Evidence map›Paper›PMID 41404670›Full record

ArticleCirculation. Cardiovascular imaging2026

Depression and Anxiety Associate With Adverse Cardiovascular Events via Neural, Autonomic, and Inflammatory Pathways.

Shady Abohashem, Iqra Qamar, Simran S Grewal, Giovanni Civieri, Sabeeh Islam, Wesam Aldosoky, Sandeep Bollepalli, Rachel P Rosovsky, Antonia V Seligowski, Lisa M Shin and 3 more

Abstract read
In one paragraph

Article in Circulation. Cardiovascular imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. 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

13 authors.

Shady AbohashemCardiology Division (S.A., I.Q., S.S.G., M.T.O., A.T.), Massachusetts General Hospital and Harvard Medical School, Boston.ORCID 0000-0002-5033-8881
Iqra QamarCardiology Division (S.A., I.Q., S.S.G., M.T.O., A.T.), Massachusetts General Hospital and Harvard Medical School, Boston.
Simran S GrewalCardiology Division (S.A., I.Q., S.S.G., M.T.O., A.T.), Massachusetts General Hospital and Harvard Medical School, Boston.ORCID 0000-0002-0675-1951
Giovanni CivieriCardiovascular Imaging Research Center (S.A., I.Q., S.S.G., G.C., S.I., W.A., A.V.S., M.T.O., A.T.), Massachusetts General Hospital and Harvard Medical School, Boston.
Sabeeh IslamCardiovascular Imaging Research Center (S.A., I.Q., S.S.G., G.C., S.I., W.A., A.V.S., M.T.O., A.T.), Massachusetts General Hospital and Harvard Medical School, Boston.
Wesam AldosokyCardiovascular Imaging Research Center (S.A., I.Q., S.S.G., G.C., S.I., W.A., A.V.S., M.T.O., A.T.), Massachusetts General Hospital and Harvard Medical School, Boston.ORCID 0000-0001-9282-2404
Sandeep BollepalliCardiovascular Research Center, Massachusetts General Hospital, Boston (S.A., S.B., A.A.A., A.T.).
Rachel P RosovskyDepartment of Medicine (R.P.R.), Massachusetts General Hospital and Harvard Medical School, Boston.ORCID 0000-0002-2392-7365
Antonia V SeligowskiCardiovascular Imaging Research Center (S.A., I.Q., S.S.G., G.C., S.I., W.A., A.V.S., M.T.O., A.T.), Massachusetts General Hospital and Harvard Medical School, Boston.
Lisa M ShinDepartment of Psychiatry (A.V.S., L.M.S.), Massachusetts General Hospital and Harvard Medical School, Boston.
Antonis A ArmoundasCardiovascular Research Center, Massachusetts General Hospital, Boston (S.A., S.B., A.A.A., A.T.).ORCID 0000-0001-5006-1547
Michael T OsborneCardiology Division (S.A., I.Q., S.S.G., M.T.O., A.T.), Massachusetts General Hospital and Harvard Medical School, Boston.ORCID 0000-0003-1001-1718
Ahmed TawakolCardiology Division (S.A., I.Q., S.S.G., M.T.O., A.T.), Massachusetts General Hospital and Harvard Medical School, Boston.ORCID 0000-0002-9211-5483

Funding

ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Elizabeth Austen Lawson, Takara Leah Stanley · 1994 to 2026
$31.6M
Translational imaging and nanomedicine in inflammatory atherosclerosisP01HL131478 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Zahi A. Fayad · 2017 to 2026
$24.3M
Prevention and Treatment of Ventricular TachyarrhythmiasR01HL135335 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ARMOUNDAS, ANTONIS A · 2017 to 2020
$2.1M
Biomarker-guided optimization of transcutaneous vagal stimulation for atrial fibrillationR01HL161008 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI Stavros Stavrakis · 2022 to 2026
$1.9M
The Effect of Mindfulness on Vascular Inflammation in Stable Coronary Disease: A Multi-System PET/MRI StudyK23HL151909 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI OSBORNE, MICHAEL THOMAS · 2021 to 2025
$997k
A Multi-Modal Investigation of Neurophysiological Deficits in PTSDK23MH125920 · NIMH · MCLEAN HOSPITAL · PI SELIGOWSKI, ANTONIA · 2021 to 2025
$870k
A Medical-Grade Smart-Phone Based Monitoring System (Supplement)R21EB026164 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI ARMOUNDAS, ANTONIS A · 2018 to 2020
$668k
Utility of Vagal Stimulation to Prevent the Onset of Ventricular ArrhythmiasR21HL137870 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ARMOUNDAS, ANTONIS A · 2017 to 2018
$468k
American Heart Association-American Stroke Association 23SCISA1143491NHLBI NIH HHS K23 HL151909NHLBI NIH HHS P01 HL131478NHLBI NIH HHS R01 HL135335NHLBI NIH HHS R01 HL161008NHLBI NIH HHS R21 HL137870NIBIB NIH HHS R21 EB026164NIDDK NIH HHS P30 DK040561NIMH NIH HHS K23 MH125920
6 · The paper itself

Abstract

backgroundDepression is linked to major adverse cardiac events (MACE), yet the role of stress-related neural activity-previously implicated in stress and anxiety in mediating this association remains unclear. Because anxiety and depression frequently co-occur and share neurobiological pathways, we hypothesized that the relationship between depression, anxiety, and their co-occurrence with MACE is partially mediated by increased stress-related neural activity and related autonomic-immune mechanisms.

methodsData were obtained from participants enrolled in the Mass General Brigham Biobank (2010-2020). A subset underwent

resultsOf 85 551 study subjects, 3078 (3.6%) participants developed MACE, over a median 3.4 years follow-up (interquartile range, 1.9-4.8). Depression was associated with higher MACE risk (hazard ratio, 1.24 [95% CI, 1.14-1.34];

conclusionsDepression and anxiety independently associate with increased MACE risk, partly mediated by heightened stress-related neural activity and autonomic-immune dysregulation. The risk is greatest among those with both conditions, underscoring shared stress-related pathophysiology.

Indexed as

AmygdalaAnxietyAutonomic Nervous SystemCardiovascular DiseasesDepressionInflammationPrefrontal CortexAgedC-Reactive ProteinFemaleHeart RateHumansMaleMiddle AgedPositron Emission Tomography Computed TomographyRisk AssessmentC-Reactive Proteinanxietycardiovascular diseasedepressionheart rateinflammationstress, psychological

Identifiers

PMID41404670
PMCPMC13081364

What OpenQuestion holds

Textmetadata
LicenceTDM
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.