Evidence map›Paper›PMID 34120449›Full record

Observational studyJournal of the American Heart Association2021

Cumulative Serum Uric Acid and Its Time Course Are Associated With Risk of Myocardial Infarction and All-Cause Mortality.

Xue Tian, Anxin Wang, Shouling Wu, Yingting Zuo, Shuohua Chen, Licheng Zhang, Dapeng Mo, Yanxia Luo

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Xue TianDepartment of Epidemiology and Health Statistics School of Public Health Capital Medical University Beijing China.
Anxin WangChina National Clinical Research Center for Neurological Diseases Beijing Tiantan HospitalCapital Medical University Beijing China.
Shouling WuDepartment of Cardiology Kailuan Hospital North China University of Science and Technology Tangshan China.
Yingting ZuoDepartment of Epidemiology and Health Statistics School of Public Health Capital Medical University Beijing China.
Shuohua ChenDepartment of Cardiology Kailuan Hospital North China University of Science and Technology Tangshan China.
Licheng ZhangDepartment of Epidemiology and Health Statistics School of Public Health Capital Medical University Beijing China.
Dapeng MoDepartment of Neurological Intervention Beijing Tiantan HospitalCapital Medical University Beijing China.
Yanxia LuoDepartment of Epidemiology and Health Statistics School of Public Health Capital Medical University Beijing China.
Capital Medical University · CNNorth China University of Science and Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Serum uric acid (SUA) has been demonstrated as a risk factor for myocardial infarction (MI) and all-cause mortality; however, the impact of cumulative SUA (cumSUA) remains unclear. We aimed to investigate the association of cumSUA with MI risk and all-cause mortality, and to further explore the effects of SUA accumulation time course. Methods and Results The study enrolled 53 463 participants without a history of MI, and these participants underwent 3 examinations during 2006 to 2010. cumSUA from baseline to the third examination was calculated, multiplying mean values between consecutive examinations by time intervals between visits. Cox models estimated hazard ratios (HRs) and 95% CIs of MI and all-cause mortality for cumSUA quartiles, hyperuricemia exposure duration, and SUA accumulation time course. During a median follow-up of 7.04 years, 476 incident MIs and 2692 deaths occurred. In the fully adjusted model, a higher MI risk was observed in the highest cumSUA quartile (HR, 1.48; 95% CI, 1.10-1.99), in participants with longer hyperuricemia exposure duration (HR, 1.71; 95% CI, 1.06-2.73), and in participants with cumSUA≥median and a negative slope (HR, 1.58; 95% CI, 1.18-2.11). Similar associations persisted for all-cause mortality. Conclusions The risk of MI and all-cause mortality increased with higher cumSUA and was affected by the SUA accumulation time course. Early SUA accumulation contributed more to MI risk and all-cause mortality than later SUA accumulation with the same overall cumulative exposure, emphasizing the importance of optimal SUA control early in life.

Indexed as

AdultBiomarkersCause of DeathChinaFemaleHumansHyperuricemiaIncidenceMaleMiddle AgedMyocardial InfarctionPrognosisRisk AssessmentRisk FactorsTime FactorsUric AcidBiomarkersUric Acidall‐cause mortalitycumulative serum uric acidearly controlmyocardial infarctiontime course

Identifiers

PMID34120449
PMCPMC8403320
OpenAlexW3170954764

What OpenQuestion holds

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LicenceCC BY
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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.