Evidence map›Paper›PMID 34657205›Full record

ReviewCurrent cardiology reports2021

Is Isolated Diastolic Hypertension an Important Phenotype?

Cesar A Romero, Aldo H Tabares, Marcelo Orias

Abstract readReview
In one paragraph

Review in Current cardiology reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

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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

3 authors.

Cesar A RomeroDivision of Renal Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Aldo H TabaresHospital Privado Córdoba, Córdoba, Argentina.
Marcelo OriasSection of Nephrology, Yale University, 25 Glenbrook Rd, Stamford, CT, 06902, USA. marcelo.orias@gmail.com.ORCID http://orcid.org/0000-0002-9750-3389

Funding

N-methyl-D-aspartate receptors (NMDAr) participates in renal hemodynamic regulation and blood pressure homeostasisK01HL155235 · NHLBI · EMORY UNIVERSITY · PI ROMERO, CESAR ANDRES · 2021 to 2025
$559k
NHLBI NIH HHS K01 HL155235
6 · The paper itself

Abstract

purpose of reviewIsolated diastolic hypertension (IDH) is a frequent hypertension phenotype. We review IDH pathophysiology, risk stratification, and therapeutic decisions. RECENT

findingsRecent guidelines lowering blood pressure cutoff levels have increased IDH prevalence and likely decreased associated cardiovascular risk. Long-term cardiovascular risk and pharmacological intervention in IDH are controversial. Narrow pulse pressure and other physiological and epidemiological characteristics are shared with a systodiastolic hypertension (SDH) subgroup. We propose that IDH be incorporated into a broader category, predominantly diastolic hypertension (PDH), defined by pulse pressure ≤ 45 mmHg and includes IDH and SDH with a narrow pulse pressure. IDH-PDH is associated with cardiovascular risk in the long term, especially in young patients. Standardization of the IDH definition and population may contribute to future research to understand genetics, pathophysiology, and eventually therapy in this important subgroup of hypertensive patients.

Indexed as

HypertensionBlood PressureHumansPhenotypePrevalenceRisk FactorsHypertension in young patientsHypertension prognosisIsolated diastolic hypertensionNarrow pulse pressurePredominantly diastolic hypertension

Identifiers

PMID34657205
PMCPMC8753786

What OpenQuestion holds

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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.