Evidence map›Paper›PMID 28757483›Full record

ArticleJournal of the American Heart Association2017

Association of Blood Pressure Control Level With Left Ventricular Morphology and Function and With Subclinical Cerebrovascular Disease.

Koki Nakanishi, Zhezhen Jin, Shunichi Homma, Mitchell S V Elkind, Tatjana Rundek, Aylin Tugcu, Ralph L Sacco, Marco R Di Tullio

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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Changes in Left Ventricular Mass and Geometry in the Older Adults: Role of Body Mass and Central Obesity.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2019
    Article
  8. 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.

Koki NakanishiDepartment of Medicine, Columbia University, New York, NY.
Zhezhen JinDepartment of Biostatistics, Columbia University, New York, NY.
Shunichi HommaDepartment of Medicine, Columbia University, New York, NY.
Mitchell S V ElkindDepartments of Neurology and Epidemiology, Columbia University, New York, NY.
Tatjana RundekDepartment of Neurology, Miller School of Medicine, University of Miami, FL.
Aylin TugcuDepartment of Medicine, Columbia University, New York, NY.
Ralph L SaccoDepartment of Neurology, Miller School of Medicine, University of Miami, FL.
Marco R Di TullioDepartment of Medicine, Columbia University, New York, NY md42@cumc.columbia.edu.
Columbia University · USUniversity of Miami · US

Funding

ARCH PLAQUES AND STROKE IN AN ETHNICALLY MIXED COMMUNITYR01NS036286 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DI TULLIO, MARCO R · 1997 to 2009
$3.4M
Prevalence and predictors of asymptomatic atrial fibrillation in the communityR01NS083784 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DI TULLIO, MARCO R · 2014 to 2018
$3.0M
NINDS NIH HHS R01 NS036286NINDS NIH HHS R01 NS083784
6 · The paper itself

Abstract

backgroundLeft ventricular (LV) hypertrophy and subclinical cerebrovascular disease are early manifestations of cardiac and brain target organ damage caused by hypertension. This study aimed to investigate whether intensive office systolic blood pressure (SBP) control has beneficial effects on LV morphology and function and subclinical cerebrovascular disease in elderly patients with hypertension. METHODS AND

resultsWe examined 420 patients treated for hypertension without history of heart failure and stroke from the CABL (Cardiovascular Abnormalities and Brain Lesions) study. All patients underwent 2-dimensional echocardiographic examination and brain magnetic resonance imaging. Subclinical cerebrovascular disease was defined as silent brain infarcts and white matter hyperintensity volume. Patients were divided into 3 groups: SBP <120 mm Hg (intensive control); SBP 120 to 139 mm Hg (less intensive control); and SBP ≥140 mm Hg (uncontrolled). Prevalence of LV hypertrophy and diastolic dysfunction were lowest in the intensive control, intermediate in the less intensive control, and highest in the uncontrolled groups (12.8%, 31.8%, and 44.7%, respectively [

conclusionsCompared with less intensive control, intensive SBP control may have a stronger beneficial effect on cardiac than cerebral subclinical disease.

Indexed as

Ventricular Function, LeftVentricular RemodelingAgedAged, 80 and overAntihypertensive AgentsAsymptomatic DiseasesBlood PressureCase-Control StudiesCerebrovascular DisordersCross-Sectional StudiesEchocardiography, DopplerFemaleHumansHypertensionHypertrophy, Left VentricularMagnetic Resonance ImagingAntihypertensive Agentsblood pressurehypertensionleft ventricular diastolic dysfunctionleft ventricular hypertrophysilent brain infarction

Identifiers

PMID28757483
PMCPMC5586460
OpenAlexW2741126103

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.