Evidence map›Paper›PMID 28360229›Full record

ArticleJournal of the American Heart Association2017

Aortic Calcification Onset and Progression: Association With the Development of Coronary Atherosclerosis.

Hagen Kälsch, Nils Lehmann, Susanne Moebus, Barbara Hoffmann, Andreas Stang, Karl-Heinz Jöckel, Raimund Erbel, Amir A Mahabadi

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

31 citing papers in PubMed, 55 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Hagen KälschDepartment of Cardiology and Vascular Medicine, West-German Heart and Vessel Center Essen, University Duisburg-Essen, Essen, Germany hagen.kaelsch@uk-essen.de.
Nils LehmannInstitute of Medical Informatics, Biometry, and Epidemiology, University Duisburg-Essen, Essen, Germany.
Susanne MoebusInstitute of Medical Informatics, Biometry, and Epidemiology, University Duisburg-Essen, Essen, Germany.
Barbara HoffmannIUF-Leibniz Research Institute for Environmental Medicine and University of Düsseldorf, Germany.
Andreas StangInstitute of Medical Informatics, Biometry, and Epidemiology, University Duisburg-Essen, Essen, Germany.
Karl-Heinz JöckelInstitute of Medical Informatics, Biometry, and Epidemiology, University Duisburg-Essen, Essen, Germany.
Raimund ErbelInstitute of Medical Informatics, Biometry, and Epidemiology, University Duisburg-Essen, Essen, Germany.
Amir A MahabadiDepartment of Cardiology and Vascular Medicine, West-German Heart and Vessel Center Essen, University Duisburg-Essen, Essen, Germany.
University of Duisburg-Essen · DEWest German Heart and Vascular Center Essen · DEHeinrich Heine University Düsseldorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThoracic aortic calcification (TAC) and coronary artery calcification (CAC) are markers of subclinical atherosclerosis and are associated with incident major cardiovascular events. We investigated major determinants for incidence and progression of TAC and the association between TAC and CAC incidence and progression. METHODS AND

resultsIn a population-based cohort study, 3270 participants (aged 45-74 years, 53.1% women) received cardiac computed tomography at baseline and after a mean follow-up of 5.1±0.3 years for quantification of calcification of the ascending (ATAC) and descending thoracic aorta (DTAC) and CAC. Multivariable relative risk regression analysis was used to investigate associations of cardiovascular risk factors with incident TAC, of baseline TAC with incident CAC, and of baseline CAC with incident TAC. Of 1243 participants with baseline TAC of 0, 517 (41.6%) revealed incident TAC after 5 years. Incidence of descending TAC was higher (34.5%) than ascending TAC (23.3%). Incident TAC after 5 years was associated with age (relative risk 1.26 [95% CI 1.21-1.33], per 5 years), blood pressure (relative risk 1.06 [95% CI 1.03-1.10], per 10 mm Hg), low-density lipoprotein cholesterol (relative risk 1.08 [95% CI 1.04-1.12], per 20 mg/dL), and smoking (relative risk 1.28 [95% CI 1.07-1.53]). Among the 1185 participants without CAC at baseline, the risk of developing CAC was 28.3% when baseline TAC was present compared with 22.2% among those without baseline TAC (excess risk 6.1% [95% CI 1.2-11.0%]). The point estimate of excess risk for incident CAC was higher for ascending TAC (10.8% [95% CI 4.8-16.7%]) and low for descending TAC (1.8% [95% CI -3.2% to 6.7%]). Excess risk for developing ascending and descending TAC with present baseline CAC was 16.4% (95% CI 12.7-20.0%) and 15.6% (95% CI 10.8-20.4%), respectively.

conclusionTAC and CAC share similar major determinants for incident calcification. Participants with TAC, especially ascending TAC, are at elevated risk for development of CAC.

Indexed as

AgedAortic DiseasesCoronary Artery DiseaseDisease ProgressionFemaleHumansIncidenceLinear ModelsMaleMiddle AgedMultivariate AnalysisTomography, X-Ray ComputedVascular Calcificationaortic diseasecalcificationcardiac CTcomputed tomographycoronary artery calcificationthoracic aortic calcification

Identifiers

PMID28360229
PMCPMC5533012
OpenAlexW2600453013

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.