Evidence map›Paper›PMID 41760901›Full record

ArticleHypertension research : official journal of the Japanese Society of Hypertension2026

Cardiovascular endpoints in relation to the central arterial pressure-time indexes.

Qi-Fang Huang, De-Wei An, Lucas S Aparicio, Yi-Bang Cheng, Fang-Fei Wei, José Boggia, Wen-Yi Yang, Chang-Sheng Sheng, Dries S Martens, Katarzyna Stolarz-Skrzypek and 14 more

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Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

24 authors.

Qi-Fang HuangDepartment of Cardiovascular Medicine, Shanghai Key Laboratory of Hypertension, Shanghai Institute of Hypertension, State Key Laboratory of Medical Genomics, National Research Center for Translational Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.ORCID 0000-0002-9780-4237
De-Wei AnDepartment of Cardiovascular Medicine, Shanghai Key Laboratory of Hypertension, Shanghai Institute of Hypertension, State Key Laboratory of Medical Genomics, National Research Center for Translational Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.ORCID 0000-0002-1395-7050
Lucas S AparicioServicio de Clínica Médica, Sección Hipertensión Arterial, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.ORCID 0000-0002-8704-7287
Yi-Bang ChengDepartment of Cardiovascular Medicine, Shanghai Key Laboratory of Hypertension, Shanghai Institute of Hypertension, State Key Laboratory of Medical Genomics, National Research Center for Translational Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.ORCID 0000-0002-3822-3504
Fang-Fei WeiDepartment of Cardiology, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China.ORCID 0000-0002-4254-5215
José BoggiaUnidad Académica de Nefrología, Hospital de Clínicas Dr Manuel Quintela, Universidad de la República, Montevideo, Uruguay.ORCID 0000-0002-1564-8534
Wen-Yi YangDepartment of Cardiology, Shanghai General Hospital, Shanghai, China.ORCID 0000-0003-1279-0866
Chang-Sheng ShengDepartment of Cardiovascular Medicine, Shanghai Key Laboratory of Hypertension, Shanghai Institute of Hypertension, State Key Laboratory of Medical Genomics, National Research Center for Translational Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.ORCID 0000-0003-2685-0663
Dries S MartensCenter for Environmental Sciences, Hasselt University, Diepenbeek, Belgium.ORCID 0000-0001-7893-3642
Katarzyna Stolarz-SkrzypekFirst Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Kraków, Poland.ORCID 0000-0002-7057-7302
Wiktoria WojciechowskaFirst Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Kraków, Poland.ORCID 0000-0003-3075-3508
Marek RajzerFirst Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Kraków, Poland.ORCID 0000-0001-7074-7263
Valérie TikhonoffDepartment of Medicine, University of Padua, Padua, Italy.ORCID 0000-0001-7846-0101
Edoardo CasigliaDepartment of Medicine, University of Padua, Padua, Italy.ORCID 0000-0002-0003-3289
Natasza Gilis-MalinowskaHypertension Unit, Department of Hypertension and Diabetology, Medical University of Gdańsk, Gdańsk, Poland.ORCID 0000-0002-6633-202X
Krzysztof NarkiewiczHypertension Unit, Department of Hypertension and Diabetology, Medical University of Gdańsk, Gdańsk, Poland.ORCID 0000-0001-5949-5018
Jitka SeidlerováFaculty of Medicine, Charles University, Pilsen, Czech Republic.ORCID 0000-0002-2731-4961
Jan FilipovskýFaculty of Medicine, Charles University, Pilsen, Czech Republic.ORCID 0000-0002-1535-1263
Kalina Kawecka-JaszczFirst Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Kraków, Poland.ORCID 0000-0002-8660-2867
Ji-Guang WangDepartment of Cardiovascular Medicine, Shanghai Key Laboratory of Hypertension, Shanghai Institute of Hypertension, State Key Laboratory of Medical Genomics, National Research Center for Translational Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.ORCID 0000-0001-8511-1524
Tim S NawrotCenter for Environmental Sciences, Hasselt University, Diepenbeek, Belgium.ORCID 0000-0002-3583-3593
Yan Li *Department of Cardiovascular Medicine, Shanghai Key Laboratory of Hypertension, Shanghai Institute of Hypertension, State Key Laboratory of Medical Genomics, National Research Center for Translational Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. liyanshch@163.com.ORCID 0000-0002-5825-5968
Jan A Staessen *Department of Cardiovascular Medicine, Shanghai Key Laboratory of Hypertension, Shanghai Institute