Evidence map›Paper›PMID 30906482›Full record

ArticleExperimental and therapeutic medicine2019

Renal haemodynamics and coronary atherosclerotic burden are associated in patients with hypertension and mild coronary artery disease.

Giulio Geraci, Dario Buccheri, Luca Zanoli, Pasquale Fatuzzo, Katia Di Natale, Marta M Zammuto, Emilio Nardi, Calogero Geraci, Ettore Mancia, Giulia Zambelli and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Experimental and therapeutic medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Observational
  3. Review
  4. Article
  5. Review
  6. Article
  7. Renal resistive index: Beyond the hemodynamics.Journal of clinical hypertension (Greenwich, Conn.) · 2020
    Article
  8. 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

15 authors at 3 institutions in 1 country.

Giulio GeraciUnit of Nephrology and Hypertension-European Society of Hypertension Excellence Centre, Paolo Giaccone University Hospital, I-90127 Palermo, Italy.
Dario BuccheriUnit of Interventional Cardiology, Hospital San Giovanni di Dio, I-92100 Agrigento, Italy.
Luca ZanoliDepartment of Clinical and Experimental Medicine, University of Catania, I-95100 Catania, Italy.
Pasquale FatuzzoDepartment of Clinical and Experimental Medicine, University of Catania, I-95100 Catania, Italy.
Katia Di NataleDepartment of Interventional Cardiology, Paolo Giaccone University Hospital, I-90100 Palermo, Italy.
Marta M ZammutoUnit of Nephrology and Hypertension-European Society of Hypertension Excellence Centre, Paolo Giaccone University Hospital, I-90127 Palermo, Italy.
Emilio NardiUnit of Nephrology and Hypertension-European Society of Hypertension Excellence Centre, Paolo Giaccone University Hospital, I-90127 Palermo, Italy.
Calogero GeraciUnit of Cardiology, S. Elia Hospital, I-93100 Caltanissetta, Italy.
Ettore ManciaUnit of Nephrology and Hypertension-European Society of Hypertension Excellence Centre, Paolo Giaccone University Hospital, I-90127 Palermo, Italy.
Giulia ZambelliDepartment of Interventional Cardiology, Paolo Giaccone University Hospital, I-90100 Palermo, Italy.
Davide PirainoDepartment of Interventional Cardiology, Paolo Giaccone University Hospital, I-90100 Palermo, Italy.
Salvatore S SignorelliDepartment of Clinical and Experimental Medicine, University of Catania, I-95100 Catania, Italy.
Antonio GranataDepartment of Nephrology and Dialysis, Hospital San Giovanni di Dio, I-92100 Agrigento, Italy.
Santina CottoneUnit of Nephrology and Hypertension-European Society of Hypertension Excellence Centre, Paolo Giaccone University Hospital, I-90127 Palermo, Italy.
Giuseppe MuleUnit of Nephrology and Hypertension-European Society of Hypertension Excellence Centre, Paolo Giaccone University Hospital, I-90127 Palermo, Italy.
European Society of Hypertension · ITUniversity of Catania · ITNuovo Ospedale San Giovanni di Dio · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intrarenal hemodynamic alterations are independent predictors of cardiovascular events in different populations. It has been hypothesized that there is an association between renal hemodynamics and coronary atherosclerotic burden in patients with hypertension. Therefore, the present study examined the associations between renal hemodynamics, coronary atherosclerotic burden and carotid atherosclerotic disease. A total of 130 patients with hypertension aged between 30-80 years who had been referred for an elective coronary angiography were enrolled in the present study. A duplex ultrasound of the intrarenal vasculature was performed to evaluate the resistive index (RI), pulsatility index (PI) and acceleration time (AT). The carotid intima-media thickness was additionally assessed. A coronary angiography was performed to detect the atherosclerotic burden using the Gensini Score (GS). Based on the GS values, subjects were divided into quintiles (I: ≤9; II: 9-17; III: 17-30; IV: 30-44; and V: GS >44) as well as in subjects with mild (GS ≤30) or severe coronary disease (GS >30). A weak significant difference in PI was identified among quintiles (P=0.041), whereas, RI and AT did not differ significantly. PI was associated with GS in the group with low coronary atherosclerotic burden (GS ≤30; P=0.047), whereas, no association was detected in subjects with GS >30. This association remained following adjustment for age and left ventricular ejection fraction (P=0.025). In conclusion, renal vascular alterations were associated with coronary atherosclerotic burden in patients with hypertension with mild coronary disease.

Indexed as

arterial stiffnessatherosclerosiscoronary artery diseaseGensini Scorehypertensionrenal pulsatility indexrenal resistive index

Identifiers

PMID30906482
PMCPMC6425226
OpenAlexW2914892933

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.