Evidence map›Paper›PMID 41377095›Full record

ArticleEuropean heart journal open2025

Association of ankle-brachial Index with coronary and extra-coronary calcification in older adults: ARIC study.

Eyram C Bansah, Kentaro Ejiri, Esther Kim, Yejin Mok, Miguel Cainzos-Achirica, Hirofumi Tanaka, Candace M Howard-Claudio, Kenneth R Butler, Timothy M Hughes, Jeremy R Van't Hof and 3 more

Abstract read
In one paragraph

Article in European heart journal open, 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. Article
  2. First quinquennium completed: highlights fromEuropean heart journal open · 2026
    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

13 authors.

Eyram C BansahDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 2024 E. Monument St., Baltimore, MD 21287, USA.ORCID https://orcid.org/0000-0002-6752-7507
Kentaro EjiriDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 2024 E. Monument St., Baltimore, MD 21287, USA.ORCID https://orcid.org/0000-0001-6645-2075
Esther KimDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 2024 E. Monument St., Baltimore, MD 21287, USA.
Yejin MokDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 2024 E. Monument St., Baltimore, MD 21287, USA.
Miguel Cainzos-AchiricaDepartment of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, 6565 is Fannin St., Houston, TX 77030, USA.ORCID https://orcid.org/0000-0002-8073-2337
Hirofumi TanakaDepartment of Kinesiology & Health Education, College of Education, University of Texas at Austin, Austin, 110 Inner Campus Dr., TX 78712, USA.ORCID https://orcid.org/0000-0002-1780-7471
Candace M Howard-ClaudioDepartment of Radiology, University of Mississippi Medical Center, 2500 N State St., Jackson, MS 39216, USA.
Kenneth R ButlerDepartment of Pharmacology and Toxicology, University of Mississippi Medical Center, 2500 N State St., Jackson, MS 39216, USA.ORCID https://orcid.org/0000-0003-3198-8835
Timothy M HughesDepartment of Internal Medicine, Wake Forest University School of Medicine, 475 Vine St., Winston-Salem, NC 27101, USA.
Jeremy R Van't HofCardiovascular Division and Lillehei Heart Institute, Department of Medicine, University of Minnesota Medical School, 100 Church St SE, Minneapolis, MN 55455, USA.ORCID https://orcid.org/0000-0002-9982-3685
Michelle L MeyerDepartment of Epidemiology, University of North Carolina at Chapel Hill, Suite 3100, SASB North, Chapel Hill, NC 27599, USA.ORCID https://orcid.org/0000-0001-7085-3154
Michael J BlahaDivision of Cardiology, Johns Hopkins School of Medicine, 733 N Broadway, Baltimore, MD 21205, USA.ORCID https://orcid.org/0000-0001-5138-9683
Kunihiro MatsushitaDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 2024 E. Monument St., Baltimore, MD 21287, USA.ORCID https://orcid.org/0000-0002-7179-718X

Funding

THE ATHEROSCLEROSIS RISK IN COMMUNITIES (ARIC) STUDY - COORDINATING CENTER - TASK AREA B.2 AND B.375N92022D00001 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COUPER, DAVID · 2022 to 2025
$13.7M
THE ATHEROSCLEROSIS RISK IN COMMUNITIES (ARIC) STUDY - FIELD CENTER - TASK ORDER 01, TASK AREA A75N92022D00003 · NHLBI · UNIVERSITY OF MINNESOTA · PI LUTSEY, PAMELA L. · 2022 to 2025
$5.1M
THE ATHEROSCLEROSIS RISK IN COMMUNITIES (ARIC) STUDY - FIELD CENTER - TASK ORDER 01, TASK AREA A75N92022D00005 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI WAGENKNECHT, LYNNE E · 2022 to 2025
$5.0M
THE ATHEROSCLEROSIS RISK IN COMMUNITIES (ARIC) STUDY - FIELD CENTER - TASK ORDER 01, TASK AREA A75N92022D00004 · NHLBI · UNIVERSITY OF MISSISSIPPI MED CTR · PI WINDHAM, BEVERLY GWEN · 2022 to 2025
$4.8M
THE ATHEROSCLEROSIS RISK IN COMMUNITIES (ARIC) STUDY - FIELD CENTER - TASK ORDER 01, TASK AREA A75N92022D00002 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI CORESH, JOSEF · 2022 to 2025
$4.7M
NHLBI NIH HHS 75N92022D00001NHLBI NIH HHS 75N92022D00002NHLBI NIH HHS 75N92022D00003NHLBI NIH HHS 75N92022D00004NHLBI NIH HHS 75N92022D00005
6 · The paper itself

Abstract

Aims: To investigate potentially distinct associations of ankle brachial index (ABI), a marker of subclinical atherosclerosis, with calcification in different vascular beds and cardiac valves. Methods and results: We studied 1420 ARIC participants (mean age 80.2 [SD 4.1] years, 60.2% female, and 16.6% Blacks). ABI was measured at visit 6 (2016-17) or visit 7 (2018-19), and coronary artery calcification (CAC) and extra-coronary calcification (thoracic aorta, aortic valve, and mitral valve) were assessed through non-contrast cardiac-gated computed tomography. We ran multivariable logistic regression models, with any (Agatston score >0) and high (≥75th percentile) calcification as primary and secondary outcome variables, respectively. For any calcification, ABI ≤0.9 had the strongest association with any CAC (odds ratio 9.51 [95%CI 1.26, 71.84]), followed by descending aorta calcification (6.01 [1.36, 26.56]), and weakest for cardiac valve calcification. Using high calcification as an outcome, ABI ≤0.9 was significantly associated with all vascular and valvular calcification tested, but weakest for aortic valve. High ABI [>1.3] tended to be more strongly associated with valvular calcification than vascular calcification with any calcification as an outcome. Conclusion: Low ABI was most robustly associated with CAC. Its association was weaker for thoracic aorta calcification and weakest for valvular calcification. These findings further support distinct pathophysiology of calcification across vascular beds and cardiac valves.

Indexed as

AgedAnkle brachial indexAtherosclerosisPathologic calcification

Identifiers

PMID41377095
PMCPMC12686986

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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.