Evidence map›Paper›PMID 41625938›Full record

ReviewCureus2025

Epidemiological Link Between Post-traumatic Stress Disorder and Cardiovascular Disease: Evidence, Mechanisms, and Clinical Implications.

Malik K Al-Ariki, Ivan Karpenko, Grigorii Esion, Anvar K Djumanov, Shirin Dadaev, Hasan Saghir, Daria Khorunzhaya, Zlata Kurant, Valeriia Gevorgian, Anastasiia V Badlaeva and 4 more

Abstract readReview
In one paragraph

Review in Cureus, 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

14 authors.

Malik K Al-ArikiDepartment of Hospital Surgery, Peoples' Friendship University of Russia, Moscow, RUS.
Ivan KarpenkoDepartment of Cardiothoracic Surgery, A.A. Vishnevskiy Hospital, Moscow, RUS.
Grigorii EsionDepartment of Cardiovascular Surgery, A.A. Vishnevskiy Hospital, Moscow, RUS.
Anvar K DjumanovDepartment of Surgical Diseases No. 2, Tashkent Medical University, Tashkent, UZB.
Shirin DadaevDepartment of Surgical Diseases No. 2, Tashkent Medical University, Tashkent, UZB.
Hasan SaghirDepartment of Cardiovascular Medicine, Novosibirsk State Medical University, Novosibirsk, RUS.
Daria KhorunzhayaDepartment of Cardiovascular Medicine, Novosibirsk State Medical University, Novosibirsk, RUS.
Zlata KurantDepartment of Cardiovascular Medicine, Novosibirsk State Medical University, Novosibirsk, RUS.
Valeriia GevorgianDepartment of Cardiovascular Medicine, Novosibirsk State Medical University, Novosibirsk, RUS.
Anastasiia V BadlaevaDepartment of Cardiovascular Medicine, Novosibirsk State Medical University, Novosibirsk, RUS.
Aleksey M KireychevDepartment of Oncology, The P. A. Herzen Moscow Scientific Research Oncological Institute (MORI), Moscow, RUS.
Mohammad AyadDepartment of Cardiovascular Medicine, Volgograd State Medical University, Volgograd, RUS.
Haya DarwichDepartment of Cardiovascular Medicine, Beirut Arab University, Beirut, LBN.
Abubakar I SidikDepartment of Cardiovascular Surgery, Peoples' Friendship University of Russia, Moscow, RUS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-traumatic stress disorder (PTSD) has emerged as a significant and independent risk factor for cardiovascular disease (CVD), yet its incorporation into routine cardiovascular prevention and care remains limited. This review synthesizes epidemiological evidence showing consistent associations between PTSD and increased incidence of hypertension, coronary artery disease, myocardial infarction, stroke, heart failure, and cardiovascular mortality across diverse populations, including veterans, civilians, women, and disaster-exposed cohorts. The review also highlights the bidirectional relationship between PTSD and CVD, since traumatic cardiovascular events such as myocardial infarction and cardiac arrest can precipitate persistent PTSD symptoms that negatively influence prognosis and recovery. Multiple biological and behavioral mechanisms are described, including autonomic dysregulation, activation of the hypothalamic-pituitary-adrenal (HPA) axis, systemic inflammation, endothelial dysfunction, metabolic disturbances, and maladaptive health behaviors. Clinical implications include gaps in current screening practices, the need for trauma-informed approaches in cardiovascular care, the impact of PTSD on treatment adherence and cardiac rehabilitation, and the potential role of PTSD-targeted interventions in reducing cardiovascular risk. Key limitations in the existing literature are identified, such as heterogeneity in diagnostic criteria, residual confounding from comorbid psychiatric conditions, and the underrepresentation of women and non-veteran populations. The review concludes by outlining future research priorities, with emphasis on mechanistic studies, longitudinal cohorts, clinical intervention trials, and the integration of social determinants of health. A deeper understanding of the complex relationship between PTSD and CVD is essential for advancing both prevention and clinical management in trauma-exposed individuals.

Indexed as

autonomic dysregulationcardiovascular diseaseepidemiologyinflammationpost-traumatic stress disorder (ptsd)

Identifiers

PMID41625938
PMCPMC12853006

What OpenQuestion holds

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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.