Evidence map›Paper›PMID 41245474›Full record

ArticleJournal of pain research2025

Individual Autonomic Profiles Influence Brain-Heart Connectivity in Tonic Pain.

Jana Luisa Aulenkamp, Rasmus B Nedergaard, Imran Khan Niazi, Donghua Liao, Louise Kuhlmann, Fredy Rojas, Kamran Rasool, Anna Evans Phillips, Dhiraj Yadav, Enrique De-Madaria and 8 more

Abstract read
In one paragraph

Article in Journal of pain research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Jana Luisa AulenkampDepartment of Gastroenterology and Hepatology, Centre for Pancreatic Diseases and Mech-Sense, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0001-6075-1824
Rasmus B NedergaardDepartment of Gastroenterology and Hepatology, Centre for Pancreatic Diseases and Mech-Sense, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0003-3271-1408
Imran Khan NiaziCentre for Chiropractic Research, New Zealand College of Chiropractic, Auckland, 1060, New Zealand.ORCID 0000-0001-8752-7224
Donghua LiaoDepartment of Gastroenterology and Hepatology, Centre for Pancreatic Diseases and Mech-Sense, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0003-3908-6537
Louise KuhlmannDepartment of Gastroenterology and Hepatology, Centre for Pancreatic Diseases and Mech-Sense, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0002-4720-0718
Fredy RojasCentre for Chiropractic Research, New Zealand College of Chiropractic, Auckland, 1060, New Zealand.ORCID 0000-0001-9649-5391
Kamran RasoolCentre for Chiropractic Research, New Zealand College of Chiropractic, Auckland, 1060, New Zealand.ORCID 0009-0008-2612-9992
Anna Evans PhillipsDivision of Gastroenterology, Hepatology & Nutrition, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0001-6154-5651
Dhiraj YadavDivision of Gastroenterology, Hepatology & Nutrition, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Enrique De-MadariaHospital General Universitario Dr. Balmis-ISABIAL, Alicante, Spain.
Peter HegyiInstitute of Pancreatic Diseases, Semmelweis University, Budapest, Hungary.
Pramod GargDepartment of Gastroenterology, All India Institute of Medical Science, New Delhi, India.
Søren Schou OlesenDepartment of Gastroenterology and Hepatology, Centre for Pancreatic Diseases and Mech-Sense, Aalborg University Hospital, Aalborg, Denmark.
Soumya JagannathDepartment of Gastroenterology, All India Institute of Medical Science, New Delhi, India.
Rasmus Hagn-MeinckeDepartment of Gastroenterology and Hepatology, Centre for Pancreatic Diseases and Mech-Sense, Aalborg University Hospital, Aalborg, Denmark.
Zoltán HajnádyInstitute of Pancreatic Diseases, Semmelweis University, Budapest, Hungary.
Christina BrockDepartment of Gastroenterology and Hepatology, Centre for Pancreatic Diseases and Mech-Sense, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0002-3381-1884
Asbjørn M DrewesDepartment of Gastroenterology and Hepatology, Centre for Pancreatic Diseases and Mech-Sense, Aalborg University Hospital, Aalborg, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Acute pain elicits distinct autonomic responses. Electroencephalography (EEG) and heart rate variability (HRV) provide insights into autonomic and cortical activity to pain, but they often fail to capture the integrated dynamics of brain-heart connectivity. This exploratory study used raw electrocardiogram (ECG) and EEG signals to investigate brain-heart coherence during resting and tonic experimental pain, aiming to detect direct electrical coupling patterns, and explored the influence of individual autonomic response in healthy participants. Methods: EEG, raw ECG data and HRV were collected from 33 healthy participants under two conditions: rest and a cold pressor test where subjects immersed their hand into ice water ( Results: Brain-heart coherence remained stable across conditions, reflecting robust coupling, particularly in delta bands, for both conditions. On group-level HRV analysis revealed increased sympathetic response to pain, evidenced by decreased normal-to-normal interval (p < 0.001) and faster heart rates (p < 0.001). In an exploratory analysis, elevated MSC values (all p<0.05) were seen in theta (Fp1, Cz), alpha-2 (T3, P4), and gamma (Fp1, Pz, T3, P4, O2) bands in the group where PRD decreased (n=16) compared to the group where it increased (n=17). Discussion: These findings highlight the stability of brain-heart coherence during resting and tonic pain in healthy individuals. However, individual autonomic profiles influenced coherence, with enhanced synchronization in the PRD-decreased group and reduced synchronization in the PRD-increased group. These preliminary findings, limited by the exploratory nature and sparse setup, require validation in studies with denser electrode arrays. Coherence analysis provides nuanced insights into brain-heart dynamics, advancing the understanding beyond single-system measures.

Indexed as

electrocardiogramelectroencephalogramheart rate variabilityinteroception

Identifiers

PMID41245474
PMCPMC12619551

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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.