Evidence map›Paper›PMID 34369198›Full record

Observational studyJournal of the American Heart Association2021

Predictive Value of the Cardio-Ankle Vascular Index for Cardiovascular Events in Patients at Cardiovascular Risk.

Toru Miyoshi, Hiroshi Ito, Kohji Shirai, Shigeo Horinaka, Jitsuo Higaki, Shigeo Yamamura, Atsuhito Saiki, Mao Takahashi, Mitsuru Masaki, Takafumi Okura and 8 more

Abstract readMulticenter StudyObservational 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 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing 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

51 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  20. QKD interval as a noninvasive method for evaluation of atherosclerosis.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
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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

18 authors.

Toru MiyoshiDepartment of Cardiovascular Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan.
Hiroshi ItoDepartment of Cardiovascular Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan.
Kohji ShiraiDepartment of Internal Medicine Mihama Hospital Chiba Japan.
Shigeo HorinakaDepartment of Cardiovascular Medicine Dokkyo Medical University Mibu Japan.
Jitsuo HigakiDepartment of Cardiology South Matsuyama Hospital Matsuyama Japan.
Shigeo YamamuraFaculty of Pharmaceutical Sciences Josai International University Chiba Japan.
Atsuhito SaikiCenter of Diabetes, Endocrine and Metabolism Toho University Sakura Medical Center Sakura-City Japan.
Mao TakahashiDivision of Cardiovascular Medicine (Sakura) Department of Internal Medicine Faculty of Medicine Toho University Sakura-City Japan.
Mitsuru MasakiDivision of Clinical Laboratory Medicine Department of Cardiovascular and Renal Medicine Hyogo College of Medicine Nishinomiya Japan.
Takafumi OkuraDepartment of Cardiology Yawatahama City General Hospital Yawatahama Japan.
Kazuhiko KotaniDivision of Community and Family Medicine Jichi Medical University Shimotsuke Japan.
Takuro KubozonoDepartment of Cardiovascular Medicine and Hypertension Graduate School of Medical and Dental Sciences Kagoshima University Kagoshima Japan.
Ryo YoshiokaDepartment of Cardiovascular Medicine The Sakakibara Heart Institute of Okayama Okayama Japan.
Hajime KiharaDepartment of Internal Medicine Kihara Cardiovascular Clinic Asahikawa Japan.
Koji HasegawaDivision of Translational Research National Hospital Organization Kyoto Medical Center Kyoto Japan.
Noriko Satoh-AsaharaDepartment of Endocrinology, Metabolism, and Hypertension Research Clinical Research Institute National Hospital Organization Kyoto Medical Center Kyoto Japan.
Hajime OrimoJapan Osteoporosis Foundation Tokyo Japan.
CAVI‐J (Prospective Multicenter Study to Evaluate Usefulness of Cardio‐Ankle Vascular Index in Japan) investigators *

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Arterial stiffness is an important predictor of cardiovascular events; however, indexes for measuring arterial stiffness have not been widely incorporated into routine clinical practice. This study aimed to determine whether the cardio-ankle vascular index (CAVI), based on the blood pressure-independent stiffness parameter β and reflecting arterial stiffness from the origin of the ascending aorta, is a good predictor of cardiovascular events in patients with cardiovascular disease risk factors in a large prospective cohort. Methods and Results This multicenter prospective cohort study, commencing in May 2013, with a 5-year follow-up period, included patients (aged 40‒74 years) with cardiovascular disease risks. The primary outcome was the composite of cardiovascular death, nonfatal stroke, or nonfatal myocardial infarction. Among 2932 included patients, 2001 (68.3%) were men; the mean (SD) age at diagnosis was 63 (8) years. During the median follow-up of 4.9 years, 82 participants experienced primary outcomes. The CAVI predicted the primary outcome (hazard ratio, 1.38; 95% CI, 1.16‒1.65;

Indexed as

Cardio Ankle Vascular IndexVascular StiffnessAdultAgedCardiovascular DiseasesFemaleHeart Disease Risk FactorsHumansJapanMaleMiddle AgedPredictive Value of TestsPrognosisProspective StudiesRisk AssessmentTime Factorsarterial stiffnessblood pressurecardiovascular eventspulse‐wave velocityrisk factor

Identifiers

PMID34369198
PMCPMC8475039

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.