Evidence map›Paper›PMID 28910373›Full record

ArticlePloS one2017

Lack of association of MRI determined subclinical cardiovascular disease with dizziness and vertigo in a cross-sectional population-based study.

Roberto Lorbeer, Holger Hetterich, Ralf Strobl, Anina Schafnitzel, Hannah Patscheider, Andreas Schindler, Katharina Müller-Peltzer, Wieland Sommer, Annette Peters, Christa Meisinger and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 35% 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

3 citing papers in PubMed, 8 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

14 authors at 7 institutions in 1 country.

Roberto LorbeerDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-2224-9208
Holger HetterichDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Ralf StroblInstitute of Medical Information Processing, Biometrics and Epidemiology, LMU Munich, Munich, Germany.
Anina SchafnitzelDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Hannah PatscheiderDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Andreas SchindlerDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Katharina Müller-PeltzerDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Wieland SommerDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Annette PetersInstitute of Epidemiology II, Helmholtz Zentrum München, Neuherberg, Germany.
Christa MeisingerInstitute of Epidemiology II, Helmholtz Zentrum München, Neuherberg, Germany.
Margit HeierInstitute of Epidemiology II, Helmholtz Zentrum München, Neuherberg, Germany.
Wolfgang RathmannDepartment of Biometrics and Epidemiology, German Diabetes Center, Duesseldorf, Germany.
Fabian BambergDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Eva GrillInstitute of Medical Information Processing, Biometrics and Epidemiology, LMU Munich, Munich, Germany.
LMU Klinikum · DEDeutsches Diabetes-Zentrum e.V. · DEGerman Center for Lung Research · DEHelmholtz Zentrum München · DELudwig-Maximilians-Universität München · DEUniversity Hospital Augsburg · DEUniversity of Augsburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe investigated the association between subclinical cardiovascular diseases assessed by MRI examination and symptoms of dizziness and vertigo in participants of a population-based sample.

methodsData from 400 participants (169 women) aged from 39 to 73 of a cross-sectional MRI sub-study of the "Kooperative Gesundheitsforschung in der Region Augsburg" (KORA) FF4 study from the south of Germany was used. MRI determined subclinical cardiovascular diseases include left and right ventricular structure and function as well as the presence of carotid plaque and carotid wall thickness. Cerebrum diseases include white matter lesions (WML) and cerebral microbleeds (CMB). The main outcomes of dizziness and vertigo were assessed by standardized interview. Logistic regression models were applied and adjusted odds ratios (OR) with 95% confidence intervals (CI) were provided.

resultsLifetime and 12-month prevalence of dizziness and vertigo were 30% (95%CI 26% to 35%) and 21% (95%CI 17% to 26%) respectively in this sample. On multivariable analysis, cardiac and carotid measurements were not associated with dizziness and vertigo excluding orthostatic vertigo (20%, 95CI 16% to 24%). Only in male participants, there was a significant association between WML and the presence of dizziness and vertigo (OR = 2.95, 95%CI 1.08 to 8.07). There was no significant association of CMB with dizziness and vertigo. However, CMB and WML were tending to associate with a higher risk of dizziness and vertigo in the whole sample (CMB: OR = 1.48, 95%CI 0.70; 3.15; WML: OR = 1.71, 95%CI 0.80 to 3.67;), in persons with prediabetes and diabetes (WML: OR = 2.71, 95%CI 0.89 to 8.23) and in men with normal glucose metabolism (CMB: OR = 2.60, 95%CI 0.56 to 12.0; WML: OR = 3.08, 95%CI 0.58 to 16.5).

conclusionsIn this sample of participants without manifest cardiovascular diseases, subclinical left and right ventricular function and carotid structure were consistently not associated with dizziness and vertigo. Subclinical cerebrum measurements, however, tend to increase the risk for dizziness and vertigo, especially in men and in persons with prediabetes or diabetes.

Indexed as

AdultAgedBrain DiseasesCardiovascular DiseasesCross-Sectional StudiesDizzinessFemaleGermanyHumansLogistic ModelsMagnetic Resonance ImagingMaleMiddle AgedPrevalenceRisk FactorsVentricular Function

Identifiers

PMID28910373
PMCPMC5599022
OpenAlexW2755676529

What OpenQuestion holds

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LicenceCC BY
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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.