Evidence map›Paper›PMID 40497650›Full record

ReviewClinical science (London, England : 1979)2025

Aging and sinus node dysfunction: mechanisms and future directions.

Thassio Mesquita, Rodrigo Miguel-Dos-Santos, Eugenio Cingolani

Abstract readReview
In one paragraph

Review in Clinical science (London, England : 1979), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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

3 authors.

Thassio MesquitaCedars-Sinai Medical Center, Smidt Heart Institute, 8700 Beverly Boulevard, Davis Building, Los Angeles, CA 90048, U.S.A.ORCID 0000-0002-6927-5745
Rodrigo Miguel-Dos-SantosCedars-Sinai Medical Center, Smidt Heart Institute, 8700 Beverly Boulevard, Davis Building, Los Angeles, CA 90048, U.S.A.
Eugenio CingolaniCedars-Sinai Medical Center, Smidt Heart Institute, 8700 Beverly Boulevard, Davis Building, Los Angeles, CA 90048, U.S.A.

Funding

Biological pacemaker from proof-of-concept to clinicR01HL135866 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI CINGOLANI, EUGENIO, GOLDHABER, JOSHUA I · 2017 to 2020
$3.2M
Calcium Regulation in Heart Failure with Preserved versus Reduced Ejection FractionR01HL147570 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI CINGOLANI, EUGENIO, GOLDHABER, JOSHUA I · 2019 to 2022
$3.0M
American Heart Association-American Stroke Association 24IPA1275047American Heart Association-American Stroke Association 940033NHLBI NIH HHS R01 HL135866NHLBI NIH HHS R01 HL147570
6 · The paper itself

Abstract

Aging is a natural biological process influenced by endogenous and exogenous factors such as genetics, environment, and individual lifestyle. The aging-dependent decline in resting and maximum heart rate is a conserved feature across multiple species, including humans. Such changes in heart rhythm control underscore fundamental alterations in the primary cardiac pacemaker, the sinoatrial node (SAN). Older individuals often present symptoms of SAN dysfunction (SND), including sinus bradycardia, sinus arrest, and bradycardia-tachycardia syndrome. These can lead to a broad range of symptoms from palpitations, dizziness to recurrent syncope. The sharp rise in the incidence of SND among individuals over 65 years old, coupled with projected longevity over the next decades, highlights the urgent need for a deeper mechanistic understanding of aging-related SND to develop novel and effective therapeutic alternatives. In this review, we will revisit current knowledge on the ionic and structural remodeling underlying age-related decline in SAN function, and a particular emphasis will be made on new directions for future research.

Indexed as

AgingSick Sinus SyndromeSinoatrial NodeAnimalsHeart RateHumansagingcardiac arrhythmiacardiac conduction systemsinoatrial nodesinus node dysfunction

Identifiers

PMID40497650
PMCPMC12236176

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.