Evidence map›Paper›PMID 25819862›Full record

ArticleAmerican heart journal2015

Copeptin is an independent predictor of diabetic heart disease and death.

Sofia Enhörning, Bo Hedblad, Peter M Nilsson, Gunnar Engström, Olle Melander

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in American heart journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 98 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Sofia EnhörningDepartment of Clinical Sciences, Lund University, Skåne University Hospital, Malmö, Sweden; Department of Internal Medicine, Skåne University Hospital, Malmö, Sweden.
Bo HedbladDepartment of Clinical Sciences, Lund University, Skåne University Hospital, Malmö, Sweden; Department of Internal Medicine, Skåne University Hospital, Malmö, Sweden.
Peter M NilssonDepartment of Clinical Sciences, Lund University, Skåne University Hospital, Malmö, Sweden; Department of Internal Medicine, Skåne University Hospital, Malmö, Sweden.
Gunnar EngströmDepartment of Clinical Sciences, Lund University, Skåne University Hospital, Malmö, Sweden.
Olle MelanderDepartment of Clinical Sciences, Lund University, Skåne University Hospital, Malmö, Sweden; Department of Internal Medicine, Skåne University Hospital, Malmö, Sweden. Electronic address: sofia.enhorning@med.lu.se.
Skåne University Hospital · SELund University · SE

Funding

European Research Council 282255
6 · The paper itself

Abstract

backgroundWe previously discovered that high copeptin is associated with incidence of diabetes mellitus (diabetes), abdominal obesity, and albuminuria. Furthermore, copeptin predicts cardiovascular events after myocardial infarction in diabetic patients, but whether it is associated with heart disease and death in individuals without diabetes and prevalent cardiovascular disease is unknown. In this study, we aim to test whether plasma copeptin (copeptin), the C-terminal fragment of arginine vasopressin prohormone, predicts heart disease and death differentially in diabetic and nondiabetic individuals.

methodsWe related plasma copeptin to a combined end point composed of coronary artery disease (CAD), heart failure (HF), and death in diabetes (n = 895) and nondiabetes (n = 4187) individuals of the Malmö Diet and Cancer Study-Cardiovascular cohort.

resultsCopeptin significantly interacted with diabetes regarding the combined end point (P = .006). In diabetic individuals, copeptin predicted the combined end point (hazard ratio [HR] 1.32 per SD, 95% CI 1.10-1.58, P = .003) after adjustment for conventional risk factors, prevalent HF and CAD, and remained significant after additional adjustment for either fasting glucose (P = .02) or hemoglobin A1c (P = .02). Furthermore, in diabetic individuals, copeptin predicted CAD (HR 1.33 per SD, 95% CI 1.04-1.69, P = .02), HF (HR 1.62 per SD, 95% CI 1.09-2.41, P = .02), and death (HR 1.32 per SD, 95% CI 1.04-1.68, P = .02). Interestingly, among nondiabetic individuals, copeptin was not associated with any of the end points.

conclusionsCopeptin predicted heart disease and death, specifically in diabetes patients, suggesting copeptin and the vasopressin system as a prognostic marker and therapeutic target for diabetic heart disease and death.

Indexed as

BiomarkersCause of DeathDiabetes MellitusDiabetic CardiomyopathiesFemaleGlycopeptidesHumansIncidenceMaleMiddle AgedPredictive Value of TestsPrognosisRetrospective StudiesSurvival RateSwedenBiomarkerscopeptinsGlycopeptides

Identifiers

PMID25819862
PMCPMC4398501
OpenAlexW2161534087

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.