Heart evoked brain oscillatory networks and its interruption in early stages of Alzheimer’s disease

Author:

Castellanos Nazareth,Diez Gustavo G.,Pereda Ernesto,López María Eugenia,Bruña Ricardo,Bartolomé Myriam G.,Maestú Fernando

Abstract

AbstractUnderstanding how the heart influences brain dynamics will suppose a deep change for the neuroscience, psychology and medicine. A mainstay questions is the heart modulation of resting state brain networks and its relation with both the cardiac dynamics and the cognitive status. We evaluated the heart evoked basal networks for controls and two groups of mild cognitive impairment patients, stable and progressive to Alzheimer’s disease without cardiovascular alteration symptoms. Our results in controls show that a healthy cognitive performance correlates with the heart modulation of brain dynamics in areas of the default mode network, and that the heart influence on brain networks varies along the cardiac cycle and the spectral band. However, the cognitive deficit produced by dementia correlates with the lack of heart modulation on brain activity. The heart influence on brain networks is disrupted in patients by producing hypersynchronization, accompanied by decreased cardiac complexity. We designed a surrogate and predictive procedure based on machine learning to compare the heart evoked results with the neural activity no locked to heartbeats. Based on our longitudinal data, we conclude that the prediction to progression to Alzheimer’s disease is higher when considering the heart - brain interaction than when taking into account only the brain dynamics. We can conclude that brain networks in control subjects were more responsive to the heart cycle, allowing a wealthier, more complex pattern of oscillations. Our results highlight the role of heart in cognitive neuroscience by showing that basal brain networks are modulated by the cardiac dynamics.

Publisher

Cold Spring Harbor Laboratory

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