Evidence map›Paper›PMID 41401986›Full record

SynthesisBMJ open2025

Association between carotid-femoral pulse wave velocity and cardiovascular disease in individuals with moderate blood pressure: a systematic review and individual participant meta-analysis.

Holly Pavey, Angela Wood, Carmel M Mceniery, Majd AlGhatrif, Banafsheh Arshi, Eric Brunner, Chen-Huan Chen, Hao-Min Cheng, Tine W Hansen, M Kamram Ikram and 16 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
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

26 authors.

Holly PaveyDivision of Experimental Medicine and Immunotherapeutics, Department of Medicine, University of Cambridge, Cambridge, UK hp409@cam.ac.uk.ORCID http://orcid.org/0000-0001-5014-5118
Angela WoodBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Carmel M McenieryDivision of Experimental Medicine and Immunotherapeutics, Department of Medicine, University of Cambridge, Cambridge, UK.
Majd AlGhatrifLaboratory of Cardiovascular Science, National Institute on Aging, National Institutes of Health, Bethesda, Maryland, USA.
Banafsheh ArshiDepartment of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Eric BrunnerInstitute of Epidemiology and Health Care, University College London, London, UK.ORCID http://orcid.org/0000-0002-0595-4474
Chen-Huan ChenSchool of Medicine, National Yang-Ming University, Taipei, Taiwan.
Hao-Min ChengPhD Program of Interdisciplinary Medicine (PIM), National Yang Ming Chiao Tung University College of Medicine, Tapei, Taiwan.
Tine W HansenCenter for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
M Kamram IkramDepartment of Epidemiology and Neurology, Erasmus MC, Rotterdam, The Netherlands.
Maryam KavousiDepartment of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Diana KuhMRC Unit for Lifelong Health and Ageing at UCL, London, UK.ORCID http://orcid.org/0000-0001-7386-2857
Allison L KuipersDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Edward G LakattaLaboratory of Cardiovascular Science, National Institute on Aging, National Institutes of Health, Bethesda, Maryland, USA.
Allan LinnebergCenter for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Francesco Mattace RasoDepartment of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Gary F MitchellCardiovascular Engineering Inc, Norwood, Massachusetts, USA.
João MaldonadoClinica de Aveleira, Instituto de Investigação e Formação Cardiovascular, Coimbra, Portugal.
Anne B NewmanDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Telmo PereiraDepartment of Tecnologia, Polytechnic University of Coimbra, Coimbra, Portugal.
Kaisa Maki-PetajaDivision of Experimental Medicine and Immunotherapeutics, Department of Medicine, University of Cambridge, Cambridge, UK.
Martin ShipleyInstitute of Epidemiology and Health Care, University College London, London, UK.
Ramachandran S VasanDepartment of Medicine, Boston University, Boston, Massachusetts, USA.
Andrew WongMRC Unit for Lifelong Health and Ageing at UCL, London, UK.
Yoav Ben-ShlomoPopulation Health Sciences, University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0001-6648-3007
Ian B WilkinsonDivision of Experimental Medicine and Immunotherapeutics, Department of Medicine, University of Cambridge, Cambridge, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe predictive value of carotid-femoral pulse wave velocity (cfPWV) for cardiovascular (CV) events in individuals with blood pressure (BP) 120-159/80-99 mm Hg, where more accurate risk stratification has the greatest clinical effect, is unknown. This study aims to determine whether cfPWV improves the prediction of CV events beyond traditional risk factors in individuals with moderate BP.

designA systematic review and meta-analysis. DATA SOURCES: PubMed and EMBASE were searched through April 2023. ELIGIBILITY CRITERIA: We included prospective, population-based cohort studies with ≥1 year follow-up that directly measured cfPWV as an index of arterial stiffness and reported incident CV disease (CVD), atherosclerotic CVD (ASCVD), coronary heart disease, stroke or all-cause mortality outcomes. DATA EXTRACTION AND SYNTHESIS: Individual participant data from 11 cohorts (n=15 987) were harmonised and analysed using two-stage random-effects meta-analysis. Incremental predictive and clinical utility analyses compared 10-year risk models with and without cfPWV.

resultsThere were 1279 first atherosclerotic CV events over a median follow-up of 9.9 years. A 1-SD increase in log

conclusionsAdding cfPWV to traditional CV risk factors may improve the prediction and classification of first CV events in individuals with moderate BP. Additional screening with cfPWV could enhance risk stratification for antihypertensive treatment initiations.

Indexed as

Blood PressureCardiovascular DiseasesCarotid-Femoral Pulse Wave VelocityHypertensionHumansPulse Wave AnalysisRisk AssessmentRisk FactorsVascular StiffnessEPIDEMIOLOGYHypertensionMeta-Analysis

Identifiers

PMID41401986
PMCPMC12706244

What OpenQuestion holds

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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.