Evidence map›Paper›PMID 26015820›Full record

ArticleJournal of clinical medicine research2015

Association Between Visit-to-Visit Variability in Blood Pressure and Cardiovascular Events in Hypertensive Patients After Successful Percutaneous Coronary Intervention.

Kouki Gondo, Shin-Ichiro Miura, Yasunori Suematsu, Yuhei Shiga, Takashi Kuwano, Makoto Sugihara, Amane Ike, Atsushi Iwata, Kota Motozato, Takaaki Kusumoto and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of clinical medicine research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Short-term blood pressure variability in acute coronary syndrome.Journal of clinical hypertension (Greenwich, Conn.) · 2017
    Article
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

12 authors at 2 institutions in 1 country.

Kouki GondoDepartment of Cardiology, Fukuoka University School of Medicine, Fukuoka, Japan.
Shin-Ichiro MiuraDepartment of Cardiology, Fukuoka University School of Medicine, Fukuoka, Japan ; Department of Molecular Cardiovascular Therapeutics, Fukuoka University School of Medicine, Fukuoka, Japan.
Yasunori SuematsuDepartment of Cardiology, Fukuoka University School of Medicine, Fukuoka, Japan.
Yuhei ShigaDepartment of Cardiology, Fukuoka University School of Medicine, Fukuoka, Japan.
Takashi KuwanoDepartment of Cardiology, Fukuoka University School of Medicine, Fukuoka, Japan.
Makoto SugiharaDepartment of Cardiology, Fukuoka University School of Medicine, Fukuoka, Japan.
Amane IkeDepartment of Cardiology, Fukuoka University School of Medicine, Fukuoka, Japan.
Atsushi IwataDepartment of Cardiology, Fukuoka University School of Medicine, Fukuoka, Japan.
Kota MotozatoDepartment of Cardiology, Fukuoka University School of Medicine, Fukuoka, Japan ; Division of Cardiology, Izumi General Medical Center, Kagoshima, Japan.
Takaaki KusumotoDivision of Cardiology, Izumi General Medical Center, Kagoshima, Japan.
Hiroaki NishikawaDepartment of Cardiology, Fukuoka University School of Medicine, Fukuoka, Japan.
Keijiro SakuDepartment of Cardiology, Fukuoka University School of Medicine, Fukuoka, Japan ; Department of Molecular Cardiovascular Therapeutics, Fukuoka University School of Medicine, Fukuoka, Japan.
Fukuoka University · JPKagoshima Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVisit-to-visit variability (VVV) in blood pressure (BP) in addition to high BP has been shown to be a strong predictor of coronary events and stroke. Therefore, we investigated the associations between VVV in BP or BP levels and cardiovascular events after successful percutaneous coronary intervention (PCI).

methodsWe enrolled 176 hypertensive patients who had undergone successful PCI and who had four clinic visits to measure BP until follow-up coronary angiography (CAG) at 6 - 9 months after PCI. The patients were divided into those with acute coronary syndrome (ACS group; n = 50) and those with stable angina pectoris (SAP group; n = 126). We determined VVV in BP expressed as the standard deviation (SD) of average BP, average, and the maximum and minimum BP during the follow-up period. Major adverse cardiovascular events (MACEs) (myocardial infarction (MI), target lesion revascularization (TLR) and all-cause death) were also analyzed.

resultsThere were no significant differences in VVV in BP, average BP or maximum or minimum BP between the patients with and without MACE in all patients, the ACS and SAP groups. Interestingly, in the ACS group, VVV in SBP and maximum SBP in patients with MI were significantly higher than those in patients without MI. The cut-off levels for VVV in BP and maximum SBP that gave the greatest sensitivity and specificity for MI in the ACS group were 15.1 and 138 mm Hg, respectively.

conclusionHigher VVV in SBP and maximum SBP in patients with ACS after successful PCI were associated with the onset of MI.

Indexed as

Acute coronary syndromeMajor adverse cardiovascular eventsMyocardial infarctionPercutaneous coronary interventionVisit-to-visit variability in blood pressure

Identifiers

PMID26015820
PMCPMC4432897
OpenAlexW1523672392

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LicenceCC BY
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Registered trials

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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.