Evidence map›Paper›PMID 41614273›Full record

ReviewJournal of the American Heart Association2026

Heart-Brain Axis: Subclinical Cardiovascular Changes and Brain Health.

Parnian Habibi, Lin Yee Chen, Farzaneh A Sorond, Gautam R Shroff, Behnam Sabayan

Abstract readReview
In one paragraph

Review in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. 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

5 authors.

Parnian HabibiDepartment of Radiology Mayo Clinic Rochester MN USA.
Lin Yee ChenLillehei Heart Institute and Department of Medicine (Cardiovascular Division) University of Minnesota Minneapolis MN USA.ORCID 0000-0002-0700-814X
Farzaneh A SorondDivision of Stroke and Neurocritical Care, The Ken & Ruth Davee Department of Neurology Feinberg School of Medicine Northwestern University Chicago IL USA.ORCID 0000-0002-6127-0739
Gautam R ShroffDivision of Cardiology and Department of Medicine, Hennepin Healthcare University of Minnesota Medical School Minneapolis MN USA.ORCID 0000-0002-7614-9560
Behnam SabayanHennepin Healthcare Research Institute, Department of Neurology Hennepin County Medical Center Minneapolis MN USA.ORCID 0000-0002-1176-9152

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Complex bidirectional interactions between the nervous and cardiovascular systems are integrated through the heart-brain axis, a physiological pathway that governs both neural regulation of cardiovascular function and cardiovascular influences on brain health. Emerging evidence indicates that even in the absence of overt disease, subclinical changes in the heart, aortic arch, and extracranial arteries contribute to brain injury and cognitive vulnerability. This review synthesizes current knowledge on how subclinical heart-brain axis dysfunction affects brain structure and function, highlighting the roles of central and autonomic neural pathways as well as hormonal signaling in driving neurological decline. Key biomarkers linked to silent brain injury, cognitive decline, and dementia are discussed, emphasizing their potential for early risk stratification and as targets for preventive interventions. We also outline mechanistic pathways connecting subclinical heart-brain axis dysfunction to adverse brain outcomes, identify major gaps in current evidence, and propose priorities for future research and clinical trials aimed at early detection and risk reduction to preserve brain health.

Indexed as

BrainCardiovascular DiseasesCognitionHeartAnimalsAutonomic Nervous SystemHumansRisk Factorsbrain healthheart–brain Axissubclinical

Identifiers

PMID41614273
PMCPMC13055486

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.