Evidence map›Paper›PMID 40138616›Full record

SynthesisNeurology2025

Clinical and Imaging Markers of Cardiac Function and Brain Health: A Meta-Analysis of Community-Based Studies.

Amber Yaqub, Joshua C Bis, Stefan Frenzel, Marisa Koini, Djass Mbangdadji, Gina M Peloso, Rajesh Talluri, Alvaro Alonso, Martin Bahls, Robin Bülow and 23 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Heart-Brain Axis: Subclinical Cardiovascular Changes and Brain Health.Journal of the American Heart Association · 2026
    Review
  6. Review
  7. 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

33 authors.

Amber YaqubDepartment of Epidemiology, Erasmus MC, Rotterdam, the Netherlands.ORCID 0000-0002-3579-8054
Joshua C BisCardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle.ORCID 0000-0002-3409-1110
Stefan FrenzelDepartment of Psychiatry and Psychotherapy, University Medicine Greifswald, Germany.
Marisa KoiniDivision of Neurogeriatrics, Department of Neurology, Medical University of Graz, Austria.
Djass MbangdadjiLaboratory of Epidemiology and Population Sciences, Intramural Research Program, National Institute on Aging, Baltimore, MD.
Gina M PelosoDepartment of Neurology, The University of Texas Health Science Center at San Antonio.ORCID 0000-0002-5355-8636
Rajesh TalluriDepartment of Data Science, John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson.
Alvaro AlonsoDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA.ORCID 0000-0002-2225-8323
Martin BahlsDepartment of Internal Medicine B, University Medicine Greifswald, Germany.ORCID 0000-0002-2016-5852
Robin BülowInstitute of Diagnostic Radiology and Neuroradiology, University Medicine Greifswald, Germany.
Marcus DörrDepartment of Internal Medicine B, University Medicine Greifswald, Germany.
Stephan FelixDepartment of Internal Medicine B, University Medicine Greifswald, Germany.
Alison FohnerCardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle.ORCID 0000-0003-4231-3331
Nele FriedrichInstitute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Germany.
Edith HoferDivision of Neurogeriatrics, Department of Neurology, Medical University of Graz, Austria.
Maryam KavousiDepartment of Epidemiology, Erasmus MC, Rotterdam, the Netherlands.ORCID 0000-0001-5976-6519
Lenore J LaunerLaboratory of Epidemiology and Population Sciences, Intramural Research Program, National Institute on Aging, Baltimore, MD.ORCID 0000-0002-3238-7612
Tran LeDepartment of Data Science, John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson.
Will LongstrethInstitute of Diagnostic Radiology and Neuroradiology, University Medicine Greifswald, Germany.ORCID 0009-0007-9552-3603
Thomas H MosleyGertrude C. Ford Memory Impairment and Neurodegenerative Dementia (MIND) Center, University of Mississippi Medical Center, Jackson.ORCID 0000-0003-3343-1352
Meike W VernooijDepartment of Epidemiology, Erasmus MC, Rotterdam, the Netherlands.ORCID 0000-0003-4658-2176
Henry VölzkeGerman Centre for Cardiovascular Research (DZHK), Partner Site Greifswald, Greifswald, Germany.
Katharina WittfeldDepartment of Psychiatry and Psychotherapy, University Medicine Greifswald, Germany.
Alexa S BeiserDepartment of Biostatistics, Boston University School of Public Health, MA.ORCID 0000-0001-8551-7778
Hans J GrabeDepartment of Psychiatry and Psychotherapy, University Medicine Greifswald, Germany.ORCID 0000-0003-3684-4208
Vilmundur GudnasonIcelandic Heart Association, Kopavogur, Iceland.ORCID 0000-0001-5696-0084
Mohammad Arfan IkramDepartment of Epidemiology, Erasmus MC, Rotterdam, the Netherlands.ORCID 0000-0003-0372-8585
Bruce M PsatyCardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle.ORCID 0000-0002-7278-2190
Reinhold SchmidtDivision of Neurogeriatrics, Department of Neurology, Medical University of Graz, Austria.
Jeannette SiminoDepartment of Data Science, John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson.
Sudha SeshadriDepartment of Neurology, The University of Texas Health Science Center at San Antonio.ORCID 0000-0001-6135-2622
Frank J WoltersDepartment of Epidemiology, Erasmus MC, Rotterdam, the Netherlands.ORCID 0000-0003-2226-4050
as Cross-Cohort Collaboration

Funding

The Goizueta Alzheimer's Disease Research CenterP30AG066511 · NIA · EMORY UNIVERSITY · PI ALLAN I LEVEY · 2020 to 2026
$29.0M
CHARGE Consortium: Omics Discovery for CVD and Aging PhenotypesR01HL105756 · NHLBI · UNIVERSITY OF WASHINGTON · PI Bruce M Psaty, NICHOLAS L SMITH · 2011 to 2026
$9.5M
Infrastructure for mentored access to CHS data and specimensR01HL172803 · NHLBI · UNIVERSITY OF WASHINGTON · PI James S Floyd, Michelle Christina Odden · 2025 to 2026
$2.7M
NHLBI NIH HHS R01 HL105756NHLBI NIH HHS R01 HL172803NIA NIH HHS P30 AG066511
6 · The paper itself

Abstract

BACKGROUND AND

objectivesCardiac dysfunction and heart failure are linked to cognitive impairment, but the underlying brain pathology remains undetermined. We investigated associations between cardiac function (measured by echocardiography or cardiac MRI), clinical heart failure, and structural markers on brain MRI, including volumes of gray and white matter (WM), the hippocampus, and white matter hyperintensities (WMHs).

methodsWe leverage data from 7 prospective, community-based cohorts across Europe and the United States, all part of the Cross-Cohort Collaboration. The included cohorts were the Age, Gene/Environment Susceptibility-Reykjavik Study, Atherosclerosis Risk in Communities study, Austrian Stroke Prevention Study, Cardiovascular Health Study, Framingham Heart Study, Rotterdam Study, and Study of Health in Pomerania (SHIP-START and SHIP-TREND). Each cohort performed cross-sectional multivariable linear regression analyses, after which estimates were pooled through random-effects meta-analysis. Heterogeneity was assessed by the

resultsAmong 10,889 participants (mean age: 66.8 years, range 52.0-76.0; 56.7% women), markers of systolic dysfunction were consistently associated with smaller total brain volume (TBV) (e.g., adjusted standardized mean difference for moderate to severe dysfunction -0.19, 95% CI -0.31 to -0.07, DISCUSSION: In this large study among community-dwelling adults, subclinical cardiac dysfunction was associated with brain imaging markers of neurodegeneration. These findings encourage longitudinal investigations on the effect of maintaining cardiac function on brain health.

Indexed as

BrainHeart FailureAgedCognitive DysfunctionCohort StudiesCross-Sectional StudiesEchocardiographyFemaleHippocampusHumansMagnetic Resonance ImagingMaleMiddle AgedProspective StudiesWhite Matter

Identifiers

PMID40138616
PMCPMC11981472

What OpenQuestion holds

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LicenceCC BY
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.