Evidence map›Paper›PMID 26374295›Full record

ArticleJournal of the American Heart Association2015

Left Ventricular Structure and Risk of Cardiovascular Events: A Framingham Heart Study Cardiac Magnetic Resonance Study.

Connie W Tsao, Philimon N Gona, Carol J Salton, Michael L Chuang, Daniel Levy, Warren J Manning, Christopher J O'Donnell

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 NCT07606027 (Postpartum Remote Monitoring and Integration of Mobile Health With Engagement From Community Health Workers for Regulating Elevated Blood Pressure), which is not on this map. Cited by 86 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 2 pooled it
7.0field-weighted citation impact, top 2% 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.

NCT07606027 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Postpartum Remote Monitoring and Integration of Mobile Health With Engagement From Community Health Workers for Regulating Elevated Blood Pressure

TypeinterventionalSponsorUniversity of NebraskaRan2026 to 2031Enrolled404ConditionsHypertensive Disorders of Pregnancy (HDP), Hypertension, Pregnancy Induced, Severe Maternal Morbidity, Postpartum HypertensionArmsCollaborative care, Standard of Care (SOC)
3 · Its place in the literature

Who cites it

86 citing papers in PubMed, 2 syntheses or guidelines pooled it, 159 citations in OpenAlex.

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  6. Prognostic value of left ventricular hypertrophy assessed withEuropean heart journal. Imaging methods and practice · 2026
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26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Connie W TsaoCardiovascular Division, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA (C.W.T., C.J.S., W.J.M., C.J.D.) Framingham Heart Study, Framingham, MA (C.W.T., P.N.G., M.L.C., D.L., C.J.D.).
Philimon N GonaDepartment of Exercise and Health Sciences, University of Massachusetts, Boston, MA (P.N.G.) National Heart, Lung and Blood Institute, Framingham, MA (P.N.G., D.L., C.J.D.) Framingham Heart Study, Framingham, MA (C.W.T., P.N.G., M.L.C., D.L., C.J.D.).
Carol J SaltonCardiovascular Division, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA (C.W.T., C.J.S., W.J.M., C.J.D.).
Michael L ChuangFramingham Heart Study, Framingham, MA (C.W.T., P.N.G., M.L.C., D.L., C.J.D.).
Daniel LevyNational Heart, Lung and Blood Institute, Framingham, MA (P.N.G., D.L., C.J.D.) Framingham Heart Study, Framingham, MA (C.W.T., P.N.G., M.L.C., D.L., C.J.D.).
Warren J ManningCardiovascular Division, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA (C.W.T., C.J.S., W.J.M., C.J.D.) Division of Radiology, Beth Israel Deaconess Medical Center, Boston, MA (W.J.M.).
Christopher J O'DonnellCardiovascular Division, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA (C.W.T., C.J.S., W.J.M., C.J.D.) Cardiology Section, Department of Medicine, Boston Veteran's Administration Healthcare System, Boston, MA (C.J.D.) National Heart, Lung and Blood Institute, Framingham, MA (P.N.G., D.L., C.J.D.) Framingham Heart Study, Framingham, MA (C.W.T., P.N.G., M.L.C., D.L., C.J.D.).
Beth Israel Deaconess Medical Center · USFramingham Heart Study · USUniversity of Massachusetts Boston · US

Funding

Genomic Epidemiology of Cardiovascular DiseaseZIAHL006002 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI O'DONNELL, CHRISTOPHER · 2009 to 2015
$8.0M
Gene Expression for Functional Genomics in Human PopulationsZIAHL006175 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI O'DONNELL, CHRISTOPHER · 2013 to 2015
$2.2M
Functional Genetic Variation Underlying Cardiovascular Genomic EpidemiologyZIAHL006173 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI O'DONNELL, CHRISTOPHER · 2013 to 2015
$2.0M
Preformed vascular modules designed for inosculation with host tissueR01HL118259 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PUTNAM, ANDREW J, STEGEMANN, JAN P. · 2013 to 2016
$1.5M
THE FRAMINGHAM HEART STUDY-N01HC25195-268025195-268025195N01HC025195 · HC · TRUSTEES OF BOSTON UNIVERSITY · PI WOLF, PHILIP A · 2002 to 2006
–
NHLBI NIH HHS 1K23 HL118259NHLBI NIH HHS N01-HC-25195PHS HHS HHSN268201500001IPHS HHS NHLBI R01-HL70279
6 · The paper itself

Abstract

backgroundElevated left ventricular mass index (LVMI) and concentric left ventricular (LV) remodeling are related to adverse cardiovascular disease (CVD) events. The predictive utility of LV concentric remodeling and LV mass in the prediction of CVD events is not well characterized. METHODS AND

resultsFramingham Heart Study Offspring Cohort members without prevalent CVD (n=1715, 50% men, aged 65±9 years) underwent cardiovascular magnetic resonance for LVMI and geometry (2002-2006) and were prospectively followed for incident CVD (myocardial infarction, coronary insufficiency, heart failure, stroke) or CVD death. Over 13 808 person-years of follow-up (median 8.4, range 0.0 to 10.5 years), 85 CVD events occurred. In multivariable-adjusted proportional hazards regression models, each 10-g/m(2) increment in LVMI and each 0.1 unit in relative wall thickness was associated with 33% and 59% increased risk for CVD, respectively (P=0.004 and P=0.009, respectively). The association between LV mass/LV end-diastolic volume and incident CVD was borderline significant (P=0.053). Multivariable-adjusted risk reclassification models showed a modest improvement in CVD risk prediction with the incorporation of cardiovascular magnetic resonance LVMI and measures of LV concentricity (C-statistic 0.71 [95% CI 0.65 to 0.78] for the model with traditional risk factors only, improved to 0.74 [95% CI 0.68 to 0.80] for the risk factor model additionally including LVMI and relative wall thickness).

conclusionsAmong adults free of prevalent CVD in the community, greater LVMI and LV concentric hypertrophy are associated with a marked increase in adverse incident CVD events. The potential benefit of aggressive primary prevention to modify LV mass and geometry in these adults requires further investigation.

Indexed as

Magnetic Resonance ImagingVentricular RemodelingAgedFemaleFollow-Up StudiesHeart VentriclesHumansHypertrophy, Left VentricularIncidenceKaplan-Meier EstimateMaleMassachusettsMiddle AgedMultivariate AnalysisPredictive Value of TestsPrevalencecardiovascular diseasecardiovascular magnetic resonanceepidemiologyleft ventricular geometryleft ventricular mass

Identifiers

PMID26374295
PMCPMC4599505
OpenAlexW2161654068

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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.