Evidence map›Paper›PMID 17765132›Full record

ArticleAmerican journal of hypertension2007

Use of statins and blood pressure.

Dana E King, Arch G Mainous, Brent M Egan, Marty Player, Mark E Geesey

Abstract read
In one paragraph

Article in American journal of hypertension, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Endothelin-1, aging and hypertension.Current opinion in cardiology · 2008
    Review
  9. Article
  10. 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

5 authors.

Dana E KingDepartment of Family Medicine, Medical University of South Carolina, Charleston, South Carolina 29425, USA. kingde@musc.edu
Arch G Mainous
Brent M Egan
Marty Player
Mark E Geesey

Funding

SC Cooperative for Healthy Aging in Minority PopulationsP30AG021677 · NIA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI TILLEY, BARBARA C · 2002 to 2006
$3.5M
Dietary Fiber and Cardiovascular Inflammatory MarkersR01HL076271 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KING, DANA EDWIN · 2004 to 2006
$1.3M
NHLBI NIH HHS R01 HL076271NIA NIH HHS 1 P30AG021677NIA NIH HHS P30 AG021677PHS HHS 1 D14 HP 00161
6 · The paper itself

Abstract

backgroundMarkers of inflammation such as high-sensitivity C-reactive protein (CRP) were shown to be elevated in patients with hypertension. Small trials using statin therapy showed blood-pressure (BP) reductions, but it is unknown whether this association extends to larger populations. The objective of this study was to determine whether statin use was associated with better blood-pressure control in adults with hypertension and whether inflammation levels mediated this relationship.

methodsThis was a cross-sectional study of 2584 hypertensive adults aged >or=40 years with no known cardiovascular disease from the National Health and Nutrition Examination Survey 1999-2002. Logistic regression models were calculated to determine whether there was an association between statin use and blood-pressure control. C-reactive protein was added to the full model to determine its impact on the association.

resultsCompared with people not using statin medication, significantly more statin users had their blood pressure under control (52.2% v 38.0%). After adjustment for demographic factors, statin users were two times (95% confidence interval [CI], 1.46 to 2.72) more likely to have their blood pressure under control (<140/90 mm Hg) than nonusers. After further adjustment for body mass index, diabetes, smoking, exercise, low-salt diet, and antihypertensive medications, the likelihood of having blood pressure under control remained more likely among statin users (odds ratio, 1.46; 95% CI, 1.05 to 2.05). The association between statin use and lower BP was most evident among participants who used antihypertensive medication as well as statins and was unchanged with the addition of CRP to the model.

conclusionsStatin use was associated with a BP level <140/90 mm Hg in a representative sample of US adults with hypertension. Levels of CRP did not attenuate the association. Further studies are needed to explore the effects of statin use on blood pressure and to determine how best to apply this knowledge in clinical care.

Indexed as

Blood PressureC-Reactive ProteinCross-Sectional StudiesFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsLogistic ModelsMaleMiddle AgedC-Reactive ProteinHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID17765132
PMCPMC2042140

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.