Evidence map›Paper›PMID 41508011›Full record

Observational studyCardiovascular diabetology2026

Cardiac vagal activity is associated with insulin metabolism in heart failure: Results from the Myovasc study.

Noémie Bélanger, Silav Zeid, David Velmeden, Andreas Schulz, Thomas Koeck, Felix Rausch, Benedikt Fooß, Fawad Kazemi-Asrar, Karl J Lackner, Tommaso Gori and 4 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Cardiovascular diabetology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04064450 (MyoVasc - An Epidemiological Cohort Study to Investigate the Development and Progression of Heart Failure and the Interaction With Vascular Disease), which is not on this 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.

NCT04064450 active not recruitingnot on this map

MyoVasc - An Epidemiological Cohort Study to Investigate the Development and Progression of Heart Failure and the Interaction With Vascular Disease

TypeobservationalSponsorJohannes Gutenberg University MainzRan2013 to 2028Enrolled3,289ConditionsHeart Failure
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

14 authors.

Noémie BélangerPreventive Cardiology and Preventive Medicine, Department of Cardiology and Clinical Epidemiology and Systems Medicine, Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.ORCID http://orcid.org/0009-0001-9267-8788
Silav ZeidPreventive Cardiology and Preventive Medicine, Department of Cardiology and Clinical Epidemiology and Systems Medicine, Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.
David VelmedenPreventive Cardiology and Preventive Medicine, Department of Cardiology and Clinical Epidemiology and Systems Medicine, Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.ORCID http://orcid.org/0009-0006-3714-312X
Andreas SchulzPreventive Cardiology and Preventive Medicine, Department of Cardiology and Clinical Epidemiology and Systems Medicine, Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.ORCID http://orcid.org/0000-0003-1394-680X
Thomas KoeckPreventive Cardiology and Preventive Medicine, Department of Cardiology and Clinical Epidemiology and Systems Medicine, Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.ORCID http://orcid.org/0000-0002-2644-8917
Felix RauschPreventive Cardiology and Preventive Medicine, Department of Cardiology and Clinical Epidemiology and Systems Medicine, Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.ORCID http://orcid.org/0000-0002-7328-1056
Benedikt FooßPreventive Cardiology and Preventive Medicine, Department of Cardiology and Clinical Epidemiology and Systems Medicine, Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.
Fawad Kazemi-AsrarPreventive Cardiology and Preventive Medicine, Department of Cardiology and Clinical Epidemiology and Systems Medicine, Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.ORCID http://orcid.org/0009-0006-8245-8243
Karl J LacknerGerman Center for Cardiovascular Research (DZHK), partner site Rhine-Main, Mainz, Germany.ORCID http://orcid.org/0000-0002-1985-7931
Tommaso GoriGerman Center for Cardiovascular Research (DZHK), partner site Rhine-Main, Mainz, Germany.ORCID http://orcid.org/0000-0003-2917-6707
Tommaso MünzelGerman Center for Cardiovascular Research (DZHK), partner site Rhine-Main, Mainz, Germany.ORCID http://orcid.org/0000-0001-5503-4150
Jürgen H ProchaskaPreventive Cardiology and Preventive Medicine, Department of Cardiology and Clinical Epidemiology and Systems Medicine, Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.ORCID http://orcid.org/0000-0001-5078-9992
Perikles SimonSports Medicine and Disease Prevention, Department of Sports Medicine, Prevention and Rehabilitation, Johannes Gutenberg-University Mainz, Mainz, Germany.ORCID http://orcid.org/0000-0002-7996-4034
Philipp S WildPreventive Cardiology and Preventive Medicine, Department of Cardiology and Clinical Epidemiology and Systems Medicine, Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany. philipp.wild@unimedizin-mainz.de.ORCID http://orcid.org/0000-0003-4413-9752

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac autonomic dysfunction plays a pivotal role in the heart failure syndrome. Metabolic dysregulation affects both autonomic function and heart failure, but these relationships remain incompletely understood. This study aimed at investigating the role of glucose and insulin metabolism for parasympathetic reactivation.

methodsData from the MyoVasc study (NCT04064450), a prospective heart failure cohort study, were analyzed. Participants underwent a highly standardized 5-hour examination, including venous blood sampling. To assess the impact of glucose and insulin metabolism (HbA

resultsThe analysis sample included 1,588 individuals (median age 64.0 years [IQR 55.0;72.0]; 33% women) in a fasting state. Symptomatic heart failure was present in 43.7% of the subjects. Median HRR

conclusionsThis study demonstrates the relevance of insulin status for vagal activity of cardiac autonomic function, particularly in heart failure. The pathophysiological implications underlying the relationship between insulin status and parasympathetic activity merit further mechanistic exploration.

Indexed as

Blood GlucoseHeartHeart FailureHeart RateInsulinParasympathetic Nervous SystemVagus NerveAgedBiomarkersC-PeptideCross-Sectional StudiesFemaleGlycated HemoglobinHumansInsulin ResistanceLongitudinal StudiesBiomarkersBlood GlucoseC-PeptideGlycated Hemoglobinhemoglobin A1c protein, humanInsulinCardiac autonomic dysfunctionC-peptideHeart failureHeart rate recoveryHyperglycemiaInsulin resistanceParasympathetic reactivation

Identifiers

PMID41508011
PMCPMC12849475

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.