Evidence map›Paper›PMID 33879505›Full record

ArticleOpen heart2021

Cardiovascular risk factors and autonomic indices in relation to fatal and non-fatal coronary events.

Christian Zambach, Artur Fedorowski, Yan Borné, Linda S B Johnson, Sofia Gerward, Viktor Hamrefors, Gunnar Engström

Open access · goldAbstract read
In one paragraph

Article in Open heart, 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
0.5field-weighted citation impact, top 35% 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, 3 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

7 authors at 1 institution in 1 country.

Christian ZambachDepartment of Clinical Sciences, Lund University, Malmö, Sweden.ORCID 0000-0002-6859-2693
Artur FedorowskiDepartment of Clinical Sciences, Lund University, Malmö, Sweden.ORCID 0000-0002-5352-6327
Yan BornéDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Linda S B JohnsonDepartment of Clinical Sciences, Lund University, Malmö, Sweden.ORCID 0000-0002-2249-8220
Sofia GerwardDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Viktor HamreforsDepartment of Clinical Sciences, Lund University, Malmö, Sweden viktor.hamrefors@med.lu.se.ORCID 0000-0002-8475-0866
Gunnar EngströmDepartment of Clinical Sciences, Lund University, Malmö, Sweden.ORCID 0000-0002-8618-9152
Lund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMortality caused by coronary artery disease has markedly decreased in recent years. However, a substantial proportion of patients suffering a coronary event (CE) die within the first day, most of them out of hospital. We aimed to investigate how established cardiovascular (CV) risk factors and CV autonomic indices associate with fatal versus non-fatal CEs in the population.

methods33 057 individuals (mean age; 45.6 years; 10 773 women) free of coronary artery disease at baseline were included. Baseline examination, including assessment of traditional CV risk factors and autonomic indices such as heart rate and orthostatic reaction, was performed during 1974-1992, after which the subjects were monitored for incident CV disease. The Lunn-McNeil competing risks approach with a prespecified multivariable model was used to assess differences in risks for fatal and non-fatal CEs in relation to baseline CV risk factors.

resultsDuring follow-up period of 29.7 years, 5494 subjects (6.10/1000 person-years) had first CE; 1554 of these were fatal. Age, male gender, smoking, body mass index (BMI), blood pressure, pulse pressure and resting heart rate had stronger relationships with fatal CE than with non-fatal events. The effects of diabetes, serum cholesterol, antihypertensive treatment and orthostatic blood pressure responses were similar for fatal and non-fatal CE.

conclusionsSeveral cardiovascular risk factors, such as smoking, high BMI, blood pressure and high resting heart rate, were preferentially associated with fatal compared with non-fatal CEs. These observations may require special attention in the overall efforts to further reduce coronary artery disease mortality.

Indexed as

Heart Disease Risk FactorsAdultBlood PressureCardiovascular DiseasesCause of DeathCoronary Artery DiseaseFollow-Up StudiesHumansMiddle AgedRetrospective StudiesRisk FactorsSurvival RateSwedenacute coronary syndromecoronary artery diseaserisk factors

Identifiers

PMID33879505
PMCPMC8061811
OpenAlexW3153545119

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.