Evidence map›Paper›PMID 41451823›Full record

ArticleAging cell2026

The Disrupted Bidirectional Regulation and Coupling of Resting-State Blood Pressure and Heartbeat in Hypertension.

Xin Jiang, Haoru Li, Huixia Ren, Meige Liu, Dan Zhou, Shuisheng Lin, Zongchen Liu, Jiawen Yuan, Nana Xie, Alan A Cohen and 2 more

Abstract read
In one paragraph

Article in Aging cell, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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

12 authors.

Xin JiangDepartment of Geriatrics, Shenzhen People's Hospital (The First Affiliated Hospital, Southern University of Science and Technology, The Second Clinical Medical College, Jinan University), Shenzhen, China.
Haoru LiDepartment of Geriatrics, Shenzhen People's Hospital (The First Affiliated Hospital, Southern University of Science and Technology, The Second Clinical Medical College, Jinan University), Shenzhen, China.
Huixia RenDepartment of Geriatrics, Shenzhen People's Hospital (The First Affiliated Hospital, Southern University of Science and Technology, The Second Clinical Medical College, Jinan University), Shenzhen, China.
Meige LiuDepartment of Geriatrics, Shenzhen People's Hospital (The First Affiliated Hospital, Southern University of Science and Technology, The Second Clinical Medical College, Jinan University), Shenzhen, China.
Dan ZhouDepartment of Geriatrics, Shenzhen People's Hospital (The First Affiliated Hospital, Southern University of Science and Technology, The Second Clinical Medical College, Jinan University), Shenzhen, China.
Shuisheng LinJinan University, Guangzhou, China.
Zongchen LiuJinan University, Guangzhou, China.
Jiawen YuanJinan University, Guangzhou, China.
Nana XieDepartment of Geriatrics, Shenzhen People's Hospital (The First Affiliated Hospital, Southern University of Science and Technology, The Second Clinical Medical College, Jinan University), Shenzhen, China.
Alan A CohenRobert N. Butler Columbia Aging Center, Mailman School of Public Health, Columbia University, New York, New York, USA.ORCID 0000-0003-4113-3988
Sen PeiDepartment of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York, USA.
Junhong ZhouHebrew SeniorLife Hinda and Arthur Marcus Institute for Aging Research, Roslindale, Massachusetts, USA.

Funding

National Natural Science Foundation of China NSFC82371471Research Program of Central Health Commission 2024YB59Shenzhen People's Hospital Physician Scientist Training "Five Three Program" SYWGSLCYJ202204Shenzhen Science and Technology Program JCYJ20240813103817024Shenzhen Science and Technology Research and Development Fund for Sustainable development project KCXFZ20201221173411032
6 · The paper itself

Abstract

The bidirectional non-linear communication between blood pressure (BP) and heartbeat is critical to cardiovascular homeostasis, which remains poorly understood, especially under hypertensive conditions. We implemented transfer entropy (TE), an information-theoretic measure of directional coupling, to characterize such bidirectional coupling between BP and heartbeat and its relationships to arterial stiffness and walking performance in older adults. A total of 493 older adults (201 normotensive (NTN), 168 controlled-hypertensive (controlled-HTN), and 124 uncontrolled-HTN) completed simultaneous recordings of resting-state beat-to-beat BP and R-R interval for ≥ 10 min. The TE from BP to RR (i.e., BP-RR) and from RR to BP (RR-BP) was quantified. Participants then completed the assessments of arterial stiffness (i.e., brachial-ankle pulse wave velocity, baPWV) and walking speed in single- and dual-task conditions. The validation using surrogate data confirmed the physiological significance of TE (p < 0.0001). Both BP-RR and RR-BP TE were significantly lower in controlled- and uncontrolled-HTN compared to NTN (p < 0.03). In NTN and control-HTN, higher BP-RR and/or RR-BP TEs were associated with slower walking speed (β = -0.25 to -0.16, p < 0.04). Higher BP-RR TE was associated with lower baPWV (β = -0.17 to -0.16, p < 0.04), while higher RR-BP TE was associated with greater baPWV (β = 0.17-0.21, p < 0.03). No such significant associations were observed within uncontrolled-HTN. The observations suggested that TE captures hypertension-related disruption of bidirectional BP-heartbeat information flow, reflecting impaired baroreflex feedback, exaggerated feedforward cardiac influence, and dampening with anti-hypertensive therapy. The distinct associations with vascular stiffness and walking performance suggest TE as a promising marker of cardiovascular integrity and functional reserve in aging.

Indexed as

Blood PressureHeart RateHypertensionRestAgedFemaleHumansMaleMiddle AgedPulse Wave AnalysisVascular Stiffnessarterial stiffnessbaroreflex feedbackblood pressureheartbeathypertensiontransfer entropywalking performance

Identifiers

PMID41451823
PMCPMC12741931

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.