Evidence map›Paper›PMID 38504197›Full record

ArticleBMC cardiovascular disorders2024

CAVI (Cardio-Ankle Vascular Index) as an independent predictor of hypertensive response to exercise.

C Wuttichaipradit, C Yodwut, P Sukhum, K Hengrussamee, M Treesong, S Thiangtham, B Samut, A Tunhasiriwet, T Yingchoncharoen

Abstract read
In one paragraph

Article in BMC cardiovascular disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

9 authors.

C WuttichaipraditBangkok Heart Hospital, Bangkok, Thailand.
C YodwutBangkok Heart Hospital, Bangkok, Thailand.
P SukhumBangkok Heart Hospital, Bangkok, Thailand.
K HengrussameeBangkok Heart Hospital, Bangkok, Thailand.
M TreesongBangkok Heart Hospital, Bangkok, Thailand.
S ThiangthamBangkok Heart Hospital, Bangkok, Thailand.
B SamutBangkok Heart Hospital, Bangkok, Thailand.
A TunhasiriwetBangkok Heart Hospital, Bangkok, Thailand.
T YingchoncharoenFaculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. teerapat.yin@mahidol.ac.th.

Funding

BDMS Health Research Center, Bangkok Dusit Medical Service Plc. COA-2017-044
6 · The paper itself

Abstract

objectivesHypertensive response to exercise (HRE) is related to the development of future hypertension, cardiovascular morbidity, and mortality, independent of resting blood pressure. We hypothesized that arterial stiffness as measured by cardio-ankle vascular index (CAVI) could be an independent predictor of HRE. MATERIALS AND

methodsRetrospective chart review of patients participated in the preventive health program at the Bangkok Heart Hospital who underwent both CAVI and treadmill stress testing on the same day between June and December 2018 were performed. Variables for the prediction of HRE were analyzed using univariate analysis, and significant variables were entered into multiple logistic regression. An ROC curve was created to test the sensitivity and specificity of CAVI as a predictor of HRE.

resultsA total of 285 participants (55.1% female) were enrolled in this study. There were 58 patients (20.4%) who met the HRE definition (SBP > 210 mmHg in males, SBP > 190 mmHg in females, or DBP > 110 mmHg in both males and females), with a mean age of 46.4 12.8 years. In univariate analysis, age, systolic blood pressure at rest, diastolic blood pressure at rest, pulse pressure at rest, diabetes mellitus, hypertension, dyslipidemia, history of beta-blocker, and CAVI results were statistically significant. Multiple logistic regression revealed that CAVI and systolic blood pressure were statistically significant predictors of HRE with OR of 5.8, 95%CI: 2.9-11.7, P < 0.001 and OR 1.07, 95%CI: 1.03-1.10, P = 0.001 respectively. ROC curve analysis of the CAVI revealed an AUC of 0.827 (95%CI: 0.76-0.89, p < 0.001), and the sensitivity and specificity of cut-point CAVI > 8 were 53% and 92%, respectively.

conclusionThis study demonstrated that CAVI is an independent predictor of hypertensive response to exercise. Additionally, the findings suggest that CAVI > 8 can be a valuable tool in identifying individuals at risk for hypertensive responses during exercise.

Indexed as

HypertensionVascular StiffnessAnkleBlood PressureFemaleHumansMaleMiddle AgedRetrospective StudiesThailandArterial stiffnessCardio-ankle vascular index (CAVI)Hypertensive response to exercise (HRE)Treadmill stress test

Identifiers

PMID38504197
PMCPMC10949558

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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.