Evidence map›Paper›PMID 32114515›Full record

ArticleHeart (British Cardiac Society)2020

Interstitial lung disease is a risk factor for ischaemic heart disease and myocardial infarction.

Lorna Elise Clarson, Ram Bajpai, Rebecca Whittle, John Belcher, Alyshah Abdul Sultan, Chun Shing Kwok, Victoria Welsh, Mamas Mamas, Christian D Mallen

Open access · hybridAbstract read
In one paragraph

Article in Heart (British Cardiac Society), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 7% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Lung transplantation for interstitial lung disease.Breathe (Sheffield, England) · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
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  19. Investigating the efficacy of osimertinib and crizotinib in phase 3 clinical trials on anti-cancer treatment-induced cardiotoxicity: are real-world studies the way forward?Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners · 2023
    Article
  20. Chronic rheumatologic disorders and cardiovascular disease risk in women.American heart journal plus : cardiology research and practice · 2023
    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

9 authors at 1 institution in 1 country.

Lorna Elise ClarsonSchool of Primary, Community and Social Care, Keele University, Keele, UK l.clarson@keele.ac.uk.ORCID 0000-0003-0828-9649
Ram BajpaiSchool of Primary, Community and Social Care, Keele University, Keele, UK.ORCID 0000-0002-1227-2703
Rebecca WhittleSchool of Primary, Community and Social Care, Keele University, Keele, UK.
John BelcherSchool of Primary, Community and Social Care, Keele University, Keele, UK.
Alyshah Abdul SultanSchool of Primary, Community and Social Care, Keele University, Keele, UK.
Chun Shing KwokCardiovascular Research Group, Keele University, Stoke-on-Trent, UK.ORCID 0000-0001-7047-1586
Victoria WelshSchool of Primary, Community and Social Care, Keele University, Keele, UK.
Mamas MamasCardiovascular Research Group, Keele University, Stoke-on-Trent, UK.
Christian D MallenSchool of Primary, Community and Social Care, Keele University, Keele, UK.
Keele University · GB

Funding

Department of Health NIHR-RP-2014-04-026
6 · The paper itself

Abstract

objectivesDespite many shared risk factors and pathophysiological pathways, the risk of ischaemic heart disease (IHD) and myocardial infarction (MI) in interstitial lung disease (ILD) remains poorly understood. This lack of data could be preventing patients who may benefit from screening for these cardiovascular diseases from receiving it.

methodsA population-based cohort study used electronic patient records from the Clinical Practice Research Datalink and linked Hospital Episode Statistics to identify 68 572 patients (11 688 ILD exposed (mean follow-up: 3.8 years); 56 884 unexposed controls (mean follow-up: 4.0 years), with 349 067 person-years of follow-up. ILD-exposed patients (pulmonary sarcoidosis (PS) or idiopathic pulmonary fibrosis (PF)) were matched (by age, sex, registered general practice and available follow-up time) to patients without ILD or IHD/MI. Rates of incident MI and IHD were estimated. HRs were modelled using multivariable Cox proportional hazards regression accounting for potential confounders.

resultsILD was independently associated with IHD (HR 1.85, 95% CI 1.56 to 2.18) and MI (HR 1.74, 95% CI 1.44 to 2.11). In all disease categories, risk of both IHD and MI peaked between ages 60 and 69 years, except for the risk of MI in PS which was greatest <50 years. Men with PF were at greatest risk of IHD, while women with PF were at greatest risk of MI.

conclusionsILD, particularly PF, is independently associated with MI and IHD after adjustment for established cardiovascular risk factors. Our results suggest clinicians should prioritise targeted assessment of cardiovascular risk in patients with ILD, particularly those aged 60-69 years. Further research is needed to understand the impact of such an approach to risk management.

Indexed as

AdultAgedAged, 80 and overAge DistributionAge FactorsCase-Control StudiesDatabases, FactualFemaleHeart Disease Risk FactorsHumansIncidenceLung Diseases, InterstitialMaleMiddle AgedMyocardial InfarctionMyocardial Ischemiacardiac risk factors and preventioncoronary artery disease

Identifiers

PMID32114515
PMCPMC7282497
OpenAlexW3008833393

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.