Evidence map›Paper›PMID 38676443›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Echocardiographic measures of the left heart and cerebrospinal fluid biomarkers of Alzheimer's disease pathology in cognitively intact adults: The CABLE study.

He-Ying Hu, Hao Hu, Jing Jiang, Yan-Lin Bi, Yan Sun, Ya-Nan Ou, Lan Tan, Jin-Tai Yu

Open access · hybridAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

He-Ying HuDepartment of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao, Shandong, China.
Hao HuDepartment of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao, Shandong, China.
Jing JiangDepartment of Cardiac Ultrasonography, Qingdao Municipal Hospital, Qingdao University, Qingdao, Shandong, China.
Yan-Lin BiDepartment of Anesthesiology, Qingdao Municipal Hospital, Qingdao University, Qingdao, Shandong, China.
Yan SunDepartment of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao, Shandong, China.
Ya-Nan OuDepartment of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao, Shandong, China.
Lan TanDepartment of Neurology, Qingdao Municipal Hospital, Qingdao University, Qingdao, Shandong, China.
Jin-Tai YuDepartment of Neurology and National Center for Neurological Disorders, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Shanghai Medical College, Fudan University, Shanghai, China.
Qingdao University · CNFudan University · CN

Funding

Excellence 2025 Talent Cultivation Program at Fudan University 3030277001National Natural Science Foundation of China 82071201National Natural Science Foundation of China 82271475Research Start-up Fund of Huashan Hospital 2022QD002Science and Technology Innovation 2030 Major Projects 2022ZD0211600Shanghai Municipal Science and Technology Major Project 2018SHZDZX01State Key Laboratory of Neurobiology and Frontiers Center for Brain Science of Ministry of Education, Fudan UniversityZHANGJIANG LAB, Tianqiao and Chrissy Chen Institute
6 · The paper itself

Abstract

introductionThis study delineated the interrelationships between subclinical alterations in the left heart, cerebrospinal fluid (CSF), Alzheimer's disease (AD) biomarkers, and cognition.

methodsMultiple linear regressions were conducted in 1244 cognitively normal participants (mean age = 65.5; 43% female) who underwent echocardiography (left atrial [LA] and left ventricular [LV] morphologic or functional parameters) and CSF AD biomarkers measurements. Mediating effects of AD pathologies were examined. Differences in cardiac parameters across ATN categories were tested using analysis of variance (ANOVA) and logistic regressions.

resultsLA or LV enlargement (characterized by increased diameters and volumes) and LV hypertrophy (increased interventricular septal or posterior wall thickness and ventricular mass) were associated with higher CSF phosphorylated (p)-tau and total (t)-tau levels, and poorer cognition. Tau pathologies mediated the heart-cognition relationships. Cardiac parameters were higher in stage 2 and suspected non-Alzheimer's pathology groups than controls. DISCUSSION: These findings suggested close associations of subclinical cardiac changes with tau pathologies and cognition. HIGHLIGHTS: Various subclinical alterations in the left heart related to poorer cognition. Subclinical cardiac changes related to tau pathologies in cognitively normal adults. Tau pathologies mediated the heart-cognition relationships. Subclinical cardiac changes related to the AD continuum, especially to stage 2. The accumulation of cardiac alterations magnified their damage to the brain.

Indexed as

Alzheimer DiseaseBiomarkersEchocardiographytau ProteinsAgedCognitionFemaleHeart VentriclesHumansMaleMiddle AgedBiomarkerstau ProteinsAlzheimer's diseasecerebrospinal fluidcognitionechocardiographyleft hearttau

Identifiers

PMID38676443
PMCPMC11180853
OpenAlexW4395699425

What OpenQuestion holds

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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.