Evidence map›Paper›PMID 29197829›Full record

ArticleJournal of the American Heart Association2017

Cadmium, Carotid Atherosclerosis, and Incidence of Ischemic Stroke.

Yan Borné, Björn Fagerberg, Margaretha Persson, Gerd Östling, Martin Söderholm, Bo Hedblad, Gerd Sallsten, Lars Barregard, Gunnar Engström

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 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
3.2field-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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Environmental toxic metal contaminants and risk of stroke: a systematic review and meta-analysis.Environmental science and pollution research international · 2022
    Pooled it
  4. Exposure to Cadmium and Cerebrovascular Mortality in the United States.Hygiene and environmental health advances · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Cadmium Toxicity and Health Effects-A Brief Summary.Molecules (Basel, Switzerland) · 2023
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
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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

9 authors at 2 institutions in 1 country.

Yan BornéClinical Sciences in Malmö, Lund University, Malmö, Sweden yan.borne@med.lu.se.
Björn FagerbergMolecular and Clinical Medicine, Wallenberg Laboratory for Cardiovascular and Metabolic Research, Sahlgrenska University Hospital University of Gothenburg, Sweden.
Margaretha PerssonClinical Sciences in Malmö, Lund University, Malmö, Sweden.
Gerd ÖstlingClinical Sciences in Malmö, Lund University, Malmö, Sweden.
Martin SöderholmClinical Sciences in Malmö, Lund University, Malmö, Sweden.
Bo HedbladClinical Sciences in Malmö, Lund University, Malmö, Sweden.
Gerd SallstenOccupational and Environmental Medicine, Sahlgrenska University Hospital and University of Gothenburg, Sweden.
Lars BarregardOccupational and Environmental Medicine, Sahlgrenska University Hospital and University of Gothenburg, Sweden.
Gunnar EngströmClinical Sciences in Malmö, Lund University, Malmö, Sweden.
Lund University · SESahlgrenska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExposure to cadmium has been associated with carotid plaques, inflammation in carotid plaques, and increased risk of ischemic stroke. This study examined the separate and interacting effects of blood cadmium levels and carotid plaques on the risk of incident ischemic stroke. METHODS AND

resultsCadmium levels were measured in 4156 subjects (39.2% men; mean±SD age 57.3±5.9 years) without history of stroke, from the Malmö Diet and Cancer cohort. The right carotid artery was examined using B-mode ultrasound examination at baseline. Incidence of ischemic stroke was monitored over a mean follow-up of 16.7 years. Carotid plaque was present in 34.5% of participants. Cadmium was significantly higher in subjects with plaque (mean±SD: 0.53±0.58 μg/L versus 0.42±0.49 μg/L;

conclusionsCadmium was associated with incidence of ischemic stroke, both independently and in synergistic interaction with carotid plaques. This supports the hypothesis that cadmium promotes vulnerability of carotid plaques, thereby increasing the risk of rupture and ischemic stroke.

Indexed as

AgedBiomarkersBrain IschemiaCadmiumCarotid Artery DiseasesCarotid Intima-Media ThicknessFemaleHumansIncidenceMaleMiddle AgedPlaque, AtheroscleroticPrevalencePrognosisRisk AssessmentRisk FactorsBiomarkersCadmiumarteriosclerosiscadmiumincidenceischemic strokeplaque

Identifiers

PMID29197829
PMCPMC5778998
OpenAlexW2771737792

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.