Evidence map›Paper›PMID 40118794›Full record

ArticleJournal of the American Heart Association2025

Carotid Intima-Media Thickness, Carotid Distensibility, and Incident Heart Failure in Older Men: The British Regional Heart Study.

Atinuke Akinmolayan, A Olia Papacosta, Lucy T Lennon, Elizabeth A Ellins, Julian P J Halcox, Peter H Whincup, S Goya Wannamethee

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Atinuke AkinmolayanDepartment of Primary Care and Population Health University College London London United Kingdom.ORCID 0000-0003-1809-6576
A Olia PapacostaDepartment of Primary Care and Population Health University College London London United Kingdom.ORCID 0000-0001-8781-6747
Lucy T LennonDepartment of Primary Care and Population Health University College London London United Kingdom.ORCID 0000-0002-1738-1351
Elizabeth A EllinsInstitute of Life Science, Swansea University Swansea United Kingdom.ORCID 0000-0001-5164-6416
Julian P J HalcoxInstitute of Life Science, Swansea University Swansea United Kingdom.ORCID 0000-0001-6926-2947
Peter H WhincupPopulation Health Research Institute, St George's University of London London United Kingdom.ORCID 0000-0002-5589-4107
S Goya WannametheeDepartment of Primary Care and Population Health University College London London United Kingdom.ORCID 0000-0001-9484-9977

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarotid intima-media thickness (CIMT) and carotid distensibility are markers of arterial change; however, little is known of the association with incident heart failure (HF). We aimed to assess this.

methodsThis was a longitudinal analysis of data from the British Regional Heart Study, a prospective cohort study. A total of 1631 men aged 71 to 92 years, without a diagnosis of HF at baseline, were included. Between 2010 and 2012, participants completed a questionnaire, underwent a physical examination, and provided a fasting blood sample. CIMT and carotid artery distension were measured, and carotid distensibility was calculated. Cox proportional hazards modeling was used to assess the multivariate-adjusted hazard ratios (HRs) of incident HF by quartiles of CIMT and distensibility, excluding men with prevalent myocardial infarction.

resultsThe values used in the analysis were adjusted for age, social class, smoking, physical activity, alcohol status, body mass index, use of statins and antihypertensives, prevalent diabetes and stroke, pulse pressure, and presence of atrial arrhythmias. Lower carotid distensibility (bottom quartile) and higher CIMT (top quartile) were associated with increased risk of incident HF (HR, 2.55 [95% CI, 1.24-5.24];

conclusionsLower carotid distensibility and higher CIMT were associated with an increased risk of incident HF, despite adjustment for incident myocardial infarction.

Indexed as

Carotid ArteriesCarotid Artery DiseasesCarotid Intima-Media ThicknessHeart FailureVascular StiffnessAgedAged, 80 and overAge FactorsHumansIncidenceLongitudinal StudiesMaleProportional Hazards ModelsProspective StudiesRisk AssessmentRisk Factorscardiovascular diseasescarotid artery distensibilitycarotid intima‐media thicknessheart failure

Identifiers

PMID40118794
PMCPMC12184599

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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.