Evidence map›Paper›PMID 27016574›Full record

ArticleJournal of the American Heart Association2016

Relations of Central Hemodynamics and Aortic Stiffness with Left Ventricular Structure and Function: The Framingham Heart Study.

Bernhard M Kaess, Jian Rong, Martin G Larson, Naomi M Hamburg, Joseph A Vita, Susan Cheng, Jayashree Aragam, Daniel Levy, Emelia J Benjamin, Ramachandran S Vasan and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
9.2field-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.

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

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 104 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 2 countries.

Bernhard M KaessNational Heart, Blood and Lung Institute's Framingham Heart Study, Framingham, MA Deutsches Herzzentrum, Munich, Germany garyfmitchell@mindspring.com bernhard_kaess@gmx.de.
Jian RongNational Heart, Blood and Lung Institute's Framingham Heart Study, Framingham, MA.
Martin G LarsonNational Heart, Blood and Lung Institute's Framingham Heart Study, Framingham, MA Department of Mathematics and Statistics, Boston University, Boston, MA Department of Biostatistics, Boston University School of Public Health, Boston, MA.
Naomi M HamburgEvans Department of Medicine, Boston University School of Medicine, Boston, MA Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, MA.
Joseph A VitaEvans Department of Medicine, Boston University School of Medicine, Boston, MA Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, MA.
Susan ChengDivision of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Jayashree AragamVeterans Administration Hospital, West Roxbury, MA Harvard Medical School, Boston, MA.
Daniel LevyNational Heart, Blood and Lung Institute's Framingham Heart Study, Framingham, MA Sections of Preventive Medicine and Epidemiology and Cardiology, Department of Medicine, Boston University School of Medicine, Boston, MA.
Emelia J BenjaminNational Heart, Blood and Lung Institute's Framingham Heart Study, Framingham, MA Evans Department of Medicine, Boston University School of Medicine, Boston, MA Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, MA Sections of Preventive Medicine and Epidemiology and Cardiology, Department of Medicine, Boston University School of Medicine, Boston, MA.
Ramachandran S VasanNational Heart, Blood and Lung Institute's Framingham Heart Study, Framingham, MA Evans Department of Medicine, Boston University School of Medicine, Boston, MA Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, MA Sections of Preventive Medicine and Epidemiology and Cardiology, Department of Medicine, Boston University School of Medicine, Boston, MA.
Gary F MitchellCardiovascular Engineering, Inc, Norwood, MA garyfmitchell@mindspring.com bernhard_kaess@gmx.de.
Boston University · USLung Institute · USBrigham and Women's Hospital · USFramingham Heart Study · USNorwood Hospital · USUnited States Department of Veterans Affairs · US

Funding

Framingham Project/LevyZIAHL006001 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI LEVY, DANIEL · 2009 to 2025
$51.1M
Framingham: Inflammation, Genes &Cardiovascular DiseaseR01HL076784 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J. · 2004 to 2008
$3.9M
Ventricular Vascular Coupling: Correlates and PrognosisR01HL080124 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI RAMACHANDRAN, VASAN S · 2005 to 2009
$3.4M
Vascular Stiffness as a Precursor of Hypertension in a Middle-aged CohortR01HL126136 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MITCHELL, GARY FRANK, RAMACHANDRAN, VASAN S · 2015 to 2018
$2.6M
Biomarkers of Ventricular and Vascular RemodelingR01HL077447 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI RAMACHANDRAN, VASAN S · 2005 to 2009
$2.6M
Vascular Function in the Framingham Third GenerationR01HL070100 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J. · 2002 to 2005
$2.4M
Myocardial and Arterial Aging: Spectrum, Correlates, and PrognosisR00HL107642 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI CHENG, SUSAN · 2014 to 2016
$747k
ASYMPTOMATIC LEFT VENTRICULAR DYSFUNCTIONK24HL004334 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI RAMACHANDRAN, VASAN S · 2001 to 2008
$707k
ENDOTHELIAL VASAMOTOR FUNCTION IN THE FRAMINGHAM STUDYR01HL060040 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J. · 1999 to 2002
$595k
Genetics of Oxidative Stress in Ventricular RemodelingR01HL071039 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI RAMACHANDRAN, VASAN S. · 2002 to 2003
$252k
THE FRAMINGHAM HEART STUDY-N01HC25195-268025195-268025195N01HC025195 · HC · TRUSTEES OF BOSTON UNIVERSITY · PI WOLF, PHILIP A · 2002 to 2006
–
NHLBI NIH HHS 2-K24-HL04334NHLBI NIH HHS HL060040NHLBI NIH HHS HL070100NHLBI NIH HHS HL071039NHLBI NIH HHS HL076784NHLBI NIH HHS HL077447NHLBI NIH HHS HL080124NHLBI NIH HHS N0-HC-25195NHLBI NIH HHS R00 HL107642NHLBI NIH HHS R01HL126136PHS HHS HHSN268201500001I
6 · The paper itself

Abstract

backgroundThe differing relations of steady and pulsatile components of central hemodynamics and aortic stiffness with cardiac dimensions and function have not been fully elucidated. METHODS AND

resultsCentral hemodynamics and carotid-femoral pulse wave velocity (CFPWV, a measure of aortic stiffness) were measured by arterial tonometry in 5799 participants of the Framingham Heart Study (mean age 51 years, 54% women) and related to echocardiographic left ventricular (LV) dimensions and systolic and diastolic function using multivariable-adjusted partial Pearson correlations. Mean arterial pressure (MAP, steady component of central blood pressure) was associated positively with LV wall thickness (r=0.168; P<0.0001) but showed only a weak direct association with LV diastolic dimension (r=0.035, P=0.006). Central pulse pressure (pulsatile component of central blood pressure) showed a direct correlation with both LV diastolic dimension and LV wall thickness (r=0.08 and 0.044, both P<0.0001 in multivariable models that included MAP). CFPWV was not associated with LV structure (all P≥0.27) in MAP-adjusted models). Both MAP and CFPWV were associated inversely with LV diastolic function (E'; r=-0.140 and -0.153, respectively; both P<0.0001), and these associations persisted after additional adjustment for LV mass and central pulse pressure (r=-0.142 and -0.108, both P<0.0001). MAP and CFPWV were not associated with LV fractional shortening (P≥0.10), whereas central pulse pressure was positively related (r=0.064, P<0.0001).

conclusionsPulsatile and steady components of central pressure are conjointly yet variably related to LV structure. CFPWV is related to LV diastolic function but not to systolic function. Additional studies are warranted to confirm these observations.

Indexed as

HemodynamicsVascular StiffnessVentricular Function, LeftAdultAgedArterial PressureDiastoleEchocardiography, DopplerFemaleHumansLeast-Squares AnalysisMaleManometryMassachusettsMiddle AgedMultivariate Analysisaortic stiffnessdiastolic dysfunctionleft ventricle geometrypulse wave velocitysystolic dysfunction

Identifiers

PMID27016574
PMCPMC4943246
OpenAlexW2309623753

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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.