Evidence map›Paper›PMID 30662019›Full record

ArticleJournal of atherosclerosis and thrombosis2019

Cerebral Arterial Stiffness as A New Marker of Early Stage Atherosclerosis of The Cerebral Large Artery in Acute Stroke.

Xian Fu, Xianliang Li, Li Xiong, Xuelong Li, Ruxun Huang, Qingchun Gao

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Impact of High Salt Diet on Cerebral Vascular Function and Stroke inInternational journal of molecular sciences · 2019
    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

6 authors at 4 institutions in 1 country.

Xian FuInstitute of Neuroscience and Department of Neurology, the Second Affiliated Hospital of Guangzhou Medical University.
Xianliang LiInstitute of Neuroscience and Department of Neurology, the Second Affiliated Hospital of Guangzhou Medical University.
Li XiongDepartment of Medicine & Therapeutics, The Chinese University of Hong Kong.
Xuelong LiInstitute of Neuroscience and Department of Neurology, the Second Affiliated Hospital of Guangzhou Medical University.
Ruxun HuangDepartment of Neurology, the First Affiliated Hospital, Sun Yat-Sen University.
Qingchun GaoInstitute of Neuroscience and Department of Neurology, the Second Affiliated Hospital of Guangzhou Medical University.
Guangzhou Medical University · CNSecond Affiliated Hospital of Guangzhou Medical University · CNChinese University of Hong Kong · CNSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimCarotid-cerebral pulse wave velocity (ccPWV) reflects the segment (C-M segment) stiffness between the common carotid artery and ipsilateral middle cerebral artery. C-M segment atherosclerosis (CMSA) is regarded the most frequent cause of anterior circulation ischemic stroke. We aimed to evaluate the association of ccPWV with early stage CMSA in this study.

methodsEighty-one acute ischemic stroke (AIS) patients with 154 C-M segments who were successfully evaluated with digital subtraction angiography, ccPWV, carotid intima-media thickness (cIMT), and brachial-ankle pulse wave velocity were enrolled into this study. Patient demographics and clinical data were retrieved from our AIS databases.

resultsMultivariate analyses showed that CMSA was independently associated with higher systolic BP, ccPWV, and cIMT. ccPWV and cIMT presented good diagnostic values for evaluating early stage CMSA in the receiver operating characteristic curve analyses. The areas under the curve (AUCs) of ccPWV were significantly higher than that of cIMT (Z=2.204, P=0.007). The AUC, sensitivity, specificity, Youden index, and cutoff of ccPWV for detecting early stage CMSA were 0.815 (P<0.001), 86%, 70.7%, 0.567, and 5.4 m/s, respectively. Furthermore, ccPWV was significantly correlated with the stenosis of CMSA at the early stage in Spearman's correlation analyses (r=0.877, P<0.001) and fractional polynomial plot with 95% confidence intervals.

conclusionsCerebral arterial stiffness has the potential to be a new marker of early stage atherosclerosis of the cerebral large artery. This finding may help us prevent the occurrence of stroke and decrease the burden of society from stroke patients.

Indexed as

Carotid Intima-Media ThicknessVascular StiffnessAnkle Brachial IndexAtherosclerosisBiomarkersCerebral ArteriesFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisStrokeBiomarkersCarotid–cerebral pulse wave velocityCerebral large arteryEarly atherosclerosisIschemic stroke

Identifiers

PMID30662019
PMCPMC6753241
OpenAlexW2908946331

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.