Evidence mapPaperPMID 40662045Full record

ReviewCureus2025

Cardiovascular-Renal-Hepatic-Metabolic Syndrome: Interlinked Pathophysiology and Integrated Management Approach.

Carlos Alejandro Arragan Lezama, Julio Joel Jaramillo Ramos, David Alejandro Armas Eguizábal, Ximena Sofía Solares Ovando, Julio Cesar Minera Villagrán, Cinthya Jhoana Males Caiza

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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. [Advances in research on metabolic associated fatty liver disease in 2025].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  5. Review
  6. Article
  7. Periodontal Medicine: The Past, the Present, the Future.Journal of periodontal research · 2025
    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

6 authors.

Carlos Alejandro Arragan LezamaGeneral Practice, Universidad Anáhuac Xalapa, Veracruz, MEX.
Julio Joel Jaramillo RamosInternal Medicine, Hospital Santo Tomás, Panama City, PAN.
David Alejandro Armas EguizábalInternal Medicine, Centro Médico Guatemala, Guatemala, GTM.
Ximena Sofía Solares OvandoInternal Medicine, Centro Médico Militar, Guatemala, GTM.
Julio Cesar Minera VillagránOncology, Instituto Guatemalteco de Seguridad Social, Guatemala, GTM.
Cinthya Jhoana Males CaizaGeneral Practice, Universidad Nacional de Chimborazo, Otavalo, ECU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Interdisciplinary research has revealed that heart, kidney, liver, and metabolic diseases share interlinked pathological mechanisms, including inflammation, oxidative stress, insulin resistance, and endothelial health issues. However, integrated care for these diseases is challenging due to different symptoms, diagnostic rules, and treatment options. The review aims to study the common mechanisms behind cardiovascular-renal-hepatic-metabolic syndrome and explore ways to coordinate management. When these systems work poorly together, damage can form a vicious cycle, increasing hypertension, chronic kidney disease, non-alcoholic fatty liver disease, and metabolic syndrome. Changes in medicine, daily lifestyle, and drugs can interrupt the pathological cascade. However, clinical practice is hindered by patient presentations, lack of teamwork across healthcare specialties, and incomplete therapy plans. Gut-organ axis dysfunction and inflammation play a significant role in multiple organ diseases, and prompt risk assessment and early intervention can prevent heart damage.

Indexed as

advanced therapiescardiovascular renal hepatic metabolic syndromecrhm syndromeemerging therapiesintegrated management approach

Identifiers

PMID40662045
PMCPMC12257864

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.