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            "attrs": {
                "alt": "Flow chart and schematic showing how noise exposure drives stress responses and cardiovascular disease, from Münzel et al. 2…",
                "kind": "flow chart with anatomical schematic, process diagram showing how noise leads to cardiovascular disease",
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            "text": "The slide is titled \"Noise: Heart Diseae\" (the word \"Disease\" is misspelled as \"Diseae\" on the slide). It carries the credit \"(Münzel, et al., 2023)\" at the bottom left. The page has two panels, A and B.\n\nPanel A is a top-down flow chart. A red bar at the top reads \"high Noise exposure (sound level) low\", with high on the left and low on the right. Two connectors run down from it to two yellow pills: \"Direct pathway\" on the left and \"Indirect pathway\" on the right. A red box labelled \"Hearing loss\" sits off to the left and connects by a horizontal line into the vertical line from the Direct pathway, so hearing loss is a side branch of the direct pathway. The Direct pathway leads down to a dark blue box containing \"Sleep disturbance\". The Indirect pathway leads down to a dark blue box containing two stacked entries, \"Disturbance of activities, sleep, communication\" and \"Cognitive and emotional response\". A red box labelled \"Annoyance\" connects by a short horizontal line to this indirect box. Both the Sleep disturbance box and the indirect box lead down into a grey-blue pill \"Stress responses\". From Stress responses, a thick black arrow runs right to a small angry-man photograph and then up to an arrow pointing at \"Noise perception & stress response\" in Panel B. Below Stress responses, a line leads to a dark blue box \"Activation of autonomic and endocrine systems\", which splits into two boxes: \"Autonomic nervous system (sympathetic nerve)\" and \"Endocrine system (pituitary gland, adrenal gland)\". Next, a grey-blue pill \"Chronic stress generates risk factors\" and then a dark blue box with six entries in two rows of three: \"Blood pressure\", \"Blood lipids\", \"Blood viscosity\", \"Cardiac output\", \"Blood glucose\", \"Blood clotting factors\". A grey-blue pill \"Cardiovascular diseases\" follows. At the bottom, a red bar holds four boxes side by side: \"Arterial hypertension\", \"Ischemic heart disease\", \"Stroke\", \"Heart failure\". Each step connects to the next by a single vertical line, so the flow runs strictly top to bottom.\n\nPanel B is a schematic. It shows a brain with labels \"Amygdala\", \"Hypothalamus\", \"Pituitary\", \"BRAIN\", and a magnified inset. Blue labelled arrows read \"CRH\" (hypothalamus to pituitary), \"ACTH\" (pituitary down to the adrenal cortex), and \"Sympathetic nerves\" (from brain to adrenal medulla). The adrenal gland is labelled \"Adrenal gland\", with \"Cortex\" and \"Medulla\" marked. A kidney labelled \"KIDNEY\" sits on the adrenal gland. The cortex releases \"cortisol (humans), corticosterone (mice), glucocorticoids\", and the medulla releases \"epinephrine, norepinephrine (catecholamines)\". Arrows from both carry hormones down to a red tube labelled \"BLOOD VESSEL\".\n\nBelow Panel B, a red band reads \"RAAS activation → vasoconstriction → (vascular) oxidative stress and inflammation → insulin resistance, obesity, hypertension, atherosclerosis → cardiovascular disease → MAC\" and is cut off at the right edge of the page, so the end of the final word is not legible. A black connector runs from the blood vessel down to this band.",
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