Evidence map›Paper›PMID 31280642›Full record

ArticleJournal of the American Heart Association2019

Premature Atherosclerotic Cardiovascular Disease: Trends in Incidence, Risk Factors, and Sex-Related Differences, 2000 to 2016.

Diana N Vikulova, Maja Grubisic, Yinshan Zhao, Kelsey Lynch, Karin H Humphries, Simon N Pimstone, Liam R Brunham

Open access · goldAbstract read
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 73 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 4 pooled it
9.0field-weighted citation impact, top 2% 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

73 citing papers in PubMed, 4 syntheses or guidelines pooled it, 138 citations in OpenAlex.

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  18. Diabetes and risk of premature atherosclerotic cardiovascular disease.Nutrition, metabolism, and cardiovascular diseases : NMCD · 2025
    Observational
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13 more citing papers are in PubMed but not listed here.

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

7 authors at 2 institutions in 1 country.

Diana N Vikulova1 Department of Medicine University of British Columbia Vancouver BC Canada.
Maja Grubisic3 BC Centre for Improved Cardiovascular Health Vancouver BC Canada.
Yinshan Zhao3 BC Centre for Improved Cardiovascular Health Vancouver BC Canada.
Kelsey Lynch2 Centre for Heart Lung Innovation University of British Columbia Vancouver BC Canada.
Karin H Humphries3 BC Centre for Improved Cardiovascular Health Vancouver BC Canada.
Simon N Pimstone1 Department of Medicine University of British Columbia Vancouver BC Canada.
Liam R Brunham1 Department of Medicine University of British Columbia Vancouver BC Canada.
University of British Columbia · CACentre for Advancing Health Outcomes · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The incidence of atherosclerotic cardiovascular disease has declined in the past 2 decades. However, these benefits may not extend to young patients. The objective of this work was to assess temporal trends in the incidence, risk profiles, sex-related differences, and outcomes in a contemporary population of young patients presenting with coronary artery disease ( CAD ) in British Columbia, Canada. Methods and Results We used a provincial cardiac registry to identify young patients (men aged <50 years, women aged <55 years), with a first presentation of CAD between 2000 and 2016, who had either ≥50% stenosis of ≥1 coronary arteries on angiography or underwent coronary revascularization. A total of 12 519 patients (30% women) met our inclusion criteria. The incidence of CAD remained stable and was higher for men than women (46-53 versus 18-23 per 100 000). Of patients, 92% had at least one traditional cardiovascular risk factor and 67% had multiple risk factors. The prevalence of diabetes mellitus, obesity, and hypertension increased during the study period and was higher for women. Women had fewer emergent procedures and revascularizations. Mortality rates decreased by 31% between 2000 and 2007, then were stable for the remaining 9 years. Mortality was significantly higher for women aged <45 years compared with men. Conclusions The incidence of premature CAD has not declined, and the prevalence of 3 major cardiovascular risk factors increased between 2000 and 2016. The risk burden and mortality rates were worse for women. These data have important implications for the design of strategies to prevent CAD in young adults.

Indexed as

AdultAtherosclerosisBritish ColumbiaCoronary Artery DiseaseCoronary StenosisDiabetes MellitusFemaleHumansHypertensionIncidenceMaleMiddle AgedMortalityObesityRisk FactorsSex Factorscardiovascular diseasecardiovascular disease risk factorssex specifictrendsyoung

Identifiers

PMID31280642
PMCPMC6662126
OpenAlexW2955190090

What OpenQuestion holds

Textmetadata
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.