Evidence map›Paper›PMID 22012208›Full record

ArticleAmerican journal of hypertension2012

Biomarkers associated with pulse pressure in African-Americans and non-Hispanic whites.

Thais Coutinho, Stephen T Turner, Thomas H Mosley, Iftikhar J Kullo

Open access · bronzeAbstract read
In one paragraph

Article in American journal of hypertension, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  5. Calcification Propensity and Survival among Renal Transplant Recipients.Journal of the American Society of Nephrology : JASN · 2016
    Observational
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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

4 authors at 2 institutions in 1 country.

Thais CoutinhoDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Stephen T Turner
Thomas H Mosley
Iftikhar J Kullo
Mayo Clinic · USUniversity of Mississippi Medical Center · US

Funding

ZESTRIL VS. VERAPAMIL IN THE TREATMENT OF HYPERTENSIONM01RR000585 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 1985 to 2006
$30.4M
Proteomic Markers of ArteriosclerosisU01HL081331 · NHLBI · MAYO CLINIC ROCHESTER · PI KULLO, IFTIKHAR J · 2005 to 2008
$3.7M
Determinants of arterial function in hypertensionR01HL089354 · NHLBI · MAYO CLINIC ROCHESTER · PI KULLO, IFTIKHAR J · 2009 to 2010
$1.5M
NCRR NIH HHS M01 RR000585NCRR NIH HHS M01 RR00585NHLBI NIH HHS HL81331NHLBI NIH HHS HL89354NHLBI NIH HHS R01 HL089354NHLBI NIH HHS U01 HL081331
6 · The paper itself

Abstract

backgroundPulse pressure (an indirect measure of arterial stiffness) is a robust predictor of cardiovascular events, but its pathophysiology remains poorly understood. To gain insight into the pathophysiology of arterial stiffness we conducted an exploratory investigation of the associations of 47 circulating biomarkers in etiologic pathways of arteriosclerosis with brachial artery pulse pressure.

methodsParticipants included 1,193 African-Americans and 1,145 non-Hispanic whites belonging to hypertensive sibships. Blood pressure (BP) was measured with a random-zero sphygmomanometer. Multivariable linear regression was employed to assess the associations of biomarkers with pulse pressure after adjustment for age, sex, conventional risk factors, mean arterial pressure, heart rate, and use of aspirin, statins, estrogens, and antihypertensives. Statistical significance was set at P ≤ 0.001 (Bonferroni correction for multiple testing).

resultsLog N-terminal probrain natriuretic peptide (NT-proBNP) (African-Americans: β = 2.11 ± 0.52, non-Hispanic whites: β = 2.65 ± 0.55), log midregional proatrial natriuretic peptide (African-Americans: β = 4.83 ± 0.70, non-Hispanic whites: β = 3.70 ± 0.67), and log osteoprotegerin (African-Americans: β = 4.64 ± 1.02, non-Hispanic whites: β = 4.19 ± 0.99) were independently associated with pulse pressure (P < 0.001 for all) in both ethnicities. Log C-reactive protein (CRP) (β = 1.56 ± 0.35), log midregional proadrenomedullin (MR-proADM) (β = 5.53 ± 1.19) and log matrix metalloproteinase-2 (β = 3.89 ± 1.06) were associated with greater pulse pressure in African-Americans only (P ≤ 0.001 for all), whereas higher fibrinogen was associated with pulse pressure in non-Hispanic whites only (β = 0.02 ± 0.004. P < 0.001).

conclusionsOur results suggest that hemodynamic stress, vascular inflammation and calcification, and matrix remodeling may have a role in the pathogenesis and/or adverse consequences of increased pulse pressure.

Indexed as

AdrenomedullinAgedArteriosclerosisAtrial Natriuretic FactorBiomarkersBlack or African AmericanBlack PeopleBlood PressureC-Reactive ProteinFemaleFibrinogenHumansHypertensionMaleMatrix Metalloproteinase 2Middle AgedAdrenomedullinAtrial Natriuretic FactorBiomarkersC-Reactive ProteinFibrinogenMatrix Metalloproteinase 2MMP2 protein, humanNatriuretic Peptide, BrainN-terminal proatrial natriuretic peptidePeptide Fragmentsproadrenomedullinpro-brain natriuretic peptide (1-76)Protein Precursors

Identifiers

PMID22012208
PMCPMC3707798
OpenAlexW1974643205

What OpenQuestion holds

Textmetadata
LicenceTDM
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.