Evidence map›Paper›PMID 31808130›Full record

ArticleJournal of general internal medicine2020

Coronary Artery Disease and Atherosclerotic Risk Factors in a Population-Based Study of Sudden Death.

Golsa Joodi, Joan A Maradey, Brittany Bogle, Mojtaba Mirzaei, Murrium I Sadaf, Irion Pursell, Cory Henderson, John Paul Mounsey, Ross J Simpson

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Symptoms prior to sudden death.Resuscitation plus · 2021
    Article
  10. Variations in blood pressure control by medical comorbidities prior to sudden death.Journal of clinical hypertension (Greenwich, Conn.) · 2021
    Article
  11. 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

9 authors.

Golsa JoodiDepartment of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
Joan A MaradeyDepartment of Internal Medicine, Section on Cardiovascular Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Brittany BogleSenior Data Scientist, Data Science Elite Team, IBM Corporation, Durham, NC, USA.
Mojtaba MirzaeiDivision of Cardiology, Department of Medicine , University of North Carolina, Chapel Hill, NC, USA.
Murrium I SadafDepartment of Internal Medicine, Yale University School of Medicine, Waterbury, CT, USA.
Irion PursellDepartment of Cardiovascular Sciences, Brody School of Medicine, East Carolina University, Greenville, NC, USA.
Cory HendersonDivision of Cardiology, Department of Medicine , University of North Carolina, Chapel Hill, NC, USA.
John Paul MounseyDepartment of Cardiovascular Sciences, Brody School of Medicine, East Carolina University, Greenville, NC, USA.
Ross J SimpsonDivision of Cardiology, Department of Medicine , University of North Carolina, Chapel Hill, NC, USA. ross_simpson@med.unc.edu.

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
NCATS NIH HHS UL1 TR002489
6 · The paper itself

Abstract

backgroundSudden death is a public health problem with major impact on society. Coronary artery disease (CAD) is believed to underlie 60-80% of these deaths. While deaths from CAD have decreased in the recent decades, sudden death rates remain unacceptably high.

objectiveWe aimed to assess the prevalence of CAD and its risk factors among 18-64-year-old adults in a population-based case registry of sudden deaths and compare them to a living population from the same geographical area.

designFrom 2013 to 2015, all sudden deaths among 18-64-year-old adults in Wake County, NC, were identified (n = 371). A comparison group was formed by randomly selecting individuals from an electronic health record repository of a major healthcare system in the area (N = 4218). MAIN MEASURES: Prevalence of CAD and its risk factors among cases of sudden death and living population across sex and age groups. Odds of sudden death associated with atherosclerotic risk factors and comorbidities. KEY

resultsCAD was present in 14.8% of sudden death cases. Among sudden death victims, most risk factors and comorbidities were more common in the older age group, except for obesity which was more common in younger cases, and diabetes which was equally prevalent in younger and older cases. Compared to living population, sudden death cases had higher prevalence of atherosclerotic risk factors across all gender and age groups. Sudden death cases had a numerically higher number of risk factors compared to living population, regardless of age group or presence of CAD.

conclusionsCoronary artery disease is not common among sudden death cases, but risk factors and comorbidities are prevalent. Our findings support the changing etiology of sudden death. In the absence of clinically diagnosed CAD, use of novel imaging modalities and biomarkers may identify high-risk individuals and lead to prevention of sudden death.

Indexed as

AtherosclerosisCoronary Artery DiseaseAdolescentAdultDeath, Sudden, CardiacHumansMiddle AgedPrevalenceRisk FactorsYoung Adultcardiovascular risk factorcoronary artery diseaseSUDDENsudden death

Identifiers

PMID31808130
PMCPMC7018927

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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.