Evidence map›Paper›PMID 32362230›Full record

ArticleHypertension (Dallas, Tex. : 1979)2020

Subclinical Systolic and Diastolic Dysfunction Is Evident in Youth With Elevated Blood Pressure.

Andrew H Tran, Joseph T Flynn, Richard C Becker, Stephen R Daniels, Bonita E Falkner, Michael Ferguson, Coral D Hanevold, Stephen R Hooper, Julie R Ingelfinger, Marc B Lande and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  5. Article
  6. Long-term outcomes in adults born preterm with symptomatic patent ductus arteriosus.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
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  8. Review
  9. Review
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  11. The Japanese Society of Hypertension Guidelines for the management of elevated blood pressure and hypertension 2025 (JSH2025).Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  12. Review
  13. Article
  14. Article
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  16. Review
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  19. Article
  20. Associations between long-term averages of metabolic parameters in adulthood and cardiac structure and function in later life.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 12 institutions in 1 country.

Andrew H TranFrom the Cincinnati Children's Hospital Medical Center, OH (A.H.T., L.J.M., M.M., E.M.U.).
Joseph T FlynnSeattle Children's Hospital (J.T.F.).
Richard C BeckerUniversity of Cincinnati, OH (A.H.T., R.C.B., L.J.M., M.M., E.M.U.).
Stephen R DanielsChildren's Hospital Colorado, Aurora, CO (S.R.D.).
Bonita E FalknerThomas Jefferson University Philadephia, PA (B.E.F.).
Michael FergusonBoston Children's Hospital, MA (M.F.).
Coral D Hanevold
Stephen R HooperSchool of Medicine, University of North Carolina at Chapel Hill (S.R.H.).
Julie R IngelfingerMassachusetts General Hospital, Boston (J.R.I.).
Marc B LandeUniversity of Rochester Medical Center, New York (M.B.L.).
Lisa J MartinFrom the Cincinnati Children's Hospital Medical Center, OH (A.H.T., L.J.M., M.M., E.M.U.).
Kevin MeyersChildren's Hospital of Philadelphia, PA (K.M.).
Mark MitsnefesFrom the Cincinnati Children's Hospital Medical Center, OH (A.H.T., L.J.M., M.M., E.M.U.).
Bernard RosnerHarvard University, Boston, MA (B.R.).
Joshua A SamuelsMcGovern Medical School at UTHealth, Houston, TX (J.A.S.).
Elaine M UrbinaFrom the Cincinnati Children's Hospital Medical Center, OH (A.H.T., L.J.M., M.M., E.M.U.).
Cincinnati Children's Hospital Medical Center · USBoston Children's Hospital · USChildren's Hospital Colorado · USChildren's Hospital of Philadelphia · USHarvard University · USMassachusetts General Hospital · USSeattle Children's Hospital · USThe University of Texas Health Science Center at Houston · USThomas Jefferson University · USUniversity of Cincinnati · USUniversity of North Carolina at Chapel Hill · USUniversity of Rochester Medical Center · US

Funding

American Heart Association-American Stroke Association 15SFRN23680000
6 · The paper itself

Abstract

Hypertension is associated with cardiovascular events in adults. Subclinical changes to left ventricular strain and diastolic function have been found before development of decreased left ventricular ejection fraction and cardiovascular events. Our objective was to study effects of blood pressure (BP) on ventricular function in youth across the BP spectrum. Vital signs and labs were obtained in 346 participants aged 11 to 19 years who had BP categorized as low-risk (N=144; systolic BP <75th percentile), mid-risk (N=83; systolic BP ≥80th and <90th percentile), and high-risk (N=119; systolic BP ≥90th percentile). Echocardiography was performed to assess left ventricular strain and diastolic function. Differences between groups were analyzed by ANOVA. General linear models were constructed to determine independent predictors of systolic and diastolic function. Mid-risk and high-risk participants had greater adiposity and more adverse metabolic labs (lower HDL [high-density lipoprotein], higher glucose, and higher insulin) than the low-risk group. Mid-risk and high-risk participants had significantly lower left ventricular ejection fraction and peak global longitudinal strain than the low-risk group (both

Indexed as

HypertensionAdiposityAdolescentAsymptomatic DiseasesBlood GlucoseBlood PressureBlood Pressure DeterminationCardiometabolic Risk FactorsChildEchocardiographyFemaleHumansMaleStroke VolumeUnited StatesVentricular Dysfunction, LeftBlood Glucoseadiposityblood pressureechocardiographyglucosepediatrics

Identifiers

PMID32362230
PMCPMC7266265
OpenAlexW3021517937

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.