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Updated: Jan 25, 2026

Investigation of Spatial Interaction Between Astrocytes and Neurons in Cleared Brains
Published on: March 31, 2022
[Heart-brain interactions]
Letizia Riva1, Stefano Urbinati2, Giuseppe Di Pasquale1
1U.O.C. Cardiologia, Ospedale Maggiore, Bologna.
Insights
Heart-brain interactions link cerebral ischemia and coronary artery disease, highlighting atherosclerosis as a systemic inflammatory condition. Understanding these connections is crucial for managing cardiovascular and cerebrovascular diseases.
Area of Science:
- Cardiovascular Medicine
- Neurology
- Systemic Inflammation
Background:
- Heart-brain interactions are evident in conditions like cerebral ischemia linked to coronary artery disease.
- Atherosclerosis, a systemic inflammatory disease, connects carotid and coronary artery disease severity.
- Concomitant cerebrovascular and coronary artery disease is prevalent.
Purpose of the Study:
- To elucidate the intricate relationship between cardiovascular and cerebrovascular diseases.
- To highlight the impact of systemic inflammation on heart-brain axis.
- To review conditions predisposing to cardioembolic events.
Main Methods:
- Literature review and synthesis of existing research on heart-brain interactions.
- Analysis of associations between atherosclerosis, coronary artery disease, and cerebrovascular events.
- Examination of various cardiovascular conditions linked to cardioembolic phenomena.
Main Results:
- Strong correlations exist between carotid atherosclerosis and coronary artery disease severity.
- Previous myocardial infarction and stroke prognosis are significantly influenced by coronary events.
- Numerous cardiac pathologies, including thrombosis and valve issues, are linked to cardioembolic events.
- Cerebral events can precipitate cardiac abnormalities like arrhythmias.
Conclusions:
- Heart-brain axis dysfunction is a critical factor in cardiovascular and cerebrovascular diseases.
- Atherosclerosis plays a central role in the interplay between cardiac and brain health.
- Comprehensive management strategies are needed for patients with co-existing heart and brain conditions.
Abstract:
Heart-brain interactions are represented by the association of cerebral ischemia with coronary artery disease, cardioembolic cerebral ischemia, and cardiovascular complications due to brain damage. As atherosclerosis is a systemic inflammatory disease, in patients with transient ischemic attack, stroke or asymptomatic carotid artery disease, a previous myocardial infarction, angina or an asymptomatic coronary artery disease are often associated and a correlation between the carotid atherosclerosis and coronary artery disease severity has been reported. Furthermore, the long-term prognosis of patients with stroke is strongly affected by coronary events. At the same time, the prevalence of concomitant cerebrovascular disease is common in patients with coronary artery disease. Other cardiovascular diseases, including left atrial and left atrial appendage thrombosis in atrial fibrillation, thrombi in the left ventricle in acute and chronic coronary artery disease and dilated cardiomyopathies, infective endocarditis with vegetations, cardiac valve prosthesis thrombosis, cardiac tumors, mitral and aortic valve calcifications, aortic plaques and patent foramen ovale, are associated with cardioembolic events. Finally, acute ischemic or hemorrhagic cerebral events, epileptic seizures, cerebral traumas, and brain tumors can be associated with electrocardiographic abnormalities, catecholaminergic myocardial damage, or arrhythmias.
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