Evidence map›Paper›PMID 33388766›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2021

Latent Tuberculosis Infection and Subclinical Coronary Atherosclerosis in Peru and Uganda.

Moises A Huaman, Carlo N De Cecco, Marcio S Bittencourt, Eduardo Ticona, Cissy Kityo, Isabel Ballena, Sophie Nalukwago, Rashidah Nazzinda, Cesar Ticona, Ruben Azañero and 6 more

Open access · greenAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
0.5field-weighted citation impact, top 20% 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

32 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
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  6. Cardiovascular Complications from Tuberculosis.Reviews in cardiovascular medicine · 2025
    Review
  7. Article
  8. Article
  9. Article
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  11. Tuberculosis and Increased Incidence of Cardiovascular Disease: Cohort Study Using United States and United Kingdom Health Records.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
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  13. Review
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  19. Exploring the link between cardiovascular risk factors and manifestations in latent tuberculosis infection: a comprehensive literature review.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2023
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 10 institutions in 4 countries.

Moises A HuamanDivision of Infectious Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Carlo N De CeccoDivision of Cardiothoracic Imaging, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia, USA.
Marcio S BittencourtDepartment of Cardiology, University Hospital, Sao Paulo, Brazil.
Eduardo TiconaHospital Nacional Dos de Mayo, Lima, Peru.
Cissy KityoJoint Clinical Research Centre, Kampala, Uganda.
Isabel BallenaHospital Nacional Dos de Mayo, Lima, Peru.
Sophie NalukwagoJoint Clinical Research Centre, Kampala, Uganda.
Rashidah NazzindaJoint Clinical Research Centre, Kampala, Uganda.
Cesar TiconaHospital Nacional Dos de Mayo, Lima, Peru.
Ruben AzañeroHospital Nacional Dos de Mayo, Lima, Peru.
Bin ZhangDivision of Biostatistics and Epidemiology, Cincinnati Children's Medical Center, Cincinnati, Ohio, USA.
Carey FarquharDepartment of Medicine and Global Health, University of Washington School of Medicine, Seattle, Washington, USA.
Thomas R HawnDepartment of Medicine and Global Health, University of Washington School of Medicine, Seattle, Washington, USA.
Timothy R SterlingDivision of Infectious Diseases, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Carl J FichtenbaumDivision of Infectious Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Chris T LongeneckerHarrington Heart & Vascular Institute, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Hospital Nacional Dos de Mayo · PEJoint Clinical Research Centre · UGUniversity of Cincinnati Medical Center · USUniversity of Washington · USChildren's Medical Center · USEmory University · USHospital Universitário da Universidade de São Paulo · BRNational University of San Marcos · PEUniversity School · USVanderbilt University · US

Funding

Case Clinical Trials Unit: Administrative Supplement NOSI AI-20-031.UM1AI069501 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI George Yendewa · 2012 to 2026
$40.4M
KL2 Training ProgramKL2TR001426 · NCATS · UNIVERSITY OF CINCINNATI · PI ZELLER, MARGARET H · 2015 to 2024
$6.8M
Pericardial fat, inflammation, and structural heart disease in HIVK23HL123341 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI LONGENECKER, CHRIS TODD · 2014 to 2018
$885k
NCATS NIH HHS KL2 TR001426NHLBI NIH HHS K23 HL123341NIAID NIH HHS UM1 AI069501
6 · The paper itself

Abstract

backgroundTuberculosis (TB) has been linked to an increased risk of atherosclerotic cardiovascular disease (ASCVD). We assessed whether latent TB infection (LTBI) is associated with subclinical coronary atherosclerosis in 2 TB-prevalent areas.

methodsWe analyzed cross-sectional data from studies conducted in Lima, Peru, and Kampala, Uganda. Individuals ≥40 years old were included. We excluded persons with known history of ASCVD events or active TB. Participants underwent QuantiFERON-TB (QFT) testing to define LTBI and computed tomography angiography to examine coronary atherosclerosis. A Coronary Artery Disease-Reporting Data System (CAD-RADS) score ≥3 defined obstructive CAD (plaque causing ≥50% stenosis).

results113 and 91 persons with and without LTBI, respectively, were included. There were no significant differences between LTBI and non-LTBI participants in terms of age (median [interquartile range]; 56 [51-62] vs 55 [49-64] years; P = .829), male sex (38% vs 42%; P = .519), or 10-year ASCVD risk scores (7.1 [3.2-11.7] vs 6.1 [2.8-1.8]; P = .533). CAD prevalence (any plaque) was similar between groups (29% vs 24%; P = .421). Obstructive CAD was present in 9% of LTBI and 3% of non-LTBI individuals (P = .095). LTBI was associated with obstructive CAD after adjusting for ASCVD risk score, HIV status, and study site (adjusted OR, 4.96; 95% CI, 1.05-23.44; P = .043). Quantitative QFT TB antigen minus Nil interferon-γ responses were associated with obstructive CAD (adjusted OR, 1.2; 95% CI, 1.03-1.41; P = .022).

conclusionsLTBI was independently associated with an increased likelihood of subclinical obstructive CAD. Our data indicate that LTBI is a nontraditional correlate of ASCVD risk.

Indexed as

Coronary Artery DiseaseLatent TuberculosisAdultCross-Sectional StudiesHumansInterferon-gamma Release TestsMaleMiddle AgedPeruTuberculin TestUgandaatherosclerosiscoronary artery diseasecoronary computed tomography angiographylatent tuberculosis infection

Identifiers

PMID33388766
PMCPMC8563179
OpenAlexW3118521025

What OpenQuestion holds

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Registered trials

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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.