Evidence map›Paper›PMID 38308187›Full record

ReviewAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2024

Stroke Related Brain-Heart Crosstalk: Pathophysiology, Clinical Implications, and Underlying Mechanisms.

Xuehui Fan, Jianyang Cao, Mingxia Li, Dechou Zhang, Ibrahim El-Battrawy, Guiquan Chen, Xiaobo Zhou, Guoqiang Yang, Ibrahim Akin

Abstract readReview
In one paragraph

Review in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

9 authors.

Xuehui FanKey Laboratory of Medical Electrophysiology, Ministry of Education and Medical Electrophysiological Key Laboratory of Sichuan Province, Collaborative Innovation Center for Prevention of Cardiovascular Diseases, Institute of Cardiovascular Research, Southwest Medical University, Luzhou, 646000, China.
Jianyang CaoSchool of Physical Education, Southwest Medical University, Luzhou, Sichuan Province, 646000, China.
Mingxia LiSchool of Physical Education, Southwest Medical University, Luzhou, Sichuan Province, 646000, China.
Dechou ZhangDepartment of Neurology, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, 646000, China.
Ibrahim El-BattrawyDepartment of Cardiology and Angiology, Ruhr University, 44780, Bochum, Germany.
Guiquan ChenAcupuncture and Rehabilitation Department, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, 646000, China.
Xiaobo ZhouKey Laboratory of Medical Electrophysiology, Ministry of Education and Medical Electrophysiological Key Laboratory of Sichuan Province, Collaborative Innovation Center for Prevention of Cardiovascular Diseases, Institute of Cardiovascular Research, Southwest Medical University, Luzhou, 646000, China.
Guoqiang YangAcupuncture and Rehabilitation Department, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, 646000, China.ORCID 0000-0001-6202-7485
Ibrahim AkinCardiology, Angiology, Haemostaseology, and Medical Intensive Care, Medical Centre Mannheim, Medical Faculty Mannheim, Heidelberg University, 68167, Heidelberg, Germany.

Funding

Brain Disease Innovation Team of the Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University 2022-CXTD-05Chinese Scholarship CouncilLuzhou Science and Technology Project 2021-JYJ-70Luzhou Science and Technology Project 2022-JYJ-149National Natural Science Foundation of China 82200361Project of Sichuan Traditional Chinese Medicine Administration 2021MS499Project of Southwest Medical University 2021ZKMS035Project of Southwest Medical University 2021ZKQN125Project of Southwest Medical University ZYGD18014Sichuan Science and Technology Program 2020YFS0382Sichuan Science and Technology Program 2022NSFSC0608Sichuan Science and Technology Program 2022YFS0613
6 · The paper itself

Abstract

The emergence of acute ischemic stroke (AIS) induced cardiovascular dysfunctions as a bidirectional interaction has gained paramount importance in understanding the intricate relationship between the brain and heart. Post AIS, the ensuing cardiovascular dysfunctions encompass a spectrum of complications, including heart attack, congestive heart failure, systolic or diastolic dysfunction, arrhythmias, electrocardiographic anomalies, hemodynamic instability, cardiac arrest, among others, all of which are correlated with adverse outcomes and mortality. Mounting evidence underscores the intimate crosstalk between the heart and the brain, facilitated by intricate physiological and neurohumoral complex networks. The primary pathophysiological mechanisms contributing to these severe cardiac complications involve the hypothalamic-pituitary-adrenal (HPA) axis, sympathetic and parasympathetic hyperactivity, immune and inflammatory responses, and gut dysbiosis, collectively shaping the stroke-related brain-heart axis. Ongoing research endeavors are concentrated on devising strategies to prevent AIS-induced cardiovascular dysfunctions. Notably, labetalol, nicardipine, and nitroprusside are recommended for hypertension control, while β-blockers are employed to avert chronic remodeling and address arrhythmias. However, despite these therapeutic interventions, therapeutic targets remain elusive, necessitating further investigations into this complex challenge. This review aims to delineate the state-of-the-art pathophysiological mechanisms in AIS through preclinical and clinical research, unraveling their intricate interplay within the brain-heart axis, and offering pragmatic suggestions for managing AIS-induced cardiovascular dysfunctions.

Indexed as

Ischemic StrokeMyocardial InfarctionStrokeBrainHeartHumansarrhythmiabrain–heart crosstalkcerebrovascular dysfunctionischemic strokepathophysiological mechanisms

Identifiers

PMID38308187
PMCPMC11005719

What OpenQuestion holds

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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.