Evidence map›Paper›PMID 38946623›Full record

ArticleESC heart failure2024

Reservoir-excess pressure parameters are independently associated with NT-proBNP in older adults.

Kunihiko Aizawa, Alun D Hughes, Francesco Casanova, Kim M Gooding, Phillip E Gates, David M Mawson, Jennifer Williams, Isabel Goncalves, Jan Nilsson, Faisel Khan and 4 more

Abstract read
In one paragraph

Article in ESC heart failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

14 authors.

Kunihiko AizawaVascular Research Centre, NIHR Exeter Clinical Research Facility, University of Exeter Medical School, Exeter, UK.ORCID 0000-0002-0025-2115
Alun D HughesMRC unit for Lifelong Health and Ageing, Institute of Cardiovascular Science, University College London, London, UK.
Francesco CasanovaVascular Research Centre, NIHR Exeter Clinical Research Facility, University of Exeter Medical School, Exeter, UK.
Kim M GoodingVascular Research Centre, NIHR Exeter Clinical Research Facility, University of Exeter Medical School, Exeter, UK.
Phillip E GatesVascular Research Centre, NIHR Exeter Clinical Research Facility, University of Exeter Medical School, Exeter, UK.
David M MawsonVascular Research Centre, NIHR Exeter Clinical Research Facility, University of Exeter Medical School, Exeter, UK.
Jennifer WilliamsVascular Research Centre, NIHR Exeter Clinical Research Facility, University of Exeter Medical School, Exeter, UK.
Isabel GoncalvesDepartment of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Jan NilssonDepartment of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Faisel KhanDivision of Systems Medicine, University of Dundee, Dundee, UK.
Helen M ColhounCentre for Genomic and Experimental Medicine, University of Edinburgh, Edinburgh, UK.
Carlo PalomboDepartment of Surgical, Medical, Molecular and Critical Area Pathology, University of Pisa, Pisa, Italy.
Kim H ParkerDepartment of Bioengineering, Imperial College, London, UK.
Angela C ShoreVascular Research Centre, NIHR Exeter Clinical Research Facility, University of Exeter Medical School, Exeter, UK.

Funding

European Union's Seventh Framework Programme IMI/115006National Institute of Health and Care Research (NIHR) Exeter Clinical Research Facility
6 · The paper itself

Abstract

aimsParameters derived from reservoir-excess pressure analysis have been demonstrated to predict cardiovascular events. Thus, altered reservoir-excess pressure parameters could have a detrimental effect on highly-perfused organs like the heart. We aimed to cross-sectionally determine whether reservoir-excess pressure parameters were associated with N-terminal pro-brain-type natriuretic peptide (NT-proBNP) in older adults.

methodsWe studied 868 older adults with diverse cardiovascular risk. Reservoir-excess pressure parameters were obtained through radial artery tonometry including reservoir pressure integral, peak reservoir pressure, excess pressure integral (INTXSP), systolic rate constant (SRC) and diastolic rate constant (DRC). Plasma levels of NT-proBNP, as a biomarker of cardiac overload, were analysed by the Proximity Extension Assay technology.

resultsMultivariable linear regression analyses revealed that all reservoir-excess pressure parameters studied were associated with NT-proBNP after adjusting for age and sex. After further adjustments for conventional cardiovascular risk factors, INTXSP [β = 0.191 (95% confidence interval, CI: 0.099, 0.283), P < 0.001], SRC [β = -0.080 (95% CI: -0.141, -0.019), P = 0.010] and DRC [β = 0.138 (95% CI: 0.073, 0.202), P < 0.001] remained associated with NT-proBNP. Sensitivity analysis found that there were occasions where the association between SRC and NT-proBNP was attenuated, but both INTXSP and DRC remained consistently associated with NT-proBNP.

conclusionsThe observed associations between reservoir-excess pressure parameters and NT-proBNP suggest that altered reservoir-excess pressure parameters may reflect an increased load inflicted on the left ventricular cardiomyocytes and could have a potential to be utilized in the clinical setting for cardiovascular risk stratification.

Indexed as

BiomarkersNatriuretic Peptide, BrainPeptide FragmentsAgedAged, 80 and overBlood PressureCross-Sectional StudiesFemaleHumansMaleManometryBiomarkersNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)AgeingBiomarkerBlood pressureCardiovascular diseaseLeft ventricle

Identifiers

PMID38946623
PMCPMC11424359

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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.