Evidence map›Paper›PMID 32830196›Full record

Observational studyInternational journal of obesity (2005)2021

The obesity paradox in the stress echo lab: fat is better for hearts with ischemia or coronary microvascular dysfunction.

Lauro Cortigiani, Maciej Haberka, Quirino Ciampi, Francesco Bovenzi, Bruno Villari, Eugenio Picano

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International journal of obesity (2005), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 37% 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, 7 citations in OpenAlex.

  1. Article
  2. Article
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.

Lauro CortigianiCardiology Division, San Luca Hospital, Lucca, Italy.
Maciej HaberkaDepartment of Cardiology, SHS, Medical University of Silesia, Katowice, Poland.ORCID http://orcid.org/0000-0002-2296-8827
Quirino CiampiCardiology Division, Fatebenefratelli Hospital, Benevento, Italy.
Francesco BovenziCardiology Division, San Luca Hospital, Lucca, Italy.
Bruno VillariCardiology Division, Fatebenefratelli Hospital, Benevento, Italy.
Eugenio PicanoCNR Institute of Clinical Physiology, Pisa, Italy. picano@ifc.cnr.it.
Fatebenefratelli Hospital · ITIstituto di Fisiologia Clinica · ITMedical University of Silesia · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is an independent risk factor for coronary artery disease (CAD), but once CAD has developed it has been associated with improved survival ("obesity paradox").

aimTo assess how obesity affects prognosis in patients with or without inducible ischemic regional wall motion abnormalities (RWMA) and/or abnormal coronary flow velocity reserve (CFVR) during stress echocardiography (SE).

methodsIn an observational retrospective two- center study design, we analyzed 3249 consecutive patients (1907 men; age 66 ± 12 years; body mass index, BMI, 26.9 ± 4.1 kg/m

results1075 patients were lean (BMI 18.5-24.9 kg/m

conclusionsObesity exerts a "paradoxical" protective effect in patients with stress-induced ischemia and/ or coronary microvascular dysfunction, and shows a neutral effect in patients with normal CFVR and no stress-induced RWMA.

Indexed as

AgedBlood Flow VelocityCoronary VesselsEchocardiography, StressFatsFemaleHeartHumansMaleMiddle AgedMyocardial IschemiaObesityPrognosisFats

Identifiers

PMID32830196
OpenAlexW3080154597

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.