Evidence map›Paper›PMID 38293920›Full record

ArticleJournal of the American Heart Association2024

Prognostic Value and Relative Cutoffs of Triglycerides Predicting Cardiovascular Outcome in a Large Regional-Based Italian Database.

Valérie Tikhonoff, Edoardo Casiglia, Agostino Virdis, Guido Grassi, Fabio Angeli, Marcello Arca, Carlo M Barbagallo, Michele Bombelli, Federica Cappelli, Rosario Cianci and 35 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07063056 (Curcumin and Astaxanthin for Lowering Triglyceride Readings and Inflammation), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT07063056 narecruitingnot on this mapstarted 2025, after this paper: background citation

Curcumin and Astaxanthin for Lowering Triglyceride Readings and Inflammation

TypeinterventionalSponsorMedinutra LLCRan2025 to 2026Enrolled64ConditionsTriglyceridesArmsCurcumin (Longvida™), Half Dose Curcumin (Longvida™), Astaxanthin, Placebo Control
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
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  6. Review
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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

45 authors.

Valérie TikhonoffDepartment of Medicine Università degli Studi di Padova Via Giustiniani 8 Padua 35128 Italy.ORCID 0000-0001-7846-0101
Edoardo CasigliaStudium Patavinum, Department of Medicine Università degli Studi di Padova Padua Italy.ORCID 0000-0002-0003-3289
Agostino VirdisDepartment of Clinical and Experimental Medicine University of Pisa Italy.ORCID 0000-0002-6994-0223
Guido GrassiDepartment of Medicine and Surgery University of Milano-Bicocca Monza Italy.ORCID 0000-0003-1922-6547
Fabio AngeliDepartment of Medicine and Surgery University of Insubria Varese Italy.ORCID 0000-0003-4925-7985
Marcello ArcaDepartment of Translational and Precision Medicine Sapienza University of Rome Rome Italy.ORCID 0000-0003-3786-0883
Carlo M BarbagalloBiomedical Department of Internal Medicine and Specialistics University of Palermo Italy.
Michele BombelliDepartment of Medicine and Surgery University of Milano-Bicocca Monza Italy.ORCID 0000-0002-8459-711X
Federica CappelliDepartment of Clinical and Experimental Medicine University of Pisa Italy.ORCID 0009-0005-4044-2967
Rosario CianciDepartment of Translational and Precision Medicine Sapienza University of Rome Rome Italy.ORCID 0000-0001-7886-8027
Arrigo F G CiceroHypertension and Cardiovascular Risk Research Center, Medical and Surgical Sciences Department Alma Mater Studiorum University of Bologna Bologna Italy.ORCID 0000-0002-4367-3884
Massimo CirilloDepartment of Medicine "Scuola Medica Salernitana" University of Salerno Baronissi (SA) Italy.ORCID 0000-0002-6409-3504
Pietro CirilloNephrology, Dialysis and Transplantation Unit, Department of Emergency and Organ Transplantation "Aldo Moro" University of Bari Bari Italy.ORCID 0000-0003-4164-6978
Raffaella Dell'oroDepartment of Medicine and Surgery University of Milano-Bicocca Monza Italy.
Lanfranco D'eliaDepartment of Clinical Medicine and Surgery "Federico II" University of Naples Medical School Naples Italy.ORCID 0000-0002-1782-0211
Giovambattista DesideriDepartment of Life, Health and Environmental Sciences University of L'Aquila Italy.ORCID 0000-0002-0145-1271
Claudio FerriDepartment of Life, Health and Environmental Sciences University of L'Aquila Italy.ORCID 0000-0002-3594-2503
Ferruccio GallettiDepartment of Clinical Medicine and Surgery "Federico II" University of Naples Medical School Naples Italy.ORCID 0000-0001-7556-0254
Loreto GesualdoNephrology, Dialysis and Transplantation Unit, Department of Emergency and Organ Transplantation "Aldo Moro" University of Bari Bari Italy.ORCID 0000-0002-4861-0911
Cristina GiannattasioCardiology IV, "A.De Gasperi's" Department Niguarda Ca' Granda Hospital Milan Italy.ORCID 0000-0001-9116-3494
Guido IaccarinoDepartment of Advanced Biomedical Sciences "Federico II" University of Naples Naples Italy.ORCID 0000-0002-8997-835X
Francesca MallamaciCNR-IFC, Clinical Epidemiology of Renal Diseases and Hypertension, Reggio Cal Unit Reggio Calabria Italy.ORCID 0000-0003-0322-976X
Alessandro MalobertiCardiology IV, "A.De Gasperi's" Department Niguarda Ca' Granda Hospital Milan Italy.ORCID 0000-0002-2612-6264
Stefano MasiDepartment of Clinical and Experimental Medicine University of Pisa Italy.ORCID 0000-0002-7591-3686
Maria MasulliDepartment of Clinical Medicine and Surgery "Federico II" University of Naples Medical School Naples Italy.ORCID 0000-0002-7848-6456
Alberto MazzaDepartment of Internal Medicine Santa Maria della Misericordia General Hospital, AULSS 5 Polesana Rovigo Italy.ORCID 0000-0003-2358-7759
Alessandro MengozziDepartment of Clinical and Experimental Medicine University of Pisa Italy.ORCID 0000-0003-2834-9725
Maria Lorenza MuiesanDepartment of Clinical and Experimental Sciences University of Brescia Italy.ORCID 0000-0002-4007-9441
Pietro NazzaroDepartment of Medical Basic Sciences, Neurosciences and Sense Organs University of Bari Medical School Bari Italy.
Paolo PalatiniStudium Patavinum, Department of Medicine Università degli Studi di Padova Padua Italy.ORCID 0000-0001-5402-4946
Gianfranco ParatiS. Luca Hospital Istituto Auxologico Italiano and University of Milan-Bicocca Milan Italy.ORCID 0000-0001-9402-7439
Roberto PontremoliDepartment of Internal Medicine University of Genoa, and Policlinico San Martino Genoa Italy.ORCID 0000-0003-1238-872X
Fosca Quarti-TrevanoDepartment of Medicine and Surgery University of Milano-Bicocca Monza Italy.ORCID 0000-0002-7357-0931
Marcello RattazziDepartment of Medicine Università degli Studi di Padova Via Giustiniani 8 Padua 35128 Italy.ORCID 0000-0003-3437-7263
Gianpaolo ReboldiDepartment of Medical and Surgical Science University of Perugia Italy.ORCID 0000-0002-9877-0702
Giulia RivasiDepartment of Geriatric and Intensive Care Medicine Careggi Hospital and University of Florence Italy.ORCID 0000-0002-2736-2242
Elisa RussoDepartment of Internal Medicine University of Genoa, and Policlinico San Martino Genoa Italy.ORCID 0000-0003-1279-3178
Massimo SalvettiDepartment of Clinical and Experimental Sciences University of Brescia Italy.ORCID 0000-0001-8101-1374
Pier Luigi TemporelliDivision of Cardiac Rehabilitation Istituti Clinici Scientifici Maugeri, IRCCS, Gattico-Veruno Italy.ORCID 0000-0002-6220-2471
Giuliano TocciHypertension Unit, Division of Cardiology, Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology University of Rome Sapienza, Sant'Andrea Hospital Rome Italy.ORCID 0000-0002-0635-4921
Andrea UngarDepartment of Geriatric and Intensive Care Medicine Careggi Hospital and University of Florence Italy.ORCID 0000-0002-8965-4523
Paolo VerdecchiaHospital S. Maria della Misericordia Perugia Italy.ORCID 0000-0002-4135-8936
Francesca ViazziDepartment of Internal Medicine University of Genoa, and Policlinico San Martino Genoa Italy.ORCID 0000-0003-4219-7043
Massimo VolpeHypertension Unit, Division of Cardiology, Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology University of Rome Sapienza, Sant'Andrea Hospital Rome Italy.ORCID 0000-0002-9642-8380
Claudio BorghiHypertension and Cardiovascular Risk Research Center, Medical and Surgical Sciences Department Alma Mater Studiorum University of Bologna Bologna Italy.ORCID 0000-0001-8039-8781

