Evidence map›Paper›PMID 27056972›Full record

ArticleHeart (British Cardiac Society)2016

Midlife blood pressure predicts future diastolic dysfunction independently of blood pressure.

Arjun Kumar Ghosh, Alun David Hughes, Darrel Francis, Nishi Chaturvedi, Denis Pellerin, John Deanfield, Diana Kuh, Jamil Mayet, Rebecca Hardy, MRC NSHD Scientific and Data Collection Team

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Heart (British Cardiac Society), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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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

10 authors at 6 institutions in 1 country.

Arjun Kumar GhoshInternational Centre for Circulatory Health, National Heart and Lung Institute, Imperial College, London, UK Barts Heart Centre, St Bartholomew's Hospital, Barts Health NHS Trust, London, UK.
Alun David HughesInstitute of Cardiovascular Science, University College London, London, UK.
Darrel FrancisInternational Centre for Circulatory Health, National Heart and Lung Institute, Imperial College, London, UK.
Nishi ChaturvediInstitute of Cardiovascular Science, University College London, London, UK.
Denis PellerinBarts Heart Centre, St Bartholomew's Hospital, Barts Health NHS Trust, London, UK.
John DeanfieldInstitute of Cardiovascular Science, University College London, London, UK.
Diana KuhMedical Research Council Unit for Lifelong Health and Ageing, University College London, London, UK.
Jamil MayetInternational Centre for Circulatory Health, National Heart and Lung Institute, Imperial College, London, UK.
Rebecca HardyMedical Research Council Unit for Lifelong Health and Ageing, University College London, London, UK.
MRC NSHD Scientific and Data Collection Team
University College London · GBImperial College London · GBBarts Health NHS Trust · GBMedical Research Council · GBMRC Unit for Lifelong Health and Ageing · GBSt Bartholomew's Hospital · GB

Funding

Medical Research Council MC_UU_12018/1Medical Research Council MC_UU_12019/2Medical Research Council MR/K006584/1
6 · The paper itself

Abstract

objectivesHigh blood pressure (BP) is associated with diastolic dysfunction, but the consequence of elevated BP over the adult life course on diastolic function is unknown. We hypothesised that high BP in earlier adulthood would be associated with impaired diastolic function independent of current BP.

methodsParticipants in the Medical Research Council National Survey of Health and Development birth cohort (n=1653) underwent investigations including echocardiography at age 60-64 years. The relationships between adult BP, antihypertensive treatment (HTT) and echocardiographic measures of diastolic function were assessed using adjusted regression models.

resultsIncreased systolic BP (SBP) at ages 36, 43 and 53 years was predictive of increased E/e' and increased left atrial volume. These effects were only partially explained by SBP at 60-64 years and increased left ventricular mass. HTT was also associated with poorer diastolic function after adjustment for SBP at 60-64 years. Faster rates of increase in SBP in midlife were also associated with increased poorer diastolic function.

conclusionsHigh SBP in midlife is associated with poorer diastolic function at age 60-64 years. Early identification of individuals with high BP or rapid rises in BP may be important for prevention of impaired cardiac function in later life.

Indexed as

Blood PressureVentricular Function, LeftAdultAge FactorsDiastoleEchocardiography, DopplerFemaleHealth SurveysHumansHypertensionHypertrophy, Left VentricularMaleMiddle AgedPrognosisProspective StudiesRisk Assessment

Identifiers

PMID27056972
PMCPMC4998951
OpenAlexW2330413105

What OpenQuestion holds

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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.