Evidence map›Paper›PMID 30712441›Full record

ArticleJournal of the American Heart Association2019

Inflammation and Aortic Pulse Wave Velocity: A Multicenter Longitudinal Study in Patients With Inflammatory Bowel Disease.

Luca Zanoli, Kadir Ozturk, Maria Cappello, Gaetano Inserra, Giulio Geraci, Antonio Tuttolomondo, Daniele Torres, Antonio Pinto, Andrea Duminuco, Gaia Riguccio and 8 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 5% 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Arterial Stiffness in Inflammatory Bowel Disease: An Updated Systematic Review and Meta-Analysis.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2021
    Pooled it
  2. Pooled it
  3. Trial
  4. Pathophysiology and Clinical Relevance of Microvascular Remodeling in Arterial Hypertension.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Review
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  6. Article
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  11. Article
  12. Residual Traditional Risk in Non-Traditional Atherosclerotic Diseases.International journal of molecular sciences · 2025
    Review
  13. Article
  14. Review
  15. Clinical research progress in pulse wave velocity in the assessment of vascular aging.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Review
  16. Emergencies in Hematology: Why, When and How I Treat?Journal of clinical medicine · 2024
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  18. 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

18 authors at 5 institutions in 3 countries.

Luca Zanoli1 Nephrology Department of Clinical and Experimental Medicine University of Catania Italy.
Kadir Ozturk2 Department of Gastroenterology Gulhane School of Medicine Etlik, Ankara Turkey.
Maria Cappello3 DIBIMIS School of Medicine University of Palermo Italy.
Gaetano Inserra4 Internal Medicine Department of Clinical and Experimental Medicine University of Catania Italy.
Giulio Geraci5 Unit of Nephrology and Hypertension Department of Internal Medicine University of Palermo Italy.
Antonio Tuttolomondo3 DIBIMIS School of Medicine University of Palermo Italy.
Daniele Torres3 DIBIMIS School of Medicine University of Palermo Italy.
Antonio Pinto3 DIBIMIS School of Medicine University of Palermo Italy.
Andrea Duminuco4 Internal Medicine Department of Clinical and Experimental Medicine University of Catania Italy.
Gaia Riguccio4 Internal Medicine Department of Clinical and Experimental Medicine University of Catania Italy.
Musa B Aykan6 Department of Internal Medicine Gulhane School of Medicine Etlik, Ankara Turkey.
Giuseppe Mulé5 Unit of Nephrology and Hypertension Department of Internal Medicine University of Palermo Italy.
Santina Cottone5 Unit of Nephrology and Hypertension Department of Internal Medicine University of Palermo Italy.
Alessandra F Perna7 First Division of Nephrology Department of Cardiothoracic & Respiratory Sciences University of Campania "Luigi Vanvitelli" Naples Italy.
Stephane Laurent8 Department of Pharmacology HEGP Université Paris Descartes AP-HP INSERM U970 Paris France.
Pasquale Fatuzzo1 Nephrology Department of Clinical and Experimental Medicine University of Catania Italy.
Pietro Castellino4 Internal Medicine Department of Clinical and Experimental Medicine University of Catania Italy.
Pierre Boutouyrie8 Department of Pharmacology HEGP Université Paris Descartes AP-HP INSERM U970 Paris France.
University of Palermo · ITUniversity of Catania · ITGülhane Askerî Tıp Akademisi · TRUniversité Paris Cité · FRUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Inflammatory bowel disease ( IBD ) is characterized by a low prevalence of traditional risk factors, an increased aortic pulse-wave velocity ( aPWV ), and an excess of cardiovascular events. We have previously hypothesized that the cardiovascular risk excess reported in these patients could be explained by chronic inflammation. Here, we tested the hypothesis that chronic inflammation is responsible for the increased aPWV previously reported in IBD patients and that anti-TNFa (anti-tumor necrosis factor-alpha) therapy reduce aPWV in these patients. Methods and Results This was a multicenter longitudinal study. We enrolled 334 patients: 82 patients with ulcerative colitis, 85 patients with Crohn disease, and 167 healthy control subjects matched for age, sex, and mean blood pressure, from 3 centers in Europe, and followed them for 4 years (range, 2.5-5.7 years). At baseline, IBD patients had higher aPWV than controls. IBD patients in remission and those treated with anti-TNFa during follow-up experienced an aortic destiffening, whereas aPWV increased in those with active disease and those treated with salicylates ( P=0.01). Disease duration ( P=0.02) was associated with aortic stiffening as was, in patients with ulcerative colitis, high-sensitivity C-reactive protein during follow-up ( P=0.02). All these results were confirmed after adjustment for major confounders. Finally, the duration of anti-TNFa therapy was not associated with the magnitude of the reduction in aPWV at the end of follow-up ( P=0.85). Conclusions Long-term anti-TNFa therapy reduces aPWV , an established surrogate measure of cardiovascular risk, in patients with IBD . This suggests that effective control of inflammation may reduce cardiovascular risk in these patients.

Indexed as

AdultAorta, ThoracicBiomarkersBlood PressureCardiovascular DiseasesC-Reactive ProteinEndoscopy, Digestive SystemFemaleFollow-Up StudiesHumansInflammationInflammatory Bowel DiseasesMaleProspective StudiesPulse Wave AnalysisRisk FactorsBiomarkersC-Reactive Proteinarterial stiffnessCrohn diseaseinflammationpulse wave velocitytumor necrosis factor‐alphaulcerative colitis

Identifiers

PMID30712441
PMCPMC6405571
OpenAlexW2913605782

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.