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite longstanding epidemiologic data on the association between increased serum triglycerides and cardiovascular events, the exact level at which risk begins to rise is unclear. The Working Group on Uric Acid and Cardiovascular Risk of the Italian Society of Hypertension has conceived a protocol aimed at searching for the prognostic cutoff value of triglycerides in predicting cardiovascular events in a large regional-based Italian cohort. METHODS AND

resultsAmong 14 189 subjects aged 18 to 95 years followed-up for 11.2 (5.3-13.2) years, the prognostic cutoff value of triglycerides, able to discriminate combined cardiovascular events, was identified by means of receiver operating characteristic curve. The conventional (150 mg/dL) and the prognostic cutoff values of triglycerides were used as independent predictors in separate multivariable Cox regression models adjusted for age, sex, body mass index, total and high-density lipoprotein cholesterol, serum uric acid, arterial hypertension, diabetes, chronic renal disease, smoking habit, and use of antihypertensive and lipid-lowering drugs. During 139 375 person-years of follow-up, 1601 participants experienced cardiovascular events. Receiver operating characteristic curve showed that 89 mg/dL (95% CI, 75.8-103.3, sensitivity 76.6, specificity 34.1,

conclusionsLower (89 mg/dL) than conventional (150 mg/dL) prognostic cutoff value of triglycerides for cardiovascular events does exist and is associated with increased cardiovascular risk in an Italian cohort.

Indexed as

Cardiovascular DiseasesHypertensionHumansItalyPrognosisRisk FactorsTriglyceridesUric AcidTriglyceridesUric Acidcardiovascular diseasecutoff valuehypertriglyceridemiamortalitytriglyceride

Identifiers

PMID38293920
PMCPMC11056112

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