Evidence map›Paper›PMID 33325767›Full record

ArticleJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism2021

Longitudinal relation between blood pressure, antihypertensive use and cerebral blood flow, using arterial spin labelling MRI.

Jan Willem van Dalen, Henri Jmm Mutsaerts, Jan Petr, Matthan Wa Caan, Eric P Moll van Charante, Bradley J MacIntosh, Willem A van Gool, Aart J Nederveen, Edo Richard

Open access · bronzeAbstract read
In one paragraph

Article in Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.3field-weighted citation impact, top 16% 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

17 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Cerebral perfusion in untreated, controlled, and uncontrolled hypertension.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2022
    Article
  14. Review of major trials of acute blood pressure management in stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2022
    Review
  15. Article
  16. Article
  17. 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

9 authors at 4 institutions in 3 countries.

Jan Willem van DalenDepartment of Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-3439-8841
Henri Jmm MutsaertsDepartment of Radiology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Jan PetrInstitute of Radiopharmaceutical Cancer Research, Helmholtz-Zentrum Dresden-Rossendorf, Dresden, Germany.ORCID 0000-0002-3201-6002
Matthan Wa CaanDepartment of Biomedical Engineering and Physics, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Eric P Moll van CharanteDepartment of General Practice, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Bradley J MacIntoshDepartment of Medical Biophysics, University of Toronto, Sunnybrook Research Institute, Toronto, ON, Canada.ORCID 0000-0001-7300-2355
Willem A van GoolDepartment of Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Aart J NederveenDepartment of Radiology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Edo RichardDepartment of Neurology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Amsterdam University Medical Centers · NLRadboud University Nijmegen · NLHelmholtz-Zentrum Dresden-Rossendorf · DESunnybrook Health Science Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Consistent cerebral blood flow (CBF) is fundamental to brain function. Cerebral autoregulation ensures CBF stability. Chronic hypertension can lead to disrupted cerebral autoregulation in older people, potentially leading to blood pressure levels interfering with CBF. This study tested whether low BP and AHD use are associated with contemporaneous low CBF, and whether longitudinal change in BP is associated with change in CBF, using arterial spin labelling (ASL) MRI, in a prospective longitudinal cohort of 186 community-dwelling older individuals with hypertension (77 ± 3 years, 53% female), 125 (67%) of whom with 3-year follow-up. Diastolic blood pressure, systolic blood pressure, mean arterial pressure, and pulse pressure were assessed as blood pressure parameters. As additional cerebrovascular marker, we evaluated the ASL signal spatial coefficient of variation (ASL SCoV), a measure of ASL signal heterogeneity that may reflect cerebrovascular health. We found no associations between any of the blood pressure measures and concurrent CBF nor between changes in blood pressure measures and CBF over three-year follow-up. Antihypertensive use was associated with lower grey matter CBF (-5.49 ml/100 g/min, 95%CI = -10.7|-0.27,

Indexed as

Cerebrovascular CirculationSpin LabelsAgedAntihypertensive AgentsBlood PressureBrainCerebral ArteriesFemaleHumansHypertensionLongitudinal StudiesMagnetic Resonance AngiographyMaleProspective StudiesAntihypertensive AgentsSpin LabelsAntihypertensivesarterial spin labeling MRIblood pressurecerebral blood flowhypertension

Identifiers

PMID33325767
PMCPMC8217888
OpenAlexW3112857530

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.