Evidence map›Paper›PMID 37675583›Full record

ArticleHypertension (Dallas, Tex. : 1979)2023

Hemodynamic Determinants of Elevated Blood Pressure and Hypertension in the Middle to Older-Age UK Population: A UK Biobank Imaging Study.

Ye Li, Emily Chan, Esther Puyol-Antón, Bram Ruijsink, Marina Cecelja, Andrew P King, Reza Razavi, Phil Chowienczyk

Open access · greenAbstract read
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Trial
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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

8 authors at 4 institutions in 2 countries.

Ye LiDepartment of Clinical Pharmacology, King's College London British Heart Foundation Centre, St. Thomas' Hospital, United Kingdom (Y.L., M.C., P.C.).
Emily ChanSchool of Bioengineering and Imaging Science, King's College London, United Kingdom (E.C., E.P.-A., B.R., A.P.K., R.R.).
Esther Puyol-AntónSchool of Bioengineering and Imaging Science, King's College London, United Kingdom (E.C., E.P.-A., B.R., A.P.K., R.R.).ORCID 0000-0002-9789-6629
Bram RuijsinkSchool of Bioengineering and Imaging Science, King's College London, United Kingdom (E.C., E.P.-A., B.R., A.P.K., R.R.).
Marina CeceljaDepartment of Clinical Pharmacology, King's College London British Heart Foundation Centre, St. Thomas' Hospital, United Kingdom (Y.L., M.C., P.C.).ORCID 0000-0002-7955-7463
Andrew P KingSchool of Bioengineering and Imaging Science, King's College London, United Kingdom (E.C., E.P.-A., B.R., A.P.K., R.R.).
Reza RazaviSchool of Bioengineering and Imaging Science, King's College London, United Kingdom (E.C., E.P.-A., B.R., A.P.K., R.R.).
Phil ChowienczykDepartment of Clinical Pharmacology, King's College London British Heart Foundation Centre, St. Thomas' Hospital, United Kingdom (Y.L., M.C., P.C.).ORCID 0000-0003-4507-038X
British Heart Foundation · GBBioengineering Center · RUKing's College London · GBKing's College School · GB

Funding

British Heart Foundation PG/17/50/32903Medical Research Council MR/M016560/1Medical Research Council MR/M01656Q/1
6 · The paper itself

Abstract

backgroundIncreased systemic vascular resistance and, in older people, reduced aortic distensibility, are thought to be the hemodynamic determinants of primary hypertension but cardiac output could also be important. We examined the hemodynamics of elevated blood pressure and hypertension in the middle to older-aged UK population participating in the UK Biobank imaging studies.

methodsCardiac output, systemic vascular resistance, and aortic distensibility were measured from cardiac magnetic resonance imaging in 31 112 (distensibility in 21 178) participants (46.3% male, mean age±SD 63±7 years). Body composition including visceral adipose tissue volume and abdominal subcutaneous adipose tissue volume were measured in 19 645 participants.

resultsParticipants with higher blood pressure had higher cardiac output (higher by 17.9±26.6% in hypertensive compared with those with optimal blood pressure) and higher systemic vascular resistance (higher by 11.4±27.9% in hypertensive compared with those with optimal blood pressure). These differences were little changed after adjustment for body size and adiposity. The contribution of cardiac output relative to systemic vascular resistance was more marked in younger compared with older subjects. Aortic distensibility decreased with age and was lower in participants with higher compared with lower blood pressure but with a greater difference in younger compared with older subjects.

conclusionsIn the middle to older-aged UK population, cardiac output plays an important role in contributing to elevated mean arterial blood pressure, particularly in younger compared with older subjects. Reduced aortic distensibility contributes to a rise in pulse pressure and systolic blood pressure at all ages.

Indexed as

Biological Specimen BanksHypertensionAgedBlood PressureFemaleHemodynamicsHumansMaleUnited Kingdomaortic distensibilityblood pressurecardiac outputhemodynamichypertensionsystemic vascular resistance

Identifiers

PMID37675583
PMCPMC10876164
OpenAlexW4386505233

What OpenQuestion holds

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LicenceCC BY
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.