Evidence map›Paper›PMID 25276290›Full record

ReviewWorld journal of cardiology2014

African Americans, hypertension and the renin angiotensin system.

Sandra F Williams, Susanne B Nicholas, Nosratola D Vaziri, Keith C Norris

Open access · hybridAbstract readReview
In one paragraph

Review in World journal of cardiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Transcriptome Study of 2 Black Cohorts RevealsJournal of the American Heart Association · 2024
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Combining Neprilysin Inhibitor With ATFrontiers in pharmacology · 2021
    Article
  16. Article
  17. Sars-CoV-2 and black population: ACE2 as shield or blade?Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2020
    Article
  18. Article
  19. Article
  20. COVID's Razor: RAS Imbalance, the Common Denominator Across Disparate, Unexpected Aspects of COVID-19.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020
    Review
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 1 institution in 1 country.

Sandra F WilliamsSandra F Williams, Department of Endocrinology, Cleveland Clinic, Weston, FL 33331, United States.
Susanne B NicholasSandra F Williams, Department of Endocrinology, Cleveland Clinic, Weston, FL 33331, United States.
Nosratola D VaziriSandra F Williams, Department of Endocrinology, Cleveland Clinic, Weston, FL 33331, United States.
Keith C NorrisSandra F Williams, Department of Endocrinology, Cleveland Clinic, Weston, FL 33331, United States.
Cleveland Clinic Florida · US

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CATHERINE A SARKISIAN · 2002 to 2026
$19.7M
TRAINING COREP20MD000182 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED &SCI · PI CUNNINGHAM, WILLIAM EMERY, SHAPIRO, MARTIN F. · 2002 to 2016
$16.5M
Drew AASK Cohort StudyU01DK065455 · NIDDK · CHARLES R. DREW UNIVERSITY OF MED &SCI · PI NORRIS, KEITH C · 2003 to 2007
$2.4M
NCATS NIH HHS UL1 TR000124NIA NIH HHS P30 AG021684NIDDK NIH HHS U01 DK065455NIMHD NIH HHS P20 MD000182
6 · The paper itself

Abstract

African Americans have exceptionally high rates of hypertension and hypertension related complications. It is commonly reported that the blood pressure lowering efficacy of renin angiotensin system (RAS) inhibitors is attenuated in African Americans due to a greater likelihood of having a low renin profile. Therefore these agents are often not recommended as initial therapy in African Americans with hypertension. However, the high prevalence of comorbid conditions, such as diabetes, cardiovascular and chronic kidney disease makes treatment with RAS inhibitors more compelling. Despite lower circulating renin levels and a less significant fall in blood pressure in response to RAS inhibitors in African Americans, numerous clinical trials support the efficacy of RAS inhibitors to improve clinical outcomes in this population, especially in those with hypertension and risk factors for cardiovascular and related diseases. Here, we discuss the rationale of RAS blockade as part of a comprehensive approach to attenuate the high rates of premature morbidity and mortality associated with hypertension among African Americans.

Indexed as

African AmericanAngiotensinBlood pressureEthnicityHypertensionRenin

Identifiers

PMID25276290
PMCPMC4176798
OpenAlexW2068741008

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.