C KOENEN, Caroline M Nievergelt · 2016 to 2026
$8.4M
Mechanistic circuit markers of transcranial magnetic stimulation outcomes in pharmacoresistant depressionR01MH120126 · NIMH · STANFORD UNIVERSITY · PI WILLIAMS, LEANNE · 2019 to 2023
$3.4M
2 of 2 Prospective Determination of Psychobiological Risk Factors for PTSDR01MH094757 · NIMH · EMORY UNIVERSITY · PI RESSLER, KERRY J. · 2012 to 2016
$2.3M
Brain Angiotensin II as a Mediator of Fear Memory and Cardiovascular DysfunctionR01HL137103 · NHLBI · GEORGE WASHINGTON UNIVERSITY · PI MARVAR, PAUL J · 2018 to 2021
$2.2M
A Multi-Modal Investigation of Neurophysiological Deficits in PTSDK23MH125920 · NIMH · MCLEAN HOSPITAL · PI SELIGOWSKI, ANTONIA · 2021 to 2025
$870k
Neurobiology of Traumatic Dissociation in a Transdiagnostic Study of Women with Childhood MaltreatmentR21MH112956 · NIMH · MCLEAN HOSPITAL · PI KAUFMAN, MILISSA L · 2017 to 2018
$446k
HSRD VA I01 HX002572NHLBI NIH HHS R01 HL137103NIGMS NIH HHS P20 GM130452NIMH NIH HHS K23 MH125920NIMH NIH HHS P50 MH115874NIMH NIH HHS R01 MH094757NIMH NIH HHS R01 MH106595NIMH NIH HHS R01 MH120126NIMH NIH HHS R21 MH112956NIMH NIH HHS U54 MH118919RRD VA I01 RX002450
6 · The paper itself

Abstract

Posttraumatic stress disorder (PTSD) has long been associated with a heightened risk of cardiovascular disease (CVD). A number of mechanisms have been implicated to underlie this brain-heart axis relationship, such as altered functioning of the autonomic nervous system and increased systemic inflammation. While neural alterations have repeatedly been observed in PTSD, they are rarely considered in the PTSD-CVD link. The brain-heart axis is a pathway connecting frontal and limbic brain regions to the brainstem and periphery via the autonomic nervous system and it may be a promising model for understanding CVD risk in PTSD given its overlap with PTSD neural deficits. We first provide a summary of the primary mechanisms implicated in the association between PTSD and CVD. We then review the brain-heart axis and its relevance to PTSD, as well as findings from PTSD trials demonstrating that a number of PTSD treatments have effects on areas of the brain-heart axis. Finally, we discuss sex considerations in the PTSD-CVD link. A critical next step in this study is to determine if PTSD treatments that affect the brain-heart axis (e.g., brain stimulation that improves autonomic function) also reduce the risk of CVD.

Indexed as

Cardiovascular DiseasesStress Disorders, Post-TraumaticAutonomic Nervous SystemBrainHumansInflammationautonomicbrain-heart axiscardiovascular diseaseinflammationPTSDsex

Identifiers

PMID35708302
PMCPMC9588548
OpenAlexW4282972561

What OpenQuestion holds

Textmetadata
LicenceTDM
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.