Evidence map›Paper›PMID 36573194›Full record

ArticleInternational journal of cardiology. Cardiovascular risk and prevention2022

High-sensitivity troponin I is associated with cardiovascular outcomes but not with breast arterial calcification among postmenopausal women.

Carlos Iribarren, Malini Chandra, Catherine Lee, Gabriela Sanchez, Danny L Sam, Farima Faith Azamian, Hyo-Min Cho, Huanjun Ding, Nathan D Wong, Sabee Molloi

Abstract read
In one paragraph

Article in International journal of cardiology. Cardiovascular risk and prevention, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Carlos IribarrenKaiser Permanente Division of Research, 2000 Broadway, Oakland, CA, USA.
Malini ChandraKaiser Permanente Division of Research, 2000 Broadway, Oakland, CA, USA.
Catherine LeeKaiser Permanente Division of Research, 2000 Broadway, Oakland, CA, USA.
Gabriela SanchezKaiser Permanente Division of Research, 2000 Broadway, Oakland, CA, USA.
Danny L SamKaiser Permanente Santa Clara Medical Center, Santa Clara, CA, USA.
Farima Faith AzamianDepartment of Radiological Sciences, University of California Irvine School of Medicine, Irvine, CA, USA.
Hyo-Min ChoMedical Measurement Team, Korea Research Institute of Standards and Science, Daejeon, South Korea.
Huanjun DingDepartment of Radiological Sciences, University of California Irvine School of Medicine, Irvine, CA, USA.
Nathan D WongDivision of Cardiology, Department of Medicine and Department of Epidemiology, University of California Irvine, Irvine, CA, USA.
Sabee MolloiDepartment of Radiological Sciences, University of California Irvine School of Medicine, Irvine, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prior studies support the utility of high sensitivity troponin I (hsTnI) for cardiovascular disease (CVD) risk stratification among asymptomatic populations; however, only two prior studies examined women separately. The association between hsTnI and breast arterial calcification is unknown. Methods: Cohort study of 2896 women aged 60-79 years recruited after attending mammography screening between 10/2012 and 2/2015. BAC status (presence versus absence) and quantity (calcium mass mg) was determined using digital mammograms. Pre-specified endpoints were incident coronary heart disease (CHD), ischemic stroke, heart failure and its subtypes and all CVD. Results: After 7.4 (SD = 1.7) years of follow-up, 51 CHD, 30 ischemic stroke and 46 heart failure events were ascertained. At a limit of detection of 1.6 ng/L, 98.3 of the cohort had measurable hsTnI concentration. HsTnI in the 4-10 ng/L range were independently associated of CHD (adjusted hazard ratio[aHR] = 2.78; 95% CI, 1.48-5.22; p = 0.002) and all CVD (aHR = 2.06; 95% CI, 1.37-3.09; p = 0.0005) and hsTnI over 10 ng/L was independently associated with CHD (aHR = 4.75; 95% CI, 1.83-12.3; p = 0.001), ischemic stroke (aHR = 3.81; 95% CI, 1.22-11.9; p = 0.02), heart failure (aHR = 3.29; 95% CI, 1.33-8.13; p = 0.01) and all CVD (aHR = 4.78; 95% CI, 2.66-8.59; p < 0.0001). No significant association was found between hsTnI and BAC. Adding hsTnI to a model containing the Pooled Cohorts Equation resulted in significant and clinical important improved calibration, discrimination (Δ C Conclusions: Our results support the consideration of hsTnI as a risk enhancing factor for CVD in asymptomatic women that could drive preventive or therapeutic decisions.

Indexed as

Breast arterial calcificationCardiovascular diseaseCohort studyHigh-sensitivity troponin IWomen's health

Identifiers

PMID36573194
PMCPMC9789357

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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.