Evidence map›Paper›PMID 38530572›Full record

Trial reportHigh blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension2024

Gender Differences in Cardiac Organ Damage in Arterial Hypertension: Assessing the Role of Drug Nonadherence.

Arleen Aune, Annabel Ohldieck, Lene V Halvorsen, Karl Marius Brobak, Eirik Olsen, Stine Rognstad, Anne Cecilie K Larstorp, Camilla L Søraas, Anne B Rossebø, Assami Rösner and 2 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03209154 (Individualized Blood Pressure Treatment), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.4field-weighted citation impact, top 18% 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.

NCT03209154 naactive not recruitingnot on this map

Individualized Blood Pressure Treatment: a Multidisciplinary Approach to Uncontrolled Hypertension in Order to Reduce Morbidity and Mortality

TypeinterventionalSponsorOslo University HospitalRan2017 to 2025Enrolled1,000ConditionsUncontrolled HypertensionArmsTherapeutic drug monitoring, Home blood pressure monitoring
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  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

12 authors at 4 institutions in 1 country.

Arleen AuneDepartment of Clinical Sciences, University of Bergen, P.P. box 7804, 5020, Bergen, Norway. arleen.aune@uib.no.ORCID http://orcid.org/0000-0002-6363-9819
Annabel OhldieckDepartment of Clinical Sciences, University of Bergen, P.P. box 7804, 5020, Bergen, Norway.
Lene V HalvorsenSection for Cardiovascular and Renal Research, Oslo University Hospital Ullevål, Oslo, Norway.
Karl Marius BrobakSection of Nephrology, The Arctic University of Norway, Tromsø, Norway.
Eirik OlsenDepartment of Emergency Medicine, St. Olavs University Hospital, Trondheim, Norway.
Stine RognstadSection for Cardiovascular and Renal Research, Oslo University Hospital Ullevål, Oslo, Norway.
Anne Cecilie K LarstorpSection for Cardiovascular and Renal Research, Oslo University Hospital Ullevål, Oslo, Norway.
Camilla L SøraasSection for Cardiovascular and Renal Research, Oslo University Hospital Ullevål, Oslo, Norway.
Anne B RossebøDepartment of Cardiology, Oslo University Hospital Ullevål, Oslo, Norway.
Assami RösnerDepartment of Clinical Medicine, UIT, The Arctic University, Tromsø, Norway.
Marianne Aa GrytaasDepartment of Medicine, Haukeland University Hospital, Bergen, Norway.
Eva GerdtsDepartment of Clinical Sciences, University of Bergen, P.P. box 7804, 5020, Bergen, Norway.
Oslo University Hospital · NOHaukeland University Hospital · NOUiT The Arctic University of Norway · NOSt Olav's University Hospital · NO

Funding

Helse Sør-Øst RHF 2017014Helse Vest Regionalt Helseføretak F-12150Norges Forskningsråd 273563
6 · The paper itself

Abstract

introductionCardiac organ damage like left ventricular (LV) hypertrophy and left atrial (LA) enlargement is more prevalent in women than men with hypertension, but the mechanisms underlying this gender difference remain unclear.

methodsWe tested the association of drug nonadherence with the presence of LV hypertrophy and LA enlargement by echocardiography in 186 women and 337 men with uncontrolled hypertension defined as daytime systolic blood pressure (BP) ≥ 135mmHg despite the prescription of at least two antihypertensive drugs. Drug adherence was assessed by measurements of serum drug concentrations interpreted by an experienced pharmacologist. Aldosterone-renin-ratio (ARR) was measured on actual medication.

resultsWomen had a higher prevalence of LV hypertrophy (46% vs. 33%) and LA enlargement (79% vs 65%, both p < 0.05) than men, while drug nonadherence (8% vs. 9%, p > 0.514) did not differ. Women were older and had lower serum renin concentration and higher ARR than men, while 24-h systolic BP (141 ± 9 mmHg vs. 142 ± 9 mmHg), and the prevalences of obesity (43% vs. 50%) did not differ (all p > 0.10). In multivariable analyses, female gender was independently associated with a two-fold increased risk of LV hypertrophy (OR 2.01[95% CI 1.30-3.10], p = 0.002) and LA enlargement (OR 1.90 [95% CI 1.17-3.10], p = 0.010), while no association with drug nonadherence was found. Higher ARR was independently associated with LV hypertrophy in men only (OR 2.12 [95% CI 1.12-4.00] p = 0.02).

conclusionsAmong patients with uncontrolled hypertension, the higher prevalence of LV hypertrophy and LA enlargement in women was not explained by differences in drug nonadherence. REGISTRATION: URL:  https://www. CLINICALTRIALS: gov ; Unique identifier: NCT03209154.

Indexed as

Antihypertensive AgentsHypertensionHypertrophy, Left VentricularMedication AdherenceReninAgedAldosteroneArterial PressureAtrial Function, LeftAtrial RemodelingBiomarkersCross-Sectional StudiesFemaleHealth Status DisparitiesHumansMaleAldosteroneAntihypertensive AgentsBiomarkersReninAldostero-Renin RatioCardiac organ damageDrug adherenceGenderLeft atrial enlargementLeft ventricular hypertrophyObesityPrimary aldosteronismSexUncontrolled hypertension

Identifiers

PMID38530572
PMCPMC11043164
OpenAlexW4393192765

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.