Evidence map›Paper›PMID 34622674›Full record

ArticleJournal of the American Heart Association2021

Impact of Peripheral Microvascular Endothelial Dysfunction on White Matter Hyperintensity.

Takumi Toya, Jaskanwal D Sara, Eugene L Scharf, Ali Ahmad, Valentina Nardi, Ilke Ozcan, Lilach O Lerman, Amir Lerman

Open access · goldAbstract read
In one paragraph

Article 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Cerebral Small Vessel Disease in Older Adults With Olfactory Dysfunction.International forum of allergy & rhinology · 2025
    Article
  3. Article
  4. Systemic determinants of brain health in ageing.Nature reviews. Neurology · 2024
    Review
  5. Article
  6. Article
  7. Coronary microvascular dysfunction in heart failure patients.Frontiers in cardiovascular medicine · 2023
    Review
  8. 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

8 authors at 2 institutions in 2 countries.

Takumi ToyaDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN.ORCID 0000-0002-4681-2798
Jaskanwal D SaraDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN.
Eugene L ScharfDepartment of Neurology Mayo Clinic Rochester MN.ORCID 0000-0003-2928-3924
Ali AhmadDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN.ORCID 0000-0001-9669-8009
Valentina NardiDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN.
Ilke OzcanDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN.ORCID 0000-0003-2006-3431
Lilach O LermanDivision of Nephrology and Hypertension Mayo Clinic Rochester MN.
Amir LermanDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN.ORCID 0000-0002-9446-5313
Mayo Clinic · USMayo Clinic in Arizona · US

Funding

Obesity-induced mesenchymal stem cell senescenceR01DK120292 · NIDDK · MAYO CLINIC ROCHESTER · PI LERMAN, LILACH O · 2019 to 2022
$2.6M
Quantitative magnetization transfer MRI for evaluation of renal fibrosisR01DK122734 · NIDDK · MAYO CLINIC ROCHESTER · PI LERMAN, LILACH O · 2020 to 2023
$2.2M
NIDDK NIH HHS R01 DK120292NIDDK NIH HHS R01 DK122734
6 · The paper itself

Abstract

Background White matter hyperintensity (WMH), characterized by hyperintensities on T2-weighted fluid-attenuated inversion recovery brain magnetic resonance imaging, has been linked to an increased risk of ischemic stroke (IS). Endothelial dysfunction is an indicator of vascular dysfunction, predicting the risk of IS. This study aimed to investigate the association between endothelial dysfunction and regional WMH, and its impact on future risk of IS. Methods and Results We enrolled 219 patients (mean age, 53.1±14.1 years; 34.7% men) who underwent peripheral endothelial function assessment using reactive hyperemia peripheral arterial tonometry and brain magnetic resonance imaging without any history of IS. Volumetric WMH segmentation was automatically extrapolated using a validated automated digital tool. Total and juxtacortical WMH volume/intracranial volume (%) increased with aging and became more prominent in patients aged >50 years (n=131) than those aged ≤50 years (n=88) (total WMH: ≤50 years, Pearson

Indexed as

HyperemiaLeukoaraiosisStrokeWhite MatterAdultAgedFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedRisk Factorsendothelial dysfunctionischemic strokereactive hyperemia peripheral arterial tonometrywhite matter disease

Identifiers

PMID34622674
PMCPMC8751863
OpenAlexW3202268334

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.