Evidence map›Paper›PMID 26112642›Full record

ArticleJournal of the American Heart Association2015

Persistent Aortic Arch Hypoplasia After Coarctation Treatment Is Associated With Late Systemic Hypertension.

Sophie Quennelle, Andrew J Powell, Tal Geva, Ashwin Prakash

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03262753 (LOVE-COARCT Study), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-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.

NCT03262753 unknown statusnot on this map

LOVE-COARCT Study: Long-term Outcomes and Vascular Evaluation After Coarctation of the Aorta Treatment

TypeobservationalSponsorCentro Hospitalar de Lisboa CentralRan2013 to 2017Enrolled90ConditionsAortic Coarctation, Arterial Stiffness, PULSE WAVE VELOCITY, Functional Magnetic Resonance ImagingArmsSurgery, Balloon dilation, Stent
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Article
  3. Transverse arch stenting and its effect on systemic hypertension.Turk gogus kalp damar cerrahisi dergisi · 2024
    Article
  4. Aortic growth after arch reconstruction with patch augmentation: a 2-decade experience.Interdisciplinary cardiovascular and thoracic surgery · 2023
    Article
  5. Comparison of aortic stiffness and hypertension in repaired coarctation patients with a bicuspid versus a tricuspid aortic valve.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2023
    Article
  6. Article
  7. Article
  8. Safety and efficacy of stenting for aortic arch hypoplasia in patients with coarctation of the aorta.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2020
    Article
  9. Repaired coarctation of the aorta, persistent arterial hypertension and the selfish brain.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2019
    Article
  10. Observational
  11. Predictive factors for residual hypertension following aortic coarctation stenting.Journal of clinical hypertension (Greenwich, Conn.) · 2019
    Article
  12. Article
  13. 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

4 authors at 2 institutions in 1 country.

Sophie QuennelleDepartment of Cardiology, Boston Children's Hospital, Boston, MA (S.Q., A.J.P., T.G., A.P.).
Andrew J PowellDepartment of Cardiology, Boston Children's Hospital, Boston, MA (S.Q., A.J.P., T.G., A.P.) Department of Pediatrics, Harvard Medical School, Boston, MA (A.J.P., T.G., A.P.).
Tal GevaDepartment of Cardiology, Boston Children's Hospital, Boston, MA (S.Q., A.J.P., T.G., A.P.) Department of Pediatrics, Harvard Medical School, Boston, MA (A.J.P., T.G., A.P.).
Ashwin PrakashDepartment of Cardiology, Boston Children's Hospital, Boston, MA (S.Q., A.J.P., T.G., A.P.) Department of Pediatrics, Harvard Medical School, Boston, MA (A.J.P., T.G., A.P.).
Boston Children's Hospital · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMild transverse aortic arch (TAA) hypoplasia is common after coarctation treatment, but is considered benign in the absence of an arm-leg systolic blood pressure (SBP) difference. Hypertension (HTN) is a common long-term morbidity after successful coarctation treatment. We examined whether mild TAA hypoplasia after coarctation treatment is associated with late systemic HTN. METHODS AND

resultsWe retrospectively reviewed 92 patients (median age, 19.9 years; range, 4.9 to 57.8; 60% male) 14.1±10.3 years after successful coarctation treatment (surgery in 63, stent in 16, and balloon dilation in 13), excluding those with resting right arm-leg blood pressure gradient >20 mm Hg, atypical coarctation, and major associated heart defects. Minimum body-surface area (BSA)-adjusted TAA cross-sectional area (CSA) was calculated from cardiac magnetic resonance (CMR) images. On follow-up, 38 of 92 (41%) patients had systemic HTN using standard criteria. Systemic HTN was independently associated with smaller TAA CSA/BSA (P=0.006; odds ratio [OR], 6.41 per 0.5 cm(2)/m(2) decrease), higher age at CMR (P=0.03; OR, 1.57 per 5-year increase), and in a subset (n=61), higher arm-leg SBP difference during exercise (P=0.05; OR, 1.03 per 1-mm-Hg increase). Lower ratio of TAA diameter/descending aorta diameter was associated with a larger increase in right arm SBP during peak exercise (P=0.006; r(2)=0.11).

conclusionsPersistent mild aortic arch hypoplasia, even in the absence of an arm-leg SBP difference at rest, is associated with late systemic HTN. Further studies should be undertaken to determine whether more-aggressive arch reconstruction at initial repair can reduce the incidence of systemic HTN.

Indexed as

Blood PressureAdolescentAdultAngioplasty, BalloonAorta, ThoracicAortic CoarctationBostonChildChild, PreschoolEndovascular ProceduresFemaleHumansHypertensionIncidenceLinear ModelsLogistic Modelscardiac MRIcoarctationhypertensiontransverse aortic arch

Identifiers

PMID26112642
PMCPMC4608082
OpenAlexW2099408876

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.