Evidence map›Paper›PMID 27413040›Full record

ArticleJournal of the American Heart Association2016

Obesity Is Associated With Progression of Atherosclerosis During Statin Treatment.

Veit Sandfort, Shenghan Lai, Mark A Ahlman, Marissa Mallek, Songtao Liu, Christopher T Sibley, Evrim B Turkbey, João A C Lima, David A Bluemke

Registry-linked trialOpen 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. It reports registered trial NCT01212900. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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.

NCT01212900 phase4completed

The RIGHT Study: Risk Stratification With Image Guidance of HMG Coa Reductase Inhibitor Therapy

Ran2010Enrolled230Registered outcomes1Posted comparisons0ConditionsAtherosclerosis, HypercholesterolemiaArmsStatins, HMG CoA
PMID 24592924PMID 23872591PMID 23568342other papers from this trial
Open the trial in the graph
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Cardiovascular Risk in Patients with Chronic Kidney Disease with Special Reference to Statin Therapy.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2022
    Article
  8. Is Obesity a Risk Factor for Carotid Atherosclerotic Disease?-Opportunistic Review.Journal of cardiovascular development and disease · 2022
    Review
  9. Observational
  10. Article
  11. The Role of αInternational journal of molecular sciences · 2020
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Arthritis & rheumatology (Hoboken, N.J.) · 2018
    Observational
  19. Article
  20. 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

9 authors at 2 institutions in 1 country.

Veit SandfortDepartment of Radiology and Imaging Sciences, National Institutes of Health Clinical Center, Bethesda, MD.
Shenghan LaiJohns Hopkins School of Medicine, Baltimore, MD.
Mark A AhlmanDepartment of Radiology and Imaging Sciences, National Institutes of Health Clinical Center, Bethesda, MD.
Marissa MallekDepartment of Radiology and Imaging Sciences, National Institutes of Health Clinical Center, Bethesda, MD.
Songtao LiuDepartment of Radiology and Imaging Sciences, National Institutes of Health Clinical Center, Bethesda, MD.
Christopher T SibleyDepartment of Radiology and Imaging Sciences, National Institutes of Health Clinical Center, Bethesda, MD.
Evrim B TurkbeyDepartment of Radiology and Imaging Sciences, National Institutes of Health Clinical Center, Bethesda, MD.
João A C LimaJohns Hopkins School of Medicine, Baltimore, MD.
David A BluemkeDepartment of Radiology and Imaging Sciences, National Institutes of Health Clinical Center, Bethesda, MD bluemked@cc.nih.gov.
National Institutes of Health Clinical Center · USJohns Hopkins University · US

Funding

Molecular Biomedical Imaging Laboratory (NIBIB)ZIAEB000072 · NIBIB · NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING · PI BLUEMKE, DAVID · 2010 to 2017
$5.0M
6 · The paper itself

Abstract

backgroundThis study aimed to determine the relationship of statin therapy and cardiovascular risk factors to changes in atherosclerosis in the carotid artery. METHODS AND

resultsCarotid magnetic resonance imaging was used to evaluate 106 hyperlipidemic participants at baseline and after 12 months of 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitor (statin) treatment. Multivariable logistic regression was used to determine factors associated with progression (change in carotid wall volume >0) or regression (change ≤0) of carotid atherosclerosis. Computed tomography coronary calcium scores were obtained at baseline for all participants. The median age was 65 years (interquartile range 60-69 years), and 63% of the participants were male. Body mass index >30, elevated C-reactive protein, and hypertension were associated with increased carotid wall volume (obesity: odds ratio for progression 4.6, 95% CI 1.8-12.4, P<0.01; C-reactive protein: odds ratio for progression 2.56, 95% CI 1.17-5.73, P=0.02; hypertension: odds ratio 2.4, 95% CI 1.1-5.3, P<0.05). Higher statin dose was associated with regression of carotid wall volume (P<0.05). In multivariable analysis, obesity remained associated with progression (P<0.01), whereas statin use remained associated with regression (P<0.05). Change in atheroma volume in obese participants was +4.8% versus -4.2% in nonobese participants (P<0.05) despite greater low-density lipoprotein cholesterol reduction in obese participants.

conclusionsIn a population with hyperlipidemia, obese patients showed atheroma progression despite optimized statin therapy. CLINICAL

trial registrationURL: http://www.clinicaltrials.gov. Unique identifier: NCT01212900.

Indexed as

AgedAtherosclerosisCarotid Artery DiseasesDisease ProgressionFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHyperlipidemiasMagnetic Resonance AngiographyMaleMiddle AgedObesityHydroxymethylglutaryl-CoA Reductase Inhibitorscarotid arterycarotid magnetic resonance imagingobesity

Identifiers

PMID27413040
PMCPMC5015399
OpenAlexW2471735247

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC-ND
Read underepoch 390

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.