Evidence map›Paper›PMID 39748431›Full record

ArticleBMC pharmacology & toxicology2025

Cerebrovascular accident and essential and toxic metals: cluster analysis and principal component analysis.

Hossein Nezami, Alireza Kooshki, Habibollah Esmaily, Mohamadjavad Sanjari, Zahra Ahmadi, Mahmood Sadeghi, Seyed Mohammad Mosavi Mirzaei

Abstract read
In one paragraph

Article in BMC pharmacology & toxicology, 2025. 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. Impact Assessment and Sustainable Remediation of Heavy Metal and Radioactive Contamination in Aquatic Systems: A Review.Water environment research : a research publication of the Water Environment Federation · 2026
    Review
  2. Article
  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

7 authors.

Hossein NezamiDepartment of Epidemiology and Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Alireza KooshkiMedical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Birjand, 9713643138, Iran.
Habibollah EsmailyDepartment of Epidemiology and Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Mohamadjavad SanjariMedical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Birjand, 9713643138, Iran.
Zahra AhmadiMedical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Birjand, 9713643138, Iran.
Mahmood SadeghiMedical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Birjand, 9713643138, Iran. sadeghim@bums.ac.ir.
Seyed Mohammad Mosavi MirzaeiMedical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Birjand, 9713643138, Iran. dr.mousavi.m903@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCerebrovascular accidents are known as a great cause of morbidity and mortality worldwide. Although there are known risk factors for ischemic stroke, the cases that cannot be justified with these risk factors are increasing. Toxic metals as a potential risk factor for other diseases in humans are assessed in this study in the CVA group and compared to controls.

method70 participants (35 each group) have been selected for this study. The group with recent medical history of documented CVA and a control non-CVA group. The serum level of several metals has been assessed using Inductively coupled plasma mass spectrometry (ICP-MS) method. principal components and cluster analyses were employed to compare toxic metal toxicity between the groups.

resultsCu (p < 0.001) and Pb (p = 0.002) levels were significantly higher in the CVA group whereas Ni (0.003) were significantly lower. There was no significant difference between the smoking (p = 0.56) and opium (p = 0.46) use between these groups. Most of the essential metals were positively correlated with each other in both groups (Ni with Fe, Zn; Fe with Zn with r over 0.6). there was also PCA and CA are crucial in and cluster analysis in which Ni, Fe, and Zn were most similarly correlated in both groups.

conclusionwe found a complex interaction between toxic metals in the healthy and CVA human body. Due to the lack of data on in vivo interaction of these metals even in healthy individuals, further investigation is needed to evaluate the exact mechanism of such relations.

Indexed as

Principal Component AnalysisStrokeAdultCase-Control StudiesCluster AnalysisFemaleHumansLeadMaleMetalsMetals, HeavyMiddle AgedRisk FactorsLeadMetalsMetals, HeavyCerebrovascular accidentsCobaltIronIschemic strokeLeadManganeseMercuryNickleZinc

Identifiers

PMID39748431
PMCPMC11697480

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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.