Evidence map›Paper›PMID 31554764›Full record

ArticleJournal of atherosclerosis and thrombosis2020

Impact of Diabetes Mellitus on the Aortic Wall Changes as Atherosclerosis Progresses: Aortic Dilatation and Calcification.

Naoki Iwakawa, Akihito Tanaka, Hideki Ishii, Takashi Kataoka, Kiyoshi Niwa, Yusuke Hitora, Hiroshi Tashiro, Takayuki Mitsuda, Hiroki Kojima, Kenshi Hirayama and 4 more

Open access · diamondAbstract read
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Article in Journal of atherosclerosis and thrombosis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 19 citations in OpenAlex.

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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

14 authors at 1 institution in 1 country.

Naoki IwakawaDepartment of Cardiology, Nagoya University Graduate School of Medicine.
Akihito TanakaDepartment of Cardiology, Nagoya University Graduate School of Medicine.
Hideki IshiiDepartment of Cardiology, Nagoya University Graduate School of Medicine.
Takashi KataokaDepartment of Cardiology, Nagoya University Graduate School of Medicine.
Kiyoshi NiwaDepartment of Cardiology, Nagoya University Graduate School of Medicine.
Yusuke HitoraDepartment of Cardiology, Nagoya University Graduate School of Medicine.
Hiroshi TashiroDepartment of Cardiology, Nagoya University Graduate School of Medicine.
Takayuki MitsudaDepartment of Cardiology, Nagoya University Graduate School of Medicine.
Hiroki KojimaDepartment of Cardiology, Nagoya University Graduate School of Medicine.
Kenshi HirayamaDepartment of Cardiology, Nagoya University Graduate School of Medicine.
Kenji FurusawaDepartment of Cardiology, Nagoya University Graduate School of Medicine.
Ruka YoshidaDepartment of Cardiology, Nagoya University Graduate School of Medicine.
Susumu SuzukiDepartment of Cardiology, Nagoya University Graduate School of Medicine.
Toyoaki MuroharaDepartment of Cardiology, Nagoya University Graduate School of Medicine.
Nagoya University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimAn inverse association between diabetes mellitus (DM) and aortic dilatation has recently been reported. However, little is known about the association between DM and the progression of aortic dilatation/calcification as atherosclerosis progresses.

methodsWe identified 216 patients who had undergone percutaneous coronary intervention (PCI) and abdominal computed tomography (CT) during the PCI and follow-up phases. The patients were classified into two groups: those with DM (DM+ group; n=107) and those without DM (DM- group; n=109). The infrarenal aortic diameter and aortic calcification index (ACI) were measured, and annual changes were calculated using measurement results obtained during the PCI and follow-up phases.

resultsInfrarenal aortic diameters were significantly shorter in the DM+ group than in the DM- group during the PCI phase, and no significant ACI differences were observed between the DM+ and DM- groups. The median duration between the PCI and follow-up phase CT was 3.0 years. The growth rate of the infrarenal aortic dilatation from the PCI phase in the DM+ group was similar to that in the DM- group. Annual ACI changes were significantly larger in the DM+ group than in the DM- group. Multivariate logistic regression analysis indicated that the prevalence of DM was an independent predictor of rapid aortic calcification progression (odds ratio: 2.51; 95% confidence interval: 1.23-5.14; p=0.01).

conclusionOur findings suggest that DM negatively affects aortic dilatation during an earlier phase of atherosclerosis progression and positively affects the progression of aortic calcification in a later phase.

Indexed as

Aorta, AbdominalAortic Aneurysm, AbdominalAtherosclerosisDiabetes MellitusVascular CalcificationAgedCoronary Artery DiseaseCorrelation of DataDisease ProgressionFemaleHumansJapanMaleOrgan SizePercutaneous Coronary InterventionTomography, X-Ray ComputedAortic calcificationAortic dilatationAtherosclerosisCoronary artery diseaseDiabetes mellitus

Identifiers

PMID31554764
PMCPMC7355097
OpenAlexW2977195986

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.