Evidence map›Paper›PMID 27502858›Full record

ArticleAmerican heart journal2016

Reactive hyperemia is associated with adverse clinical outcomes in heart failure.

Nicola J Paine, Alan L Hinderliter, James A Blumenthal, Kirkwood F Adams, Carla A Sueta, Patricia P Chang, Christopher M O'Connor, Andrew Sherwood

Open access · greenAbstract read
In one paragraph

Article in American heart journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

24 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Review
  3. Observational
  4. Sitting leg vasculopathy: potential adaptations beyond the endothelium.American journal of physiology. Heart and circulatory physiology · 2024
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Observational
  13. Observational
  14. Article
  15. Kinetic differences between macro- and microvascular measures of reactive hyperemia.Journal of applied physiology (Bethesda, Md. : 1985) · 2020
    Article
  16. Article
  17. Article
  18. Article
  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

8 authors at 2 institutions in 1 country.

Nicola J PaineDuke University Medical Center, Durham, NC.
Alan L HinderliterUniversity of North Carolina at Chapel Hill, Chapel Hill, NC.
James A BlumenthalDuke University Medical Center, Durham, NC.
Kirkwood F AdamsUniversity of North Carolina at Chapel Hill, Chapel Hill, NC.
Carla A SuetaUniversity of North Carolina at Chapel Hill, Chapel Hill, NC.
Patricia P ChangUniversity of North Carolina at Chapel Hill, Chapel Hill, NC.
Christopher M O'ConnorDuke University Medical Center, Durham, NC.
Andrew SherwoodDuke University Medical Center, Durham, NC. Electronic address: sherw002@mc.duke.edu.
Duke Medical Center · USUniversity of North Carolina at Chapel Hill · US

Funding

STRESS AND HEART FAILURE--PROGNOSIS AND MECHANISMSR01HL061784 · NHLBI · DUKE UNIVERSITY · PI SHERWOOD, ANDREW · 1999 to 2002
$1.4M
NHLBI NIH HHS R01 HL061784
6 · The paper itself

Abstract

introductionImpaired endothelial function, as assessed by brachial artery flow-mediated dilation (FMD), is an established risk factor for cardiovascular events. FMD is impaired in heart failure (HF) patients, but less is known about hyperemic brachial artery flow. We investigated the relationship between FMD and hyperemic flow with adverse clinical outcomes in HF patients.

methodsBrachial artery FMD and hyperemic flow were assessed in 156 patients (70.5 % Male; 45.5% Caucasian; mean age (± SD) = 56.2 (±12.4) years) with HF and reduced left ventricular ejection fraction (LVEF). Cox proportional hazard models were used to assess the potential explanatory association of FMD and hyperemic flow with the composite outcome of death or cardiovascular hospitalization over a median 5-year follow-up period.

resultsBoth FMD and hyperemic flow were negatively correlated with age, but unrelated to sex, race, body mass index, LVEF or N-terminal pro-B-Type natriuretic peptide (NT-ProBNP). Reduced hyperemic flow, but not FMD, was associated with an increased risk of death or cardiac hospitalization after controlling for traditional risk factors.

conclusionThe association of reduced hyperemic flow with increased risk of adverse clinical outcomes suggests that micro-vascular function may be an important prognostic marker in patients with HF.

Indexed as

VasodilationAdultAgedBrachial ArteryEndothelium, VascularFemaleHeart FailureHospitalizationHumansHyperemiaLaser-Doppler FlowmetryMaleMiddle AgedMortalityNatriuretic Peptide, BrainPeptide FragmentsNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)

Identifiers

PMID27502858
PMCPMC4979002
OpenAlexW2405365167

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.