Evidence map›Paper›PMID 18273542›Full record

ArticleHeart and vessels2008

Cardiovascular impact of exercise and drug therapy in older hypertensives with coronary heart disease: PREHACOR study.

Jean-Jacques Mourad, Nicolas Danchin, Jacques Puel, Hervé Gallois, Jérôme Msihid, Michel E Safar, Hirofumi Tanaka

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Heart and vessels, 2008. 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. Article
  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

7 authors.

Jean-Jacques MouradAvicenne Hospital, AP-HP and Paris XIII University (EA 3412), Bobigny, France.
Nicolas Danchin
Jacques Puel
Hervé Gallois
Jérôme Msihid
Michel E Safar
Hirofumi Tanaka

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our aim in this study was to examine the relationship between regular exercise and major cardiovascular events in hypertensive elderly with established coronary heart disease (CHD) in the primary care setting. The PREHACOR study recruited 3193 hypertensive patients, aged 74 +/- 6 years, 67% male, with CHD. Regular exercise assessed by questionnaire was defined as recreational activity >20 min/day, >3 times/week. Endpoints at 6 months were new cardiovascular events (NCEs: myocardial infarction and hospitalization for stroke, unstable angina, congestive heart failure, or coronary revascularization). New cardiovascular events occurred in 376 patients (11.8%), with 17 deaths (0.5%). New cardiovascular events patients were older, with higher body mass index, and were more likely to have diabetes, arrhythmia, history of congestive heart failure, and noncardiac organ damage than non-NCE patients. Blood pressure was significantly and similarly reduced in both groups. Multivariate logistic regression associated NCEs positively and independently with a history of congestive heart failure (odds ratio [OR] 2.50; confidence interval [CI] = 1.9-3.23), noncardiac target organ damage (OR 1.51; CI = 1.20-1.90), and beta-blocker use (OR 1.28; CI = 1.02-1.59), and inversely and independently with combination low-dose angiotensin converting enzyme inhibitor + diuretic therapy (OR 0.66; CI = 0.45-0.95) and regular exercise (OR 0.70; CI = 0.54-0.90). Regular exercise is significantly associated with fewer major cardiovascular events in hypertensive elderly subjects with established CHD.

Indexed as

AgedBlood PressureConfidence IntervalsCoronary DiseaseExercise TherapyFemaleFollow-Up StudiesHumansHypertensionIncidenceLife StyleMaleOdds RatioPrimary Health CareProspective StudiesSurveys and Questionnaires

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.