Evidence map›Paper›PMID 33279483›Full record

ArticleThe American journal of cardiology2021

Can the Absence of Hypertension Refine the Risk Assessment of Older Adults for Future Cardiovascular Events?

Michael G Nanna, Ann Marie Navar, Daniel Wojdyla, Adam J Nelson, Alex E Sullivan, Eric D Peterson

Open access · greenAbstract read
In one paragraph

Article in The American journal of cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 72% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Aging-Induced QT Prolongation as a Potential Contributor to Longevity.Journal of cardiovascular development and disease · 2026
    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

6 authors at 3 institutions in 1 country.

Michael G NannaDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina; Department of Medicine, Duke University Medical Center, Durham, North Carolina. Electronic address: michael.nanna@duke.edu.
Ann Marie NavarUniversity of Texas Southwestern Medical Center, Dallas Texas.
Daniel WojdylaDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina.
Adam J NelsonDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina.
Alex E SullivanDepartment of Medicine, Duke University Medical Center, Durham, North Carolina.
Eric D PetersonUniversity of Texas Southwestern Medical Center, Dallas Texas.
Duke University · USThe University of Texas Southwestern Medical Center · USDuke Medical Center · US

Funding

Postdoctoral Training in Cardiovascular Clinical ResearchT32HL069749 · NHLBI · DUKE UNIVERSITY · PI MARK, DANIEL B · 2003 to 2023
$6.7M
Preventing Cardiovascular Disease through Improved Risk Prediction and CommunicationK01HL133416 · NHLBI · DUKE UNIVERSITY · PI NAVAR, ANN MARIE · 2016 to 2020
$707k
NHLBI NIH HHS K01 HL133416NHLBI NIH HHS T32 HL069749
6 · The paper itself

Abstract

We sought to determine if the absence of hypertension in older adults can be used to identify those at lower risk of atherosclerotic cardiovascular disease (ASCVD). We identified participants ≥75 years old free of cardiovascular disease (CVD) in the National Institutes of Health Pooled Cohorts with and without hypertension. We assessed the association between systolic blood pressure (BP), diastolic BP, and cardiovascular events using multivariable modeling. The association between predicted ASCVD risk and observed events was compared. Of 2,667 adults aged ≥75 years, 67.9% had hypertension. Lower systolic BP correlated with lower CVD event rates. ASCVD predicted risk score and systolic BP were both independently associated with ASCVD event rates. Among adults with similar ASCVD predicted risk estimates, those without (vs with) hypertension had lower observed event rates across the predicted risk spectrum. The absence of hypertension may help refine the risk stratification of older adults, particularly those with intermediate predicted risk.

Indexed as

Blood PressureAgedAged, 80 and overAntihypertensive AgentsCardiovascular DiseasesCase-Control StudiesCohort StudiesFemaleHumansHypertensionLongitudinal StudiesMaleMyocardial InfarctionProportional Hazards ModelsRisk AssessmentRisk FactorsAntihypertensive Agents

Identifiers

PMID33279483
PMCPMC8221431
OpenAlexW3111149120

What OpenQuestion holds

Textmetadata
LicenceTDM
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.