Evidence map›Paper›PMID 25809579›Full record

SynthesisHypertension research : official journal of the Japanese Society of Hypertension2015

Treatment-induced changes in ambulatory arterial stiffness index: one-year prospective study and meta-analysis of evidence.

Anastasios Kollias, Vayia Rarra, Nikos Karpettas, Leonidas Roussias, Eoin O'Brien, George S Stergiou

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Hypertension research : official journal of the Japanese Society of Hypertension, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. New approach to arterial stiffness: BP-independent local carotid stiffness.Hypertension research : official journal of the Japanese Society of Hypertension · 2017
    Article
  6. Cardiovascular calcification and subcortical bone demineralization in hypertension.Hypertension research : official journal of the Japanese Society of Hypertension · 2017
    Article
  7. Second derivative of the finger photoplethysmogram and cardiovascular mortality in middle-aged and elderly Japanese women.Hypertension research : official journal of the Japanese Society of Hypertension · 2017
    Article
  8. Influence of the central-to-peripheral arterial stiffness gradient on the timing and amplitude of wave reflections.Hypertension research : official journal of the Japanese Society of Hypertension · 2016
    Article
  9. Ambulatory arterial stiffness in chronic kidney disease: a methodological review.Hypertension research : official journal of the Japanese Society of Hypertension · 2016
    Review
  10. Article
  11. Is ambulatory arterial stiffness index a marker of large-artery stiffness? Evidence from intervention studies.Hypertension research : official journal of the Japanese Society of Hypertension · 2015
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Anastasios KolliasHypertension Center, STRIDE -7, Third University Department of Medicine, Sotiria Hospital, Athens, Greece.
Vayia RarraHypertension Center, STRIDE -7, Third University Department of Medicine, Sotiria Hospital, Athens, Greece.
Nikos KarpettasHypertension Center, STRIDE -7, Third University Department of Medicine, Sotiria Hospital, Athens, Greece.
Leonidas RoussiasHypertension Center, STRIDE -7, Third University Department of Medicine, Sotiria Hospital, Athens, Greece.
Eoin O'BrienConway Institute, University College, Dublin, Ireland.
George S StergiouHypertension Center, STRIDE -7, Third University Department of Medicine, Sotiria Hospital, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ambulatory arterial stiffness index (AASI) has been introduced as an index of arterial function, predicting cardiovascular events. However, treatment-induced changes in AASI are rather equivocal. This study aims to: (i) present the results of treatment-induced changes in AASI in untreated subjects with elevated blood pressure (BP), subjected to antihypertensive treatment for 1 year and (ii) perform a meta-analysis of studies reporting on treatment-induced change in AASI. A total of 104 subjects (mean age 51.4±10.3 years, 62% males, mean follow-up: 13.6±2.4 months) were analyzed. Despite significant reductions in 24-h ambulatory systolic/diastolic BP, pulse pressure and pulse wave velocity (mean change: -15.9±12/-10.4±7.6 mm Hg, -5.4±6.8 mm Hg, -0.7±1.9 m s(-1), respectively, all P<0.05), there was no significant change (Follow up-Baseline) in AASI values (mean change: 0.01±0.17, P=not significant). The treatment-induced change in AASI was correlated with baseline AASI (r=-0.61), baseline 24-h pulse pressure (-0.26), treatment-induced change in 24-h pulse pressure (0.26) and in systolic/diastolic nocturnal dipping (-0.25/-0.40, respectively). Meta-analysis of eight trials (n=990) revealed a marginal decrease in AASI with antihypertensive treatment (pooled change: -0.018 (95% confidence interval (CI): -0.033,-0.003)). When the analysis was restricted to data with renin-angiotensin system blockers (n=755, 76% of total), the results did not significantly change (pooled change -0.028 (95% CI -0.048, -0.007)). In conclusion, although AASI is an independent predictor of cardiovascular events, its response to antihypertensive treatment is only marginal and clinically uncertain, which may render its use as a therapeutic target in clinical practice questionable.

Indexed as

Angiotensin II Type 1 Receptor BlockersAntihypertensive AgentsBlood Pressure Monitoring, AmbulatoryFemaleHumansHypertensionMaleMiddle AgedPredictive Value of TestsProspective StudiesPulse Wave AnalysisTreatment OutcomeVascular StiffnessAngiotensin II Type 1 Receptor BlockersAntihypertensive Agents

Identifiers

PMID25809579

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.