Cardiovascular pathophysiology from the cardioneural perspective and its clinical applications

Amit J Shah1, Matthew T Wittbrodt2, J Douglas Bremner3

  • 1Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, CNR 3053, Atlanta, GA 30322, United States; Department of Medicine, Division of Cardiology, Emory University School of Medicine, United States; Atlanta Veterans Affairs Healthcare System, Decatur, GA, United States.

Insights

Coronary heart disease and depression are linked through a complex cardioneural network. Understanding this connection can lead to integrated treatments for better patient outcomes.

Area of Science:

  • Cardiology
  • Neuroscience
  • Psychology

Background:

  • Coronary heart disease (CHD) and psychological stress, like depression, are leading causes of morbidity and mortality.
  • Managing these conditions in isolation presents significant challenges.
  • Recent research highlights the interconnectedness of the heart and brain.

Purpose of the Study:

  • To review the cardioneural network linking heart disease and psychological stress.
  • To discuss non-invasive methods for assessing this network.
  • To explore clinical applications and interventions for integrated management.

Main Methods:

  • Literature review of the cardioneural network.
  • Discussion of ambulatory and laboratory-based non-invasive measures.
  • Exploration of potential clinical and public health applications.

Main Results:

  • The cardioneural network involves the heart, brain, spinal cord, and ganglia.
  • Non-invasive measures can assess both psychological stress and heart disease severity.
  • Integrated management approaches show transformative potential.

Conclusions:

  • An integrated approach to managing CHD and depression is supported by the cardioneural network.
  • Non-invasive assessments offer valuable insights into cardioneural health.
  • Interventions like exercise and biofeedback show promise for cardioneural health.

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