Evidence map›Paper›PMID 31870233›Full record

SynthesisJournal of the American Heart Association2020

Association Between Blood Pressure Variability and Cerebral Small-Vessel Disease: A Systematic Review and Meta-Analysis.

Phillip J Tully, Yuichiro Yano, Lenore J Launer, Kazuomi Kario, Michiaki Nagai, Simon P Mooijaart, Jurgen A H R Claassen, Simona Lattanzi, Andrew D Vincent, Christophe Tzourio and 2 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 6 pooled it
9.4field-weighted citation impact, top 1% 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

77 citing papers in PubMed, 6 syntheses or guidelines pooled it, 114 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Review
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Visit-to-visit blood pressure variability, brain MRI measures, and cognition in non-demented older adults.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  19. Review
  20. Article

17 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

12 authors at 10 institutions in 6 countries.

Phillip J TullyFreemasons Foundation Centre for Men's Health School of Medicine The University of Adelaide Australia.
Yuichiro YanoCommunity and Family Medicine Duke University Durham NC.
Lenore J LaunerIntramural Research Program National Institute on Aging National Institutes of Health Bethesda MD.
Kazuomi KarioDepartment of Medicine Jichi Medical University School of Medicine Tochigi Japan.
Michiaki NagaiDepartment of Cardiology Hiroshima City Asa Hospital Hiroshima Japan.
Simon P MooijaartDepartment of Gerontology and Geriatrics Leiden University Medical Center Institute for Evidence-Based Medicine in Old AgeLeiden the Netherlands.
Jurgen A H R ClaassenRadboud Alzheimer Center and Donders Institute for Brain, Cognition and Behaviour Radboud University Medical Center Nijmegen the Netherlands.
Simona LattanziNeurological Clinic Department of Experimental and Clinical Medicine Marche Polytechnic University Ancona Italy.
Andrew D VincentFreemasons Foundation Centre for Men's Health School of Medicine The University of Adelaide Australia.
Christophe TzourioBordeaux Population Health University of Bordeaux Inserm Team HEALTHY UMR 1219 CHU Bordeaux Bordeaux France.
Variability in Blood Pressure and Brain Health Consortium †
Variability in Blood Pressure and Brain Health Consortium<xref ref-type="author-note" rid="jah34674-note-1002"><sup>†</sup></xref>
Duke University · USFreemasons Foundation Centre for Men's Health · AUHiroshima City Asa Citizens Hospital · JPJichi Medical University · JPLeiden University Medical Center · NLMarche Polytechnic University · ITNational Institutes of Health · USRadboud University Nijmegen · NLUniversité de Bordeaux · FRUniversity of Adelaide · AU

Funding

Brain aging and cardiovascular risk factors and diseaseZIAAG007480 · NIA · NATIONAL INSTITUTE ON AGING · PI LAUNER, LENORE J · 2011 to 2025
$2.7M
6 · The paper itself

Abstract

Background Research links blood pressure variability (BPV) with stroke; however, the association with cerebral small-vessel disease (CSVD) remains unclear. As BPV and mean blood pressure are interrelated, it remains uncertain whether BPV adds additional information to understanding cerebrovascular morphological characteristics. Methods and Results A systematic review was performed from inception until March 3, 2019. Eligibility criteria included population, adults without stroke (<4 weeks); exposure, BPV quantified by any metric over any duration; comparison, (1) low versus high or mean BPV and (2) people with versus without CSVD; and outcomes, (1) CSVD as subcortical infarct, lacunae, white matter hyperintensities, cerebral microbleeds, or enlarged perivascular spaces; and (2) standardized mean difference in BPV. A total of 27 articles were meta-analyzed, comprising 12 309 unique brain scans. A total of 31 odds ratios (ORs) were pooled, indicating that higher systolic BPV was associated with higher odds for CSVD (OR, 1.27; 95% CI, 1.14-1.42; I

Indexed as

Blood PressureAgedCerebral Small Vessel DiseasesFemaleHumansHypertensionMalePrognosisRisk AssessmentRisk Factorsblood pressure measurement/monitoringblood pressure variabilityhigh blood pressuremeta‐analysissystematic reviewwhite matter disease

Identifiers

PMID31870233
PMCPMC6988154
OpenAlexW2997381603

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.