Evidence map›Paper›PMID 30571600›Full record

ArticleJournal of the American Heart Association2018

Young Women With Coronary Artery Disease Exhibit Higher Concentrations of Interleukin-6 at Baseline and in Response to Mental Stress.

Samaah Sullivan, Muhammad Hammadah, Kobina Wilmot, Ronnie Ramadan, Brad D Pearce, Amit Shah, Belal Kaseer, Mohamad Mazen Gafeer, Bruno B Lima, Jeong Hwan Kim and 10 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
3.1field-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

37 citing papers in PubMed, 51 citations in OpenAlex.

  1. Review
  2. Mental stress as a trigger of cardiovascular events: A narrative review.European journal of clinical investigation · 2026
    Review
  3. Lifestyle medicine pillars for women's heart health.American journal of preventive cardiology · 2025
    Article
  4. Article
  5. Psychosocial stress and cardiovascular disease.American journal of preventive cardiology · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. Stress and cardiovascular disease: an update.Nature reviews. Cardiology · 2024
    Review
  10. Review
  11. Heart-brain axis: Pushing the boundaries of cardiovascular molecular imaging.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2024
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Imaging of heart disease in women: review and case presentation.European journal of nuclear medicine and molecular imaging · 2022
    Review
  18. Article
  19. Review
  20. 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

20 authors at 3 institutions in 2 countries.

Samaah Sullivan1 Department of Epidemiology Rollins School of Public Health Emory University Atlanta GA.
Muhammad Hammadah2 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Kobina Wilmot2 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Ronnie Ramadan2 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Brad D Pearce1 Department of Epidemiology Rollins School of Public Health Emory University Atlanta GA.
Amit Shah1 Department of Epidemiology Rollins School of Public Health Emory University Atlanta GA.
Belal Kaseer2 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Mohamad Mazen Gafeer2 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Bruno B Lima1 Department of Epidemiology Rollins School of Public Health Emory University Atlanta GA.
Jeong Hwan Kim2 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Laura Ward4 Department of Biostatistics and Bioinformatics Rollins School of Public Health Emory University Atlanta GA.
Yi-An Ko4 Department of Biostatistics and Bioinformatics Rollins School of Public Health Emory University Atlanta GA.
Tené T Lewis1 Department of Epidemiology Rollins School of Public Health Emory University Atlanta GA.
Allison Hankus1 Department of Epidemiology Rollins School of Public Health Emory University Atlanta GA.
Lisa Elon4 Department of Biostatistics and Bioinformatics Rollins School of Public Health Emory University Atlanta GA.
Lian Li1 Department of Epidemiology Rollins School of Public Health Emory University Atlanta GA.
J Douglas Bremner3 Atlanta VA Medical Center Decatur GA.
Paolo Raggi6 Mazankowski Alberta Heart Institute University of Alberta Edmonton Alberta Canada.
Arshed Quyyumi2 Division of Cardiology Department of Medicine Emory University School of Medicine Atlanta GA.
Viola Vaccarino1 Department of Epidemiology Rollins School of Public Health Emory University Atlanta GA.
Emory University · USAtlanta VA Medical Center · USUniversity of Alberta · CA

