Evidence map›Paper›PMID 28698190›Full record

ArticleCirculation. Cardiovascular quality and outcomes2017

Predicted Atherosclerotic Cardiovascular Disease Risk and Masked Hypertension Among Blacks in the Jackson Heart Study.

D Edmund Anstey, John N Booth, Marwah Abdalla, Tanya M Spruill, Yuan-I Min, Paul Muntner, Daichi Shimbo

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Cardiovascular quality and outcomes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Masked Hypertension: Whom and How to Screen?Current hypertension reports · 2019
    Review
  10. Review
  11. Masked hypertension.Annals of translational medicine · 2017
    Article
  12. An Update on Masked Hypertension.Current hypertension reports · 2017
    Review
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

D Edmund AnsteyFrom the Department of Medicine, Columbia University Medical Center, New York, NY (D.E.A., M.A., D.S.); Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL (J.N.B., P.M.); Department of Population Health, New York University School of Medicine, New York, NY (T.M.S.); and School of Medicine, University of Mississippi Medical Center, Jackson, MS (Y.-I.M.). dea2123@cumc.columbia.edu.
John N BoothFrom the Department of Medicine, Columbia University Medical Center, New York, NY (D.E.A., M.A., D.S.); Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL (J.N.B., P.M.); Department of Population Health, New York University School of Medicine, New York, NY (T.M.S.); and School of Medicine, University of Mississippi Medical Center, Jackson, MS (Y.-I.M.).
Marwah AbdallaFrom the Department of Medicine, Columbia University Medical Center, New York, NY (D.E.A., M.A., D.S.); Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL (J.N.B., P.M.); Department of Population Health, New York University School of Medicine, New York, NY (T.M.S.); and School of Medicine, University of Mississippi Medical Center, Jackson, MS (Y.-I.M.).
Tanya M SpruillFrom the Department of Medicine, Columbia University Medical Center, New York, NY (D.E.A., M.A., D.S.); Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL (J.N.B., P.M.); Department of Population Health, New York University School of Medicine, New York, NY (T.M.S.); and School of Medicine, University of Mississippi Medical Center, Jackson, MS (Y.-I.M.).
Yuan-I MinFrom the Department of Medicine, Columbia University Medical Center, New York, NY (D.E.A., M.A., D.S.); Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL (J.N.B., P.M.); Department of Population Health, New York University School of Medicine, New York, NY (T.M.S.); and School of Medicine, University of Mississippi Medical Center, Jackson, MS (Y.-I.M.).
Paul MuntnerFrom the Department of Medicine, Columbia University Medical Center, New York, NY (D.E.A., M.A., D.S.); Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL (J.N.B., P.M.); Department of Population Health, New York University School of Medicine, New York, NY (T.M.S.); and School of Medicine, University of Mississippi Medical Center, Jackson, MS (Y.-I.M.).
Daichi ShimboFrom the Department of Medicine, Columbia University Medical Center, New York, NY (D.E.A., M.A., D.S.); Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL (J.N.B., P.M.); Department of Population Health, New York University School of Medicine, New York, NY (T.M.S.); and School of Medicine, University of Mississippi Medical Center, Jackson, MS (Y.-I.M.).
University of Alabama at Birmingham · USNew York University · US

Funding

WORKSITE BLOOD PRESSURE STUDYP01HL047540 · NHLBI · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI SCHWARTZ, JOSEPH E · 1993 to 2014
$27.7M
POSTDOCTORAL TRAINING IN CARDIOVASCULAR DISEASET32HL007854 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Marwah Abdalla, Michael Argenziano · 1996 to 2026
$14.7M
Incorporation of a Hypertension Working Group into the Jackson Heart StudyR01HL117323 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEWIS, CORA E, OGEDEGBE, OLUGBENGA G. · 2013 to 2024
$7.2M
Midcareer Investigator Award in Patient-Oriented Research in Human HypertensionK24HL125704 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHIMBO, DAICHI · 2015 to 2019
$573k
Racial disparities in the maintenance of healthy lifestyles and their effect on cumulative blood pressure burden and left ventricular mass in African Americans and whites: data from the CARDIA studyF31HL129701 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BOOTH, JOHN N. · 2015 to 2016
$65k
NHLBI NIH HHS F31 HL129701NHLBI NIH HHS HHSN268201300046CNHLBI NIH HHS HHSN268201300047CNHLBI NIH HHS HHSN268201300048CNHLBI NIH HHS HHSN268201300049CNHLBI NIH HHS HHSN268201300050CNHLBI NIH HHS K24 HL125704NHLBI NIH HHS P01 HL047540NHLBI NIH HHS R01 HL117323NHLBI NIH HHS T32 HL007854
6 · The paper itself

Abstract

backgroundAmong individuals without hypertension based on clinic blood pressure (BP), it is unclear who should be screened for masked hypertension, defined as having hypertension based on out-of-clinic BP. We hypothesized that individuals with a higher 10-year predicted atherosclerotic cardiovascular disease (ASCVD) risk, calculated using the pooled cohort risk equations, have a higher prevalence of masked hypertension. METHODS AND

resultsWe analyzed data from the Jackson Heart Study-a population-based cohort of blacks-to determine the association of predicted ASCVD risk with masked hypertension. The sample included 644 participants, 40 to 79 years of age, with clinic systolic/diastolic BP <140/90 mm Hg, who completed ambulatory BP monitoring, were free of cardiovascular disease, and had data on factors needed to calculate ASCVD risk. Ten-year predicted ASCVD risk was calculated using the pooled cohort risk equations. Any masked hypertension was defined as masked daytime hypertension (mean daytime systolic/diastolic BP ≥135/85 mm Hg), masked nighttime hypertension (mean nighttime systolic/diastolic BP ≥120/70 mm Hg), or masked 24-hour hypertension (mean 24-hour systolic/diastolic BP ≥130/80 mm Hg). The prevalence of any masked hypertension was 54.0%. Compared with participants in the lowest (<5%) predicted ASCVD risk category, multivariable-adjusted prevalence ratios (95% confidence interval) for any masked hypertension were 1.36 (1.03-1.79), 1.62 (1.22-2.16), and 1.91 (1.47-2.48) for those with ASCVD risk of 5% to <7.5%, 7.5% to <10%, and ≥10%, respectively. The C statistic for discriminating between participants with versus without any masked hypertension was 0.681 (95% confidence interval, 0.640-0.723) for ASCVD risk and 0.703 (95% confidence interval, 0.663-0.744) for clinic systolic BP and diastolic BP.

conclusionsHigher ASCVD risk was associated with an increased prevalence of masked hypertension. Although the discrimination of ASCVD risk for masked hypertension was not superior to clinic BP, risk prediction equations may be useful for identifying the subgroup of individuals with both masked hypertension and high predicted ASCVD risk.

Indexed as

Black or African AmericanBlood PressureAdultAgedAtherosclerosisCircadian RhythmFemaleHumansMaleMasked HypertensionMiddle AgedMississippiPrehypertensionPrevalencePrognosisProspective Studiesblood pressurecardiovascular diseaseshumansmasked hypertensionprevalence

Identifiers

PMID28698190
PMCPMC5536851
OpenAlexW2735224019

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.