Evidence map›Paper›PMID 35070115›Full record

ArticleWorld journal of cardiology2021

Prognostic value of left atrial size in hypertensive African Americans undergoing stress echocardiography.

Abhishek Khemka, David A Sutter, Mazin N Habhab, Athanasios Thomaides, Kyle Hornsby, Harvey Feigenbaum, Stephen G Sawada

Open access · diamondAbstract read
In one paragraph

Article in World journal of cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 70% of its field
1 · What the graph read from it

What it found

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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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

7 authors at 3 institutions in 1 country.

Abhishek KhemkaDepartment of Medicine, Division of Cardiology, Indiana University School of Medicine, Krannert Institute of Cardiology, Indianapolis, IN 46202, United States. akhemka@iu.edu.
David A SutterDepartment of Cardiology, Michigan Heart, Ann Arbor, MI 48197, United States.
Mazin N HabhabDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, United States.
Athanasios ThomaidesDepartment of Cardiology, MedStar Health, Washington, DC 20007, United States.
Kyle HornsbyDepartment of Cardiology, Indiana University Health, Bloomington, IN 47403, United States.
Harvey FeigenbaumDepartment of Medicine, Division of Cardiology, Indiana University School of Medicine, Krannert Institute of Cardiology, Indianapolis, IN 46202, United States.
Stephen G SawadaDepartment of Medicine, Division of Cardiology, Indiana University School of Medicine, Krannert Institute of Cardiology, Indianapolis, IN 46202, United States.
Indiana University – Purdue University Indianapolis · USIndiana University School of MedicineMedStar Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft atrial (LA) enlargement is a marker of increased risk in the general population undergoing stress echocardiography. African American (AA) patients with hypertension are known to have less atrial remodeling than whites with hypertension. The prognostic impact of LA enlargement in AA with hypertension undergoing stress echocardiography is uncertain.

aimTo investigate the prognostic value of LA size in hypertensive AA patients undergoing stress echocardiography.

methodsThis retrospective outcomes study enrolled 583 consecutive hypertensive AA patients who underwent stress echocardiography over a 2.5-year period. Clinical characteristics including cardiovascular risk factors, stress and echocardiographic data were collected from the electronic health record of a large community hospital. Treadmill exercise and Dobutamine protocols were conducted based on standard practices. Patients were followed for all-cause mortality. The optimal cutoff value of antero-posterior LA diameter for mortality was assessed by receiver operating characteristic analysis. Cox regression was used to determine variables associated with outcome.

resultsThe mean age was 57 ± 12 years. LA dilatation was present in 9% (54) of patients (LA anteroposterior ≥ 2.4 cm/m

conclusionLA enlargement is infrequent in hypertensive AA patients when traditional reference values are used. LA enlargement is independently associated with mortality when a lower than "normal" threshold (≥ 2.05 cm/m

Indexed as

African AmericanHypertensionLeft atrial enlargementMortalityStress echocardiography

Identifiers

PMID35070115
PMCPMC8716971
OpenAlexW4200179430

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