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Serious Hazards of Transfusion & Cellular Therapies: Mechanisms and InterventionP01HL086773 · NHLBI · EMORY UNIVERSITY · PI EASLEY, KIRK · 2008 to 2019
$17.9M
Neuro HPA Project 1U54AG062334 · NIA · EMORY UNIVERSITY · PI Ighovwerha Ofotokun · 2018 to 2026
$12.2M
Vascular Responses During Mental StressP01HL101398 · NHLBI · EMORY UNIVERSITY · PI QUYYUMI, ARSHED A · 2010 to 2015
$11.0M
Mental Stress and Myocardial Ischemia after MI: Sex Differences, Mechanisms and PrognosisR01HL109413 · NHLBI · EMORY UNIVERSITY · PI VACCARINO, VIOLA · 2012 to 2023
$6.9M
Multidisciplinary Research Training to Reduce Inequities in Cardiovascular HealthT32HL130025 · NHLBI · EMORY UNIVERSITY · PI Tené T Lewis, Viola Vaccarino · 2016 to 2026
$6.4M
Neural Circuits in Women with Abuse and PTSDR01MH056120 · NIMH · YALE UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 1999 to 2011
$5.0M
Emory University BIRCWH ProgramK12HD085850 · NICHD · EMORY UNIVERSITY · PI OFOTOKUN, IGHOVWERHA, STERK, CLAIRE E · 2015 to 2023
$4.4M
Metabolomics of subclinical and clinical cardiovascular diseaseP20HL113451 · NHLBI · EMORY UNIVERSITY · PI JONES, DEAN PAUL · 2012 to 2016
$4.3M
PTSD and Ischemic Heart Disease Progression: A Longitudinal Twin StudyR01HL125246 · NHLBI · EMORY UNIVERSITY · PI VACCARINO, VIOLA · 2015 to 2018
$3.4M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalKL2TR000455 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$2.9M
NCATS NIH HHS KL2 TR000455NCATS NIH HHS UL1 TR000454NCATS NIH HHS UL1 TR002378NHLBI NIH HHS K23 HL127251NHLBI NIH HHS K24 HL077506NHLBI NIH HHS P01 HL086773NHLBI NIH HHS P01 HL101398NHLBI NIH HHS P20 HL113451NHLBI NIH HHS R01 HL088726NHLBI NIH HHS R01 HL109413NHLBI NIH HHS R01 HL125246NHLBI NIH HHS R56 HL126558NHLBI NIH HHS T32 HL130025NIAID NIH HHS R38 AI140299NIA NIH HHS U54 AG062334NICHD NIH HHS K12 HD085850NIMH NIH HHS K24 MH076955NIMH NIH HHS R01 MH056120
6 · The paper itself

Abstract

Background Young women with coronary artery disease ( CAD ), a group with high psychosocial burden, were previously shown to have higher levels of interleukin-6 ( IL -6) compared with men of similar age. We sought to examine IL -6 response to acute stress in CAD patients across sex and age, and contrast results to healthy controls and other biomarkers known to increase with mental stress (monocyte chemoattractant protein-1 and matrix metallopeptidase-9) and known limited stress-reactivity (high-sensitivity C-reactive protein). Methods and Results Inflammatory biomarkers were measured at rest and 90 minutes after mental stress (speech task) among 819 patients with CAD and 89 healthy controls. Repeated-measures models were used to investigate age (continuous) and sex differences across time, before and after adjusting for demographics, CAD risk factors, depressive symptoms, medication use, and CAD severity. Among patients with CAD , the mean age was 60 years (range, 25-79) and 31% were women. Younger women with CAD had significantly higher concentrations of IL -6 at rest, 90 minutes after mental stress, as well as a higher response to stress, compared with similarly aged men ( P<0.05 for sex by age interactions). In contrast, IL -6 increased with age, and there were no sex differences in IL -6 levels or response to stress among controls. Inflammatory responses to stress for high-sensitivity C-reactive protein, monocyte chemoattractant protein-1, and matrix metallopeptidase-9 among CAD patients were similar in women and men. Conclusions IL -6 response to mental stress are higher in young women with CAD than men of similar age.

Indexed as

AdultAgedAge FactorsBiomarkersCase-Control StudiesChemokine CCL2Coronary Artery DiseaseC-Reactive ProteinFemaleHumansInterleukin-6MaleMatrix Metalloproteinase 9Middle AgedSex FactorsStress, PsychologicalBiomarkersChemokine CCL2C-Reactive ProteinInterleukin-6Matrix Metalloproteinase 9inflammationinterleukinmental stressstress testwomen

Identifiers

PMID30571600
PMCPMC6405549
OpenAlexW2902028361

What OpenQuestion holds

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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.