Evidence map›Paper›PMID 35916128›Full record

Trial reportHypertension (Dallas, Tex. : 1979)2022

Differential Sex-Specific Effects of Angiotensin-Converting Enzyme Inhibition and Angiotensin Receptor Blocker Therapy on Arterial Function in Hypertension: CALIBREX Trial.

Steven C Rogers, Yi-An Ko, Arshed A Quyyumi, Ihab Hajjar

Abstract readClinical Trial
In one paragraph

Trial report in Hypertension (Dallas, Tex. : 1979), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Aging of the Arterial System.International journal of molecular sciences · 2023
    Review
  5. 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

4 authors at 2 institutions in 1 country.

Steven C RogersDivision of Cardiology, Department of Medicine, Emory Clinical Cardiovascular Research Institute (S.C.R., Y.-A.K., A.A.Q.), Emory University School of Medicine, Atlanta, GA.
Yi-An KoDivision of Cardiology, Department of Medicine, Emory Clinical Cardiovascular Research Institute (S.C.R., Y.-A.K., A.A.Q.), Emory University School of Medicine, Atlanta, GA.ORCID 0000-0002-6543-9765
Arshed A QuyyumiDivision of Cardiology, Department of Medicine, Emory Clinical Cardiovascular Research Institute (S.C.R., Y.-A.K., A.A.Q.), Emory University School of Medicine, Atlanta, GA.ORCID 0000-0002-8166-679X
Ihab HajjarDepartment of Neurology (I.H.), Emory University School of Medicine, Atlanta, GA.
Emory Healthcare · USEmory University · US

Funding

The role of the renin-angiotensin-endothelial pathway in ADRF1AG051633 · NIA · EMORY UNIVERSITY · PI HAJJAR, IHAB M, QUYYUMI, ARSHED A · 2015 to 2017
$6.0M
A biomarker-driven trial of angiotensin receptor blockers for prodromal AlzheimerR01AG049752 · NIA · EMORY UNIVERSITY · PI GOLDSTEIN, FELICIA C. · 2016 to 2020
$3.8M
Building a high-resolution multi-omic AD interactome with the AMP-AD and M2OVE-AD ProjectsRF1AG057470 · NIA · EMORY UNIVERSITY · PI HAJJAR, IHAB M, SEYFRIED, NICHOLAS THOMAS · 2017 to 2017
$3.1M
Hypertension, angiotensin receptor blockers, and cognition: effects and mechanismR01AG042127 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI HAJJAR, IHAB M · 2012 to 2017
$3.0M
Mid-Career Program for Vascular Contributions to Alzheimer's diseaseK24AG062786 · NIA · UT SOUTHWESTERN MEDICAL CENTER · PI HAJJAR, IHAB M · 2020 to 2024
$915k
NIA NIH HHS K24 AG062786NIA NIH HHS R01 AG042127NIA NIH HHS R01 AG049752NIA NIH HHS RF1 AG051633NIA NIH HHS RF1 AG057470
6 · The paper itself

Abstract

backgroundIncreased arterial stiffness is associated with adverse cardiovascular outcomes. We studied the sex-specific impact of angiotensin antagonists on vascular function in hypertension with the hypothesis that their effects on arterial stiffness may be variable in men and women.

methodsIn 141 hypertensive participants with mild cognitive impairment (age 65.9±7.7, 57% female), candesartan (up to 32 mg, n=77) or lisinopril (up to 40 mg, n=64) were administered to achieve blood pressure <140/90 mm Hg. Pulse wave velocity, central pulse pressure, and central augmentation index were measured using applanation tonometry (SphygmoCor, Australia). Multivariate linear regression and mixed model analyses were performed using intention-to-treat and per protocol analyses for those completing the study.

resultsBlood pressure reduction was similar among candesartan and lisinopril groups. Compared with candesartan, lisinopril therapy resulted in lower pulse wave velocity (0.5±0.8 versus -0.7±0.4 m/s, respectively;

conclusionsDespite equipotent antihypertensive effects, lisinopril was more effective than candesartan at lowering arterial stiffness in women. In contrast, candesartan was more effective than lisinopril in improving pulse wave reflections in both sexes. These findings demonstrate differential sex-specific effects of renin-angiotensin system antagonists on arterial function in hypertension that may contribute to long-term cardiovascular and neurocognitive outcomes in this population.

Indexed as

HypertensionLisinoprilAgedAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAngiotensinsAntihypertensive AgentsBlood PressureFemaleHumansMaleMiddle AgedPulse Wave AnalysisAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAngiotensinsAntihypertensive AgentsLisinoprilblood pressurepopulationpulse wave analysisrenin-angiotensin systemsex

Identifiers

PMID35916128
PMCPMC12862570
OpenAlexW4289518646

What OpenQuestion holds

Textmetadata
LicenceTDM
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.