Evidence map›Paper›PMID 37759159›Full record

ArticleBMC cardiovascular disorders2023

Hypersensitive C-reactive protein as a potential indicator for predicting left ventricular hypertrophy in elderly community-dwelling patients with hypertension.

Wei Song, Chunsheng Zhang, Jiamei Tang, Yan Li, Tiantian Jiao, Xueqi Lin, Yuanqi Wang, Jialiang Fang, Jingjing Sha, Tongjiu Ding and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2023. 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
2.0field-weighted citation impact, top 12% 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, 9 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Wei SongDepartment of Cardiology, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Chunsheng ZhangDepartment of Cardiology, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Jiamei TangDepartment of Ultrasound, Shanghai Changhai Hospital, Navy Medical University, Shanghai, China.
Yan LiDepartment of General Practice, Jinyang Community Health Service Center, Shanghai, 200136, China.
Tiantian JiaoDepartment of Cardiology, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Xueqi LinDepartment of Cardiology, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Yuanqi WangDepartment of Cardiology, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Jialiang FangDepartment of General Practice, Jinyang Community Health Service Center, Shanghai, 200136, China.
Jingjing ShaDepartment of General Practice, Jinyang Community Health Service Center, Shanghai, 200136, China.
Tongjiu DingDepartment of General Practice, Jinyang Community Health Service Center, Shanghai, 200136, China.
Jiayue ChengDepartment of General Practice, Jinyang Community Health Service Center, Shanghai, 200136, China.
Jiming LiDepartment of Cardiology, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China. ljm13303818674@126.com.
Shanghai East Hospital · CNChanghai Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to investigate the relationship between Hypersensitive C-reactive protein (hs-CRP) and left ventricular hypertrophy (LVH) in elderly community-dwelling patients with hypertension.

methodsA cross-sectional study was conducted, involving the recruitment of 365 elderly hypertensive residents ≥ 65 years of age from five communities. The participants were divided into two groups: an LVH group (n = 134) and a non-LVH group (n = 231), based on the left ventricular mass index (LVMI) determined by echocardiography. Spearman correlation analysis was used to assess the relationship between hs-CRP and LVH. Univariate and Multivariate analysis was performed to detect variables associated with LVH. The diagnostic value of hs-CRP for LVH was expressed as the area under the receiver operating characteristic (ROC) curve.

resultsThe incidence of LVH in elderly hypertension patients in the community was 36.7%. The hs-CRP levels were significantly higher in subjects with LVH compared to those without LVH (1.9 [0.8, 2.9] vs. 0.7 [0.4, 1.4], P = 0.002). Spearman correlation analysis demonstrated a positive correlation between hs-CRP and LVMI (r = 0.246, P < 0.001), as well as with IVST (r = 0.225, P < 0.001) and LVPWT (r = 0.172, P = 0.001). Among elderly hypertensive residents in the community, the cut-off value of hs-CRP for diagnosing LVH was 1.25 mg/L (sensitivity: 57.5%; specificity: 78.4%), and the area under the ROC curve for hs-CRP to predict LVH was 0.710 (95%CI: 0.654-0.766; P < 0.001). In the final model, hs-CRP ≥ 1.25 mg/L (OR = 3.569; 95%CI, 2.153-5.916; P<0.001) emerged as an independent risk factor for LVH. This association remained significant even after adjusting for various confounding factors (adjusted OR = 3.964; 95%CI, 2.323-6.765; P < 0.001).

conclusionsThis community-based cohort of elderly hypertensive individuals demonstrates a strong association between hs-CRP levels and the presence of LVH. The hs-CRP ≥ 1.25 mg/L may serve as an independent predictor for LVH in hypertensive subjects and exhibit good diagnostic efficacy for LVH.

Indexed as

C-Reactive ProteinHypertensionAgedCross-Sectional StudiesHumansHypertrophy, Left VentricularC-Reactive ProteinElderly patientsHypersensitive C-reactive proteinHypertensionLeft ventricular hypertrophy

Identifiers

PMID37759159
PMCPMC10537845
OpenAlexW4387096627

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LicenceCC BY
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Registered trials

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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.