Evidence map›Paper›PMID 33961507›Full record

ArticleAmerican journal of physiology. Heart and circulatory physiology2021

Calcification prevalence in different vascular zones and its association with demographics, risk factors, and morphometry.

Majid Jadidi, William Poulson, Paul Aylward, Jason MacTaggart, Christian Sanderfer, Blake Marmie, Margarita Pipinos, Alexey Kamenskiy

Abstract read
In one paragraph

Article in American journal of physiology. Heart and circulatory physiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Windkessel Preserving Aortic Stent Graft Attenuates Left Ventricular Remodelling after Thoracic Endovascular Aortic Repair in a Porcine Model.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2026
    Article
  5. Article
  6. Article
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  8. Article
  9. FREQUENCY OF AORTIC MISCANNULATION DURING FLUOROSCOPY-FREE ENDOVASCULAR NAVIGATION.medRxiv : the preprint server for health sciences · 2025
    Article
  10. Review
  11. Article
  12. Determinants of thoracic aortic calcification and its effects on thoracic aortic size.The international journal of cardiovascular imaging · 2025
    Article
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  14. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Majid JadidiDepartment of Biomechanics, University of Nebraska at Omaha, Omaha, Nebraska.
William PoulsonDepartment of Surgery, University of Nebraska Medical Center, Omaha, Nebraska.
Paul AylwardDepartment of Surgery, University of Nebraska Medical Center, Omaha, Nebraska.
Jason MacTaggartDepartment of Surgery, University of Nebraska Medical Center, Omaha, Nebraska.
Christian SanderferDepartment of Surgery, University of Nebraska Medical Center, Omaha, Nebraska.
Blake MarmieDepartment of Surgery, University of Nebraska Medical Center, Omaha, Nebraska.
Margarita PipinosDepartment of Surgery, University of Nebraska Medical Center, Omaha, Nebraska.ORCID 0000-0002-4173-1251
Alexey KamenskiyDepartment of Biomechanics, University of Nebraska at Omaha, Omaha, Nebraska.ORCID 0000-0003-4887-2660

Funding

Optimized Stents for the Femoropopliteal ArteryR01HL125736 · NHLBI · UNIVERSITY OF NEBRASKA OMAHA · PI KAMENSKIY, ALEXEY, MACTAGGART, JASON · 2015 to 2024
$6.3M
Effects of aortic compliance and Windkessel reduction on cardiac and aortic pathophysiologyR01HL147128 · NHLBI · UNIVERSITY OF NEBRASKA OMAHA · PI DESYATOVA, ANASTASIA S · 2019 to 2023
$3.0M
DOD | U.S. Army Medical Research and Materiel Command | Armed Forces Institute of Regenerative Medicine (AFIRM) W81XWH-16-2-0034,Log 14361001HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL125736HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL147128NHLBI NIH HHS R01 HL125736NHLBI NIH HHS R01 HL147128
6 · The paper itself

Abstract

Vascular calcification is associated with a higher incidence of cardiovascular events, but its prevalence in different vascular zones and the influence of demographics, risk factors, and morphometry remain insufficiently understood. Computerized tomography angiography scans from 211 subjects 5-93 yr old (mean age 47 ± 24 yr, 127 M/84 F) were used to build 3D vascular reconstructions and measure arterial diameters, tortuosity, and calcification volumes in six vascular zones spanning from the ascending thoracic aorta to the pelvic arteries. A machine learning random forest algorithm was used to determine the associations between calcification in each zone with demographics, risk factors, and vascular morphometry. Calcification appeared during the fourth decade of life and was present in all subjects after 65 yr. The abdominal aorta and the iliofemoral segment were the first to develop calcification, whereas the ascending thoracic aorta was the last. Demographics and risk factors explained 33-59% of the variation in calcification. Age, creatinine level, body mass index, coronary artery disease, and hypertension were the strongest contributors, whereas the effects of sex, race, tobacco use, diabetes, dyslipidemia, and alcohol and substance use disorders on calcification were small. Vascular morphometry did not directly and independently affect calcium burden. Vascular zones develop calcification asynchronously, with distal segments calcifying first. Understanding the influence of demographics and risk factors on calcium prevalence can help better understand the disease pathophysiology and may help with the early identification of patients that are at higher risk of cardiovascular events.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsAortaAorta, AbdominalAorta, ThoracicChildChild, PreschoolComputed Tomography AngiographyFemaleHumansImaging, Three-DimensionalMachine LearningMaleagingaortacalcificationmachine learningrisk factors

Identifiers

PMID33961507
PMCPMC8289361

What OpenQuestion holds

Textmetadata
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.