Evidence map›Paper›PMID 32981919›Full record

Observational studyJournal of atherosclerosis and thrombosis2021

Cardio-Ankle Vascular Index Predicts Post-Discharge Stroke in Patients with Heart Failure.

Yu Sato, Akiomi Yoshihisa, Yasuhiro Ichijo, Koichiro Watanabe, Yu Hotsuki, Yusuke Kimishima, Tetsuro Yokokawa, Tomofumi Misaka, Takamasa Sato, Takashi Kaneshiro and 3 more

Abstract readObservational Study
In one paragraph

Observational study in Journal of atherosclerosis and thrombosis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
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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

13 authors.

Yu SatoDepartment of Cardiovascular Medicine, Fukushima Medical University.
Akiomi YoshihisaDepartment of Cardiovascular Medicine, Fukushima Medical University.
Yasuhiro IchijoDepartment of Cardiovascular Medicine, Fukushima Medical University.
Koichiro WatanabeDepartment of Cardiovascular Medicine, Fukushima Medical University.
Yu HotsukiDepartment of Cardiovascular Medicine, Fukushima Medical University.
Yusuke KimishimaDepartment of Cardiovascular Medicine, Fukushima Medical University.
Tetsuro YokokawaDepartment of Cardiovascular Medicine, Fukushima Medical University.
Tomofumi MisakaDepartment of Cardiovascular Medicine, Fukushima Medical University.
Takamasa SatoDepartment of Cardiovascular Medicine, Fukushima Medical University.
Takashi KaneshiroDepartment of Cardiovascular Medicine, Fukushima Medical University.
Masayoshi OikawaDepartment of Cardiovascular Medicine, Fukushima Medical University.
Atsushi KobayashiDepartment of Cardiovascular Medicine, Fukushima Medical University.
Yasuchika TakeishiDepartment of Cardiovascular Medicine, Fukushima Medical University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimWe aimed to evaluate the significance of the cardio-ankle vascular index (CAVI) to predict stroke in patients with heart failure (HF).

methodsThis was a prospective observational study, which recruited clinical data from a total of 557 patients who had been hospitalized for HF and undergone CAVI. According to the receiver operating characteristic curve analysis, the accurate cut-off value of CAVI in predicting post-discharge stroke was 9.64. We divided the patients into two groups: the high-CAVI group (HF patients with CAVI ≥ 9.64, n=111, 19.9%) and the low-CAVI group (HF patients with CAVI <9.64, n=446, 80.1%). We compared the patients' characteristics and post-discharge prognosis. The primary endpoint was stroke.

resultsThe high-CAVI group was older (73.0 vs. 65.5 years old, P<0.001). Male sex (73.9% vs. 61.4%, P=0.015), coronary artery disease (47.7% vs. 36.1%, P=0.024), and diabetes mellitus (54.1% vs. 37.4%, P=0.001) were more prevalent in the high-CAVI group. In contrast, there was no difference in left ventricular ejection fraction, and prevalence of hypertension and dyslipidemia. The Kaplan-Meier analysis demonstrated that post-discharge stroke rate was higher in the high-CAVI group than in the low-CAVI group (log-rank P=0.005). In multivariate Cox proportional hazard analysis, high CAVI was found to be an independent predictor of stroke, with an adjusted hazard ratio of 3.599, compared to low CAVI.

conclusionCAVI independently predicts stroke in patients with HF.

Indexed as

Cardio Ankle Vascular IndexHeart FailureRisk AssessmentStrokeAftercareAgedFemaleHumansJapanMalePatient DischargePredictive Value of TestsPrevalencePrognosisProspective StudiesRisk FactorsArterial stiffnessAtherosclerosisCardio-ankle vascular indexHeart failureStroke

Identifiers

PMID32981919
PMCPMC8265923

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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.