Evidence map›Paper›PMID 39011964›Full record

ArticleJournal of the American Heart Association2024

Asymptomatic Intracranial Artery Stenosis/Occlusion in Heterozygous Familial Hypercholesterolemia: Its Frequency and Implications for Cerebrovascular and Cardiovascular Events.

Sayaka Funabashi, Yu Kataoka, Mika Hori, Masatsune Ogura, Takahito Doi, Yoshiaki Morita, Eri Kiyoshige, Kunihiro Nishimura, Teruo Noguchi, Mariko Harada-Shiba

Abstract 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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  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

10 authors.

Sayaka FunabashiDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.ORCID 0000-0002-3673-4941
Yu KataokaDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.ORCID 0000-0001-6307-5593
Mika HoriDepartment of Molecular Innovation in Lipidology, National Cerebral and Cardiovascular Center Research Institute Suita Japan.ORCID 0000-0002-5459-6984
Masatsune OguraDepartment of Molecular Innovation in Lipidology, National Cerebral and Cardiovascular Center Research Institute Suita Japan.ORCID 0000-0002-7247-1448
Takahito DoiDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.ORCID 0000-0001-7271-2339
Yoshiaki MoritaDepartment of Radiology National Cerebral and Cardiovascular Center Suita Japan.
Eri KiyoshigeDepartment of Preventive Medicine and Epidemiology National Cerebral and Cardiovascular Center Suita Japan.ORCID 0000-0002-0558-9323
Kunihiro NishimuraDepartment of Preventive Medicine and Epidemiology National Cerebral and Cardiovascular Center Suita Japan.ORCID 0000-0002-0639-0949
Teruo NoguchiDepartment of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.ORCID 0000-0001-5372-4932
Mariko Harada-ShibaCardiovascular Center Osaka Medical and Pharmaceutical University Takatsuki Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe atherogenic characteristics of heterozygous familial hypercholesterolemia (HeFH) increase the risk of premature atherosclerotic cardiovascular disease including not only coronary artery disease but ischemic stroke. Asymptomatic intracranial artery stenosis/occlusion (IASO) is a major cause of ischemic stroke, but it has not yet been fully characterized in patients with HeFH. METHODS AND

resultsThis study analyzed 147 clinically diagnosed subjects with HeFH who underwent magnetic resonance imaging/magnetic resonance angiography imaging for evaluation of IASO (≥50% diameter stenosis). Major adverse cerebrovascular and cardiovascular events (cardiac death, ischemic stroke, and acute coronary syndrome) were compared in patients with HeFH with and without asymptomatic IASO. Asymptomatic IASO was observed in 13.6% of patients with HeFH. The untreated low-density lipoprotein cholesterol level (240±95 versus 244±75 mg/dL;

conclusionsA total of 13.6% of Japanese subjects with HeFH presented with asymptomatic IASO. Despite lipid-lowering therapies, patients with both HeFH and IASO more likely had elevated risk of cerebrovascular and cardiovascular events. Our findings highlight asymptomatic IASO as a phenotypic feature of HeFH-related atherosclerosis, which ultimately affects future outcomes.

Indexed as

Asymptomatic DiseasesHyperlipoproteinemia Type IIMagnetic Resonance AngiographyAdultAgedCholesterol, LDLConstriction, PathologicFemaleHeterozygoteHumansIschemic StrokeJapanMaleMiddle AgedRetrospective StudiesRisk FactorsCholesterol, LDLheterozygous familial hypercholesterolemiaintracranial artery stenosis/occlusionoutcome

Identifiers

PMID39011964
PMCPMC11964025

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.