Evidence map›Paper›PMID 31537637›Full record

ArticleHeart (British Cardiac Society)2020

HIV and pericardial fat are associated with abnormal cardiac structure and function among Ugandans.

Jonathan Buggey, Leo Yun, Chung-Lieh Hung, Cissy Kityo, Grace Mirembe, Geoffrey Erem, Tiffany Truong, Isaac Ssinabulya, W H Wilson Tang, Brian D Hoit and 2 more

Open access · greenAbstract read
In one paragraph

Article in Heart (British Cardiac Society), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  17. Sex, HIV Status, and Measures of Cardiac Stress and Fibrosis in Uganda.Journal of the American Heart Association · 2021
    Article
  18. Article
  19. Article
  20. HIV-1 Tat: Role in Bystander Toxicity.Frontiers in cellular and infection microbiology · 2020
    Review
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

12 authors at 7 institutions in 3 countries.

Jonathan BuggeyCardiology, University Hospitals Harrington Heart & Vascular Institute, Cleveland, Ohio, USA.ORCID 0000-0001-8450-7236
Leo YunRadiology, Mackay Memorial Hospital, Taipei, Taiwan.
Chung-Lieh HungCardiology, Mackay Memorial Hospital, Taipei, Taiwan.
Cissy KityoJoint Clinical Research Center, Kampala, Uganda.
Grace MirembeJoint Clinical Research Center, Kampala, Uganda.
Geoffrey EremRadiology, Nsambya St Francis Hospital, Kampala, Uganda.
Tiffany TruongCase Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Isaac SsinabulyaMakerere University School of Medicine, Kampala, Uganda.
W H Wilson TangCardiology, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Brian D HoitCardiology, University Hospitals Harrington Heart & Vascular Institute, Cleveland, Ohio, USA.
Grace A McComseyCase Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Chris T LongeneckerCardiology, University Hospitals Harrington Heart & Vascular Institute, Cleveland, Ohio, USA chris.longenecker@uhhospitals.org.
University School · USJoint Clinical Research Centre · UGMackay Memorial Hospital · TWCleveland Clinic · USNsambya Hospital · UGUganda Management Institute · UGUniversity Hospitals of Cleveland · US

Funding

Clinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages to Equity in Health (CLE Health)UM1TR004528 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI GRACE A MCCOMSEY · 2023 to 2026
$32.1M
Pericardial fat, inflammation, and structural heart disease in HIVK23HL123341 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI LONGENECKER, CHRIS TODD · 2014 to 2018
$885k
NCATS NIH HHS UM1 TR004528NHLBI NIH HHS K23 HL123341
6 · The paper itself

Abstract

objectivesTo examine the relationship between pericardial fat (PCF) and cardiac structure and function among HIV-infected patients in the sub-Saharan African country of Uganda. People living with HIV (PLHIV) have altered fat distribution and an elevated risk for heart failure. Whether altered quantity and radiodensity of fat surrounding the heart relates to cardiac dysfunction in this population is unknown.

methodsOne hundred HIV-positive Ugandans on antiretroviral therapy were compared with 100 age and sex-matched HIV-negative Ugandans; all were >45 years old with >1 cardiovascular disease risk factor. Subjects underwent ECG-gated non-contrast cardiac CT and transthoracic echocardiography with speckle tracking strain imaging. Multivariable linear and logistic regression models were used to explore the association of PCF with echocardiographic outcomes.

resultsMedian age was 55% and 62% were female. Compared with uninfected controls, PLHIV had lower body mass index (27 vs 30, p=0.02) and less diabetes (26% vs 45%, p=0.005). Median left ventricular (LV) ejection fraction was 67%. In models adjusted for traditional risk factors, HIV was associated with 10.3 g/m

conclusionsIn Uganda, HIV infection, PCF volume and density are associated with abnormal cardiac structure and function.

Indexed as

AdiposityVentricular Function, LeftVentricular RemodelingAdipose TissueCase-Control StudiesFemaleHIV-Associated Lipodystrophy SyndromeHumansHypertrophy, Left VentricularMaleMiddle AgedPericardiumProspective StudiesRisk AssessmentRisk FactorsUgandaHIVLV GLSpericardial fat

Identifiers

PMID31537637
PMCPMC7927634
OpenAlexW2974426985

What OpenQuestion holds

Textmetadata
LicenceTDM
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.