Evidence map›Paper›PMID 28367862›Full record

ArticleJournal of atherosclerosis and thrombosis2017

Asymptomatic Plaques of Lower Peripheral Arteries and Their Association with Cardiovascular Disease: An Autopsy Study.

Eriko Nakamura, Yuichiro Sato, Takashi Iwakiri, Atsushi Yamashita, Sayaka Moriguchi-Goto, Kazunari Maekawa, Toshihiro Gi, Yujiro Asada

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. The Ankle-Brachial Index and Risk of Chronic Kidney Disease.Journal of atherosclerosis and thrombosis · 2019
    Article
  13. Article
  14. Article
  15. Article
  16. Inflammatory Mediators Across the Spectrum of Ankle-Brachial Index.Journal of atherosclerosis and thrombosis · 2019
    Article
  17. Article
  18. 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.

Eriko NakamuraDepartment of Pathology, Faculty of Medicine, University of Miyazaki.
Yuichiro SatoDepartment of Diagnostic Pathology, University of Miyazaki Hospital, Faculty of Medicine, University of Miyazaki.
Takashi IwakiriDepartment of Hemovascular Medicine and Artificial Organs, University of Miyazaki.
Atsushi YamashitaDepartment of Pathology, Faculty of Medicine, University of Miyazaki.
Sayaka Moriguchi-GotoDepartment of Diagnostic Pathology, University of Miyazaki Hospital, Faculty of Medicine, University of Miyazaki.
Kazunari MaekawaDepartment of Pathology, Faculty of Medicine, University of Miyazaki.
Toshihiro GiDepartment of Pathology, Faculty of Medicine, University of Miyazaki.
Yujiro AsadaDepartment of Pathology, Faculty of Medicine, University of Miyazaki.
University of Miyazaki · JPUniversity of Miyazaki Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPatients with peripheral artery disease (PAD) have a high prevalence of cardiovascular morbidity and mortality; however, majority of patients with PAD are asymptomatic. This study aimed to histologically evaluate whether asymptomatic, lower extremity artery plaques are associated with systemic atherosclerosis and the onset of cardiovascular disease (CVD) events using autopsy cases.

methodsWe histologically investigated the atherosclerotic plaques of the common iliac, common carotid, coronary, and renal arteries from 121 autopsy cases without symptoms of PAD (mean age:67.6 years; 63% men; 83% non-CVD death). We evaluated the relationship between the degree of iliac artery atherosclerosis and that of other arteries, and also the presence of any CVD, myocardial infarction, stroke, and renal failure.

resultsAdvanced atherosclerotic plaques (American Heart Association ≥4) were present in 86 (72%) common iliac arteries in these cases. These arteries also showed high frequencies of calcification (66%), intraplaque hemorrhage (42%), and plaque disruption (24%). These advanced lesions were associated with age (≥60 years), sex (male), hypertension, diabetes, and smoking habit (all P<0.05). Additionally, it was significantly associated with CVD (odds ratio, 95% confidence interval; 6.2, 2.2-22), myocardial infarction (6.4, 1.2-19), stroke (8.7, 1.7-16), and renal failure/hemodialysis (5.8, 1.1-11). Cases with advanced iliac artery plaques had advanced coronary and carotid atherosclerosis.

conclusionThese results indicate that asymptomatic advanced plaques are frequently observed in common iliac arteries, and are associated with generalized atherosclerosis and CVD events.

Indexed as

AgedAged, 80 and overAutopsyCardiovascular DiseasesFemaleHumansIliac ArteryMaleMiddle AgedOdds RatioPeripheral Arterial DiseasePlaque, AtheroscleroticRisk FactorsVascular CalcificationAsymptomatic peripheral artery diseaseAutopsyCardiovascular diseaseGeneralized atherosclerosis

Identifiers

PMID28367862
PMCPMC5587518
OpenAlexW2598260074

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.