Evidence map›Paper›PMID 33957931›Full record

ArticleCardiovascular diabetology2021

The risk of carotid plaque instability in patients with metabolic syndrome is higher in women with hypertriglyceridemia.

Francesca Servadei, Lucia Anemona, Marina Cardellini, Manuel Scimeca, Manuela Montanaro, Valentina Rovella, Francesca Di Daniele, Erica Giacobbi, Iacopo Maria Legramante, Annalisa Noce and 6 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Cardiovascular diabetology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. 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

16 authors at 2 institutions in 1 country.

Francesca Servadei *Anatomic Pathology, Department of Experimental Medicine, University of Rome Tor Vergata, Via Montpellier 1, Rome, RM, 00133, Italy.
Lucia Anemona *Anatomic Pathology, Department of Experimental Medicine, University of Rome Tor Vergata, Via Montpellier 1, Rome, RM, 00133, Italy.
Marina Cardellini *Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Manuel ScimecaAnatomic Pathology, Department of Experimental Medicine, University of Rome Tor Vergata, Via Montpellier 1, Rome, RM, 00133, Italy.
Manuela MontanaroAnatomic Pathology, Department of Experimental Medicine, University of Rome Tor Vergata, Via Montpellier 1, Rome, RM, 00133, Italy.
Valentina RovellaUOC of Internal Medicine, Center of Hypertension, University of Rome Tor Vergata, Rome, Italy.
Francesca Di DanielePhD School of Applied Medical, Surgical Sciences, University of Rome Tor Vergata, Rome, Italy.
Erica GiacobbiAnatomic Pathology, Department of Experimental Medicine, University of Rome Tor Vergata, Via Montpellier 1, Rome, RM, 00133, Italy.
Iacopo Maria LegramanteDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Annalisa NoceDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Rita BonfiglioAnatomic Pathology, Department of Experimental Medicine, University of Rome Tor Vergata, Via Montpellier 1, Rome, RM, 00133, Italy.
Patrizia BorboniDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Nicola Di DanieleDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Arnaldo IppolitiVascular Surgery, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Massimo FedericiDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Alessandro MaurielloAnatomic Pathology, Department of Experimental Medicine, University of Rome Tor Vergata, Via Montpellier 1, Rome, RM, 00133, Italy. alessandro.mauriello@uniroma2.it.
University of Rome Tor Vergata · ITSan Raffaele University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetabolic syndrome certainly favors growth of carotid plaque; however, it is uncertain if it determines plaque destabilization. Furthermore, it is likely that only some components of metabolic syndrome are associated with increased risk of plaque destabilization. Therefore, we evaluated the effect of different elements of metabolic syndrome, individually and in association, on carotid plaques destabilization.

methodsA total of 186 carotid endarterectomies from symptomatic and asymptomatic patients were histologically analysed and correlated with major cardiovascular risk factors.

resultsMetabolic syndrome, regardless of the cluster of its components, is not associated with a significant increase in risk of plaque destabilization, rather with the presence of stable plaques. The incidence of unstable plaques in patients with metabolic syndrome is quite low (43.9 %), when compared with that seen in the presence of some risk factors, but significantly increases in the subgroup of female patients with hypertriglyceridemia, showing an odds ratio of 3.01 (95% CI, 0.25-36.30).

conclusionsOur data may help to identify patients with real increased risk of acute cerebrovascular diseases thus supporting the hypothesis that the control of hypertriglyceridemia should be a key point on prevention of carotid atherosclerotic plaque destabilization, especially in post-menopausal female patients.

Indexed as

Plaque, AtheroscleroticAgedAged, 80 and overBiomarkersCarotid Artery DiseasesDisease ProgressionFemaleHumansHypertriglyceridemiaIncidenceItalyMaleMetabolic SyndromeMiddle AgedPrognosisRetrospective StudiesBiomarkersTriglyceridesCarotidHistologyHypertriglyceridemiaMetabolic syndromePost‐menopause

Identifiers

PMID33957931
PMCPMC8103747
OpenAlexW3152039280

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.