Evidence map›Paper›PMID 32045282›Full record

ArticleThe British journal of radiology2020

Utility of routine non-gated CT chest in detection of subclinical atherosclerotic calcifications of coronary arteries in hospitalised HIV patients.

Mayil Krishnam, Eun Jin Chae, Eduardo Hernandez-Rangel, Edgar Karangiah, Geeta Gupta, Mathew Budoff

Open access · greenAbstract readEvaluation Study
In one paragraph

Article in The British journal of radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Coronary Artery Disease in Patients with HIV Infection: An Update.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2021
    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

6 authors at 3 institutions in 2 countries.

Mayil KrishnamDepartment of Radiological Sciences, Cardiovascular and Thoracic Imaging, University of California,Irvine Medical Center, 101 The City Drive South, Orange, California, United States.
Eun Jin ChaeDepartment of Radiology and the Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 86 Asanbyeongwon-Gil, Songpa-Gu, Seoul 138-736, South Korea.
Eduardo Hernandez-RangelDepartment of Radiological Sciences, Cardiovascular and Thoracic Imaging, University of California,Irvine Medical Center, 101 The City Drive South, Orange, California, United States.
Edgar KarangiahDepartment of Radiological Sciences, Cardiovascular and Thoracic Imaging, University of California,Irvine Medical Center, 101 The City Drive South, Orange, California, United States.
Geeta GuptaDepartment of Medicine/Infectious Diseases, University of California,Irvine Medical Center,101 The City Drive South, Orange, CA 92868, United States.
Mathew BudoffDepartment of Medicine/Cardiology, Harbor-UCLA Medical Center, 1000 W Carson St, Torrance, CA 90509, United States.
University of California, Irvine Medical Center · USHarbor–UCLA Medical Center · USUlsan College · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate coronary artery calcification (CAC) on routine CT chest in hospitalised HIV patients and to assess individual risk factors.

methodsRoutine CT chests, May 2010-November 2015, of 143 hospitalised HIV-positive patients were reviewed for qualitative assessment of calcification in major coronary arteries by two radiologists. Presence, location and burden of calcification were evaluated on 3 mm axial images of CT chest. Cardiovascular risk factors and HIV lab parameters such as CD4 count, viral load and duration, and status of antiretroviral treatment were collected. Statistical analysis including multivariate logistic regression was performed.

resultsForty-one patients (28.7%) showed CAC, left anterior descending (

conclusionsOne-third of hospitalised HIV patients showed subclinical CAC on CT chest. HIV duration and age of patients were independent risk factors for developing CAC. Higher CD4 cell count was strongly associated with CAC+. ADVANCES IN KNOWLEDGE: Routine CT chest with or without contrast performed for non-cardiac indications is helpful in identification of subclinical CAC in HIV patients and radiologists should be encouraged to report CAC.CAC is seen in younger age group in HIV, and awareness of this finding on routine CT chest would help guiding clinicians to assess risk stratification for primary prevention of ischemic heart disease in this population at an earlier stage when compared to normal population.Duration of HIV infection and age of patients were independent risk factors for developing CAC in our study and CD4 count was strongly associated with presence of CAC.

Indexed as

AdultComputed Tomography AngiographyCoronary AngiographyCoronary Artery DiseaseCoronary VesselsEarly DiagnosisFemaleHIV InfectionsHospitalizationHumansMaleMiddle AgedRetrospective StudiesTomography, X-Ray ComputedVascular Calcification

Identifiers

PMID32045282
PMCPMC7217561
OpenAlexW3006378610

What OpenQuestion holds

Textmetadata
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.