Evidence map›Paper›PMID 32590988›Full record

Observational studyRespiratory research2020

Cardiac biomarkers of prognostic importance in chronic obstructive pulmonary disease.

Ulf Nilsson, Nicholas L Mills, David A McAllister, Helena Backman, Caroline Stridsman, Linnea Hedman, Eva Rönmark, Takeshi Fujisawa, Anders Blomberg, Anne Lindberg

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Respiratory research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

11 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Is Disease Stability an Attainable Chronic Obstructive Pulmonary Disease Treatment Goal?American journal of respiratory and critical care medicine · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. 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

10 authors at 4 institutions in 2 countries.

Ulf NilssonDepartment of Public Health and Clinical Medicine, Section of Medicine, Umeå University Hospital, B41, 90185, Umeå, Sweden. ulf.nilsson@umu.se.ORCID http://orcid.org/0000-0002-2574-479X
Nicholas L MillsBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
David A McAllisterInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Helena BackmanDepartment of Public Health and Clinical Medicine, The OLIN unit, Section of Sustainable Health, Umeå University, Umeå, Sweden.
Caroline StridsmanDepartment of Health Science, Division of Nursing, Luleå University of Technology, Luleå, Sweden.
Linnea HedmanDepartment of Public Health and Clinical Medicine, The OLIN unit, Section of Sustainable Health, Umeå University, Umeå, Sweden.
Eva RönmarkDepartment of Public Health and Clinical Medicine, The OLIN unit, Section of Sustainable Health, Umeå University, Umeå, Sweden.
Takeshi FujisawaBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Anders BlombergDepartment of Public Health and Clinical Medicine, Section of Medicine, Umeå University Hospital, B41, 90185, Umeå, Sweden.
Anne LindbergDepartment of Public Health and Clinical Medicine, Section of Medicine, Umeå University Hospital, B41, 90185, Umeå, Sweden.
Umeå University · SEUniversity of Edinburgh · GBLuleå University of Technology · SEUniversity of Glasgow · GB

Funding

British Heart Foundation Butler Senior Clinical Research Fellowship FS/16/14/32023British Heart Foundation FS/16/14/32023King Gustaf V and Queen Victoria's Freemason Foundation N/AThe County Council of Norrbotten N/AThe County Council of Västerbotten N/AThe Swedish Heart and Lung Association N/AThe Swedish Heart and Lung foundation N/AThe Swedish Respiratory Society N/AThe VisareNorr Fund/Northern County Council's Regional Federation N/AUmeå University N/A
6 · The paper itself

Abstract

backgroundIschemic heart disease is common in COPD and associated with worse prognosis. This study aimed to investigate the presence and prognostic impact of biomarkers of myocardial injury and ischemia among individuals with COPD and normal lung function, respectively.

methodsIn 2002-04, all individuals with airway obstruction (FEV

resultsHs-cTnI concentrations were above the risk stratification threshold of ≥5 ng/L in 31.1 and 24.9% of those with COPD and normal lung function, respectively. Ischemic ECG abnormalities were present in 14.8 and 13.4%, while 7.7 and 6.6% had both elevated hs-cTnI concentrations and ischemic ECG abnormalities. The 5-year cumulative mortality was higher in those with COPD than those with normal lung function (13.6% vs. 7.7%, p < 0.001). Among individuals with COPD, elevated hs-cTnI both independently and in combination with ischemic ECG abnormalities were associated with an increased risk for death (adjusted hazard ratio [HR]; 95% confidence interval [CI] 2.72; 1.46-5.07 and 4.54; 2.25-9.13, respectively). Similar associations were observed also among individuals with COPD without reported ischemic heart disease.

conclusionsIn this study, elevated hs-cTnI concentrations in combination with myocardial ischemia on the electrocardiogram were associated with a more than four-fold increased risk for death in a population-based COPD-cohort, independent of disease severity.

Indexed as

AgedBiomarkersCohort StudiesElectrocardiographyFemaleHumansMaleMiddle AgedMyocardial IschemiaPrognosisPulmonary Disease, Chronic ObstructiveSwedenTroponin IBiomarkersTroponin ICOPDElectrocardiographyMortalityMultimorbidityMyocardial ischemiaTroponin

Identifiers

PMID32590988
PMCPMC7318493
OpenAlexW3037996820

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.