Evidence map›Paper›PMID 41216141›Full record

ArticleBrain communications2025

U-shaped association of resting heart rate with cognitive decline.

Eugene S J Tan, Ming Ann Sim, Lucia Li, Anqi Toh, Eddie J Y Chong, Siew Pang Chan, Cheuk Ni Kan, Xin Tong Tan, Jiangbo Cui, Saima Hilal and 7 more

Abstract read
In one paragraph

Article in Brain communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

17 authors.

Eugene S J TanDepartment of Cardiology, National University Heart Centre, Singapore 119074, Singapore.
Ming Ann SimDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117600, Singapore.
Lucia LiMemory Aging and Cognition Center, National University Health System, Singapore 117599, Singapore.
Anqi TohMemory Aging and Cognition Center, National University Health System, Singapore 117599, Singapore.ORCID https://orcid.org/0009-0008-9519-3867
Eddie J Y ChongMemory Aging and Cognition Center, National University Health System, Singapore 117599, Singapore.
Siew Pang ChanDepartment of Cardiology, National University Heart Centre, Singapore 119074, Singapore.
Cheuk Ni KanMemory Aging and Cognition Center, National University Health System, Singapore 117599, Singapore.
Xin Tong TanMemory Aging and Cognition Center, National University Health System, Singapore 117599, Singapore.
Jiangbo CuiMemory Aging and Cognition Center, National University Health System, Singapore 117599, Singapore.
Saima HilalMemory Aging and Cognition Center, National University Health System, Singapore 117599, Singapore.ORCID https://orcid.org/0000-0001-5434-5635
Joyce R ChongMemory Aging and Cognition Center, National University Health System, Singapore 117599, Singapore.
Mitchell K P LaiMemory Aging and Cognition Center, National University Health System, Singapore 117599, Singapore.
Narayanaswamy VenketasubramanianRaffles Neuroscience Centre, Singapore 118700, Singapore.
Boon Yeow TanSt. Luke's Hospital, Singapore 659674, Singapore.
A Mark RichardsDepartment of Cardiology, National University Heart Centre, Singapore 119074, Singapore.
Lieng-Hsi LingDepartment of Cardiology, National University Heart Centre, Singapore 119074, Singapore.ORCID https://orcid.org/0000-0001-6063-8530
Christopher L H ChenMemory Aging and Cognition Center, National University Health System, Singapore 117599, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reports of associations between bradycardia and elevated resting heart rate with cognitive decline are inconsistent, and the underlying mechanisms unclear. Resting heart rate was recorded in a prospective cohort of memory clinic subjects, and the associations of resting heart rate with cross-sectional cognition, brain magnetic resonance imaging and circulating biomarkers (pTau-181 and neurofilament light chain), and longitudinal cognitive decline were investigated. Subjects with atrial fibrillation were excluded. Among 643 subjects (mean age 72.8 ± 8.0 years, 57% female, 39% dementia), 35% had resting heart rate between 60 and 69 bpm, 23% had bradycardia (<60 bpm) and 42% had elevated resting heart rate (≥70 bpm). Compared to 60-69 bpm, both bradycardia (<60 bpm) and elevated resting heart rate ≥70 bpm were associated with worse baseline global cognition (

Indexed as

biomarkersbradycardiacerebrovascular diseasecognitive declineheart rate

Identifiers

PMID41216141
PMCPMC12596192

What OpenQuestion holds

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LicenceCC BY
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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.