Evidence map›Paper›PMID 30318617›Full record

ArticleClinical cardiology2018

Association between ideal cardiovascular health and markers of subclinical cardiovascular disease.

Daniel Shpilsky, Claudia Bambs, Kevin Kip, Sanjay Patel, Aryan Aiyer, Oladipupo Olafiranye, Steven E Reis, Sebhat Erqou

Abstract readMulticenter Study
In one paragraph

Article in Clinical cardiology, 2018. 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
–field-weighted citation impact
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.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. 2-aminobutyrate mediates the impact of air pollution on blood biomarkers of Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  15. Subclinical cardiovascular disease and utility of coronary artery calcium score.International journal of cardiology. Heart & vasculature · 2021
    Review
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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

8 authors.

Daniel ShpilskyDepartment of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Claudia BambsDepartment of Public Health and Advanced Center for Chronic Diseases (ACCDiS), School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Kevin KipCollege of Public Health, University of South Florida, Tampa, Florida.
Sanjay PatelDepartment of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Aryan AiyerDepartment of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Oladipupo OlafiranyeDepartment of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Steven E ReisDepartment of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Sebhat ErqouDepartment of Medicine, Providence VA Medical Center, Providence, Rhode Island.ORCID https://orcid.org/0000-0001-6763-3804

Funding

Racial Differences in Atherosclerosis, Plaque Vulnerability, and CVDR01HL089292 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2009 to 2010
$1.5M
National Institute of Health R01HL08929NHLBI NIH HHS R01 HL089292NIH HHS R01HL089292Pennsylvania Department of Health ME-02-384
6 · The paper itself

Abstract

backgroundIdeal cardiovascular health (CVH) was proposed by the American Heart Association to promote population health. We aimed to characterize the association between ideal CVH and markers of subclinical cardiovascular disease (CVD). HYPOTHESIS: We hypothesized that ideal CVH is associated with several markers of subclinical CVD.

methodsWe used data from the Heart Strategies Concentrating on Risk Evaluation (Heart SCORE) study. We assigned 1 for each of the ideal CVH factors met. Endothelial function, expressed as Framingham reactive hyperemia index (fRHI), was measured using the EndoPAT device. Coronary artery calcium (CAC) and carotid intima-media thickness (CIMT) were quantified using electron beam computed tomography and carotid ultrasonography, respectively.

resultsA total of 1933 participants (mean [SD] age: 59 [7.5] years, 34% male, 44% black) were included. The mean number of ideal CVH factors met was 2.3 ± 1.3, with blacks having significantly lower score compared to whites (2.0 ± 1.2 vs 2.5 ± 1.4, respectively; P < 0.001). Seven hundred and eighty-nine participants (41%) achieved ≥3 ideal CVH factors. Participants with ≥3 ideal CVH factors (compared to those with <3 factors) had an average of 107 (95% confidence interval [CI]: 50-165) Agatston units lower CAC, 0.04 (0.01-0.06) mm lower CIMT, and 0.07 (0.02-0.12) units higher fRHI, after adjusting for age, sex, race, income, education, and marital status. Participants with ≥3 ideal CVH factors had 50% lower odds (95% CI: 28%-66%) of having CAC >100 Agatston units.

conclusionIn a community-based study with low prevalence of ideal CVH, even achieving three or more ideal CVH factors were associated with lower burden of subclinical CVD, indicating the utility of this construct for disease prevention.

Indexed as

Health StatusAgedBiomarkersCardiovascular DiseasesCarotid ArteriesCarotid Intima-Media ThicknessCoronary VesselsCross-Sectional StudiesFemaleHumansMaleMiddle AgedPennsylvaniaPrevalenceRetrospective StudiesRisk AssessmentBiomarkerscoronary artery calciumendothelial functionideal cardiovascular healthrisk factorsubclinical atherosclerosis

Identifiers

PMID30318617
PMCPMC6490110

What OpenQuestion holds

Textmetadata
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.