Evidence map›Paper›PMID 18509346›Full record

ReviewJournal of human hypertension2008

Macro and microvasculature in hypertension: therapeutic aspects.

M E Safar, D Rizzoni, J Blacher, M L Muiesan, E Agabiti-Rosei

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Journal of human hypertension, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
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

16 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Observational
  3. Vascular Aging and Central Aortic Blood Pressure: From Pathophysiology to Treatment.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2020
    Review
  4. Vascular Aging and Disease of the Small Vessels.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2019
    Review
  5. Article
  6. Relationships between blood pressure variability and indices of large artery stiffness: does the microvasculature play a role?Hypertension research : official journal of the Japanese Society of Hypertension · 2017
    Article
  7. Article
  8. Interactions between macro- and micro-circulation: are they relevant?High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2015
    Review
  9. Observational
  10. Article
  11. Review
  12. Article
  13. De-stiffening drug therapy and blood pressure control.Integrated blood pressure control · 2010
    Article
  14. Arterial stiffness, hypertension, and rational use of nebivolol.Vascular health and risk management · 2009
    Review
  15. Targeting the arterial wall, but what is the target?Journal of human hypertension · 2009
    Article
  16. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 3 countries.

M E SafarFaculty of Medicine, Diagnosis and Therapeutic Center, AP-HP, Hôtel-Dieu Hospital, Paris Descartes University, Paris, France. Michel.Safar.Hotel-Dieu.Paris@wanadoo.fr
D Rizzoni
J Blacher
M L Muiesan
E Agabiti-Rosei
University of Brescia · ITAssistance Publique – Hôpitaux de Paris · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Macrovasculature, microvasculature and the heart determine the structure and function of the circulatory system. Due to the viscoelastic properties of large arteries, the pulsatile pressure and flow that result from intermittent ventricular ejection is smoothed out, so that microvasculature mediates the delivery of nutrients and oxygen to tissues steadily. The disruption of this function, which occurs when microvascular structure develops in response to hypertension, leads to end-organ damage. Microvascular structure is not only the site of vascular resistance, but also the origin of most of the wave reflections generating increased central systolic blood pressure (SBP) in the elderly. Nowadays many data of the literature suggest that hypertension-related damage to the micro and macrovascular system may be manageable through pharmacological agents. Among them, beta-blocking agents and diuretics poorly modify microvascular structure, whereas angiotensin and calcium entry blockade has an opposite effect, thereby reducing central wave reflections and, finally, causing a selective SBP reduction.

Indexed as

AgedBlood VesselsHumansHypertensionMicrovessels

Identifiers

PMID18509346
OpenAlexW1999726001

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.