Evidence map›Paper›PMID 31902804›Full record

Observational studyJournal of atherosclerosis and thrombosis2020

Hemoglobin A1C Levels are Independently Associated with the Risk of Coronary Atherosclerotic Plaques in Patients without Diabetes: A Cross-Sectional Study.

Wei-Ting Wang, Pai-Feng Hsu, Chung-Chi Lin, Yuan-Jen Wang, Yaw-Zon Ding, Teh-Ling Liou, Ying-Wen Wang, Shao-Sung Huang, Tse-Min Lu, Po-Hsun Huang and 4 more

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study 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
1.0field-weighted citation impact, top 22% 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, 11 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Prolonged sitting time links to subclinical atherosclerosis.Journal of the Chinese Medical Association : JCMA · 2022
    Article
  5. HbA1c as an Independent Predictor of Peripheral Artery Disease: Nonlinear Threshold and Causal Evidence from NHANES and Mendelian Randomization.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Observational
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 4 institutions in 4 countries.

Wei-Ting WangDivision of Cardiology, Department of Medicine, Taipei Veterans General Hospital.
Pai-Feng HsuDivision of Cardiology, Department of Medicine, Taipei Veterans General Hospital.
Chung-Chi LinDivision of Cardiology, Department of Medicine, Taipei Veterans General Hospital.
Yuan-Jen WangDivision of Cardiology, Department of Medicine, Taipei Veterans General Hospital.
Yaw-Zon DingDivision of Cardiology, Department of Medicine, Taipei Veterans General Hospital.
Teh-Ling LiouDivision of Cardiology, Department of Medicine, Taipei Veterans General Hospital.
Ying-Wen WangDivision of Cardiology, Department of Medicine, Taipei Veterans General Hospital.
Shao-Sung HuangDivision of Cardiology, Department of Medicine, Taipei Veterans General Hospital.
Tse-Min LuDivision of Cardiology, Department of Medicine, Taipei Veterans General Hospital.
Po-Hsun HuangDivision of Cardiology, Department of Medicine, Taipei Veterans General Hospital.
Jaw-Wen ChenHealthcare and Management Center, Taipei Veterans General Hospital.
Wan-Leong ChanDivision of Cardiology, Department of Medicine, Taipei Veterans General Hospital.
Shing-Jong LinDivision of Cardiology, Department of Medicine, Taipei Veterans General Hospital.
Hsin-Bang LeuDivision of Cardiology, Department of Medicine, Taipei Veterans General Hospital.
National Yang Ming Chiao Tung University · TWTaipei Veterans General Hospital · TWInstitute of Pharmacology · CZNational Academy of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimCoronary atherosclerotic plaques can be detected in asymptomatic subjects and are related to low-density lipoprotein cholesterol (LDL) levels in patients with coronary artery disease. However, researchers have not yet determined the associations between various plaque characteristics and other lipid parameters, such as HDL-C and TG levels, in low-risk populations.

methodsOne thousand sixty-four non-diabetic subjects (age, 57.86±9.73 years; 752 males) who underwent coronary computed tomography angiography (CCTA) were enrolled and the severity and patterns of atherosclerotic plaques were analyzed.

resultsStatin use was reported by 25% of the study population, and subjects with greater coronary plaque involvement (segment involvement score, SIS) were older and had a higher body mass index (BMI), blood pressure, unfavorable lipid profiles and comorbidities. After adjusting for comorbidities, only age (β=0.085, p<0.001), the male gender (β=1.384, p<0.001), BMI (β=0.055, p=0.019) and HbA1C levels (β=0.894, p<0.001) were independent factors predicting the greater coronary plaque involvement in non-diabetic subjects. In the analysis of significantly different (>50%) stenosis plaque patterns, age (OR: 1.082, 95% CI: 10.47-1.118) and a former smoking status (OR: 2.061, 95% CI: 1.013-4.193) were independently associated with calcified plaques. For partial calcified (mixed type) plaques, only age (OR: 1.085, 95% CI: 1.052-1.119), the male gender (OR: 7.082, 95% CI: 2.638-19.018), HbA1C levels (OR: 2.074, 95% CI: 1.036-4.151), and current smoking status (OR: 1.848, 95% CI: 1.089-3.138) were independently associated with the risk of the presence of significant stenosis in mixed plaques.

conclusionsA higher HbA1c levels is independently associated with the presence and severity of coronary artery atherosclerosis in non-diabetic subjects, even when LDL-C levels are tightly controlled.

Indexed as

BiomarkersCholesterol, LDLCoronary Artery DiseaseCoronary VesselsCross-Sectional StudiesFemaleFollow-Up StudiesGlycated HemoglobinHumansMaleMiddle AgedPlaque, AtheroscleroticPredictive Value of TestsRisk FactorsSeverity of Illness IndexTaiwanBiomarkersCholesterol, LDLGlycated Hemoglobinhemoglobin A1c protein, humanAtherosclerotic plaqueCoronary computed tomography angiographyHigh-density lipoprotein cholesterolLow-density lipoprotein cholesterolNon-diabetic

Identifiers

PMID31902804
PMCPMC7458793
OpenAlexW2996938824

What OpenQuestion holds

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LicenceCC BY-NC-SA
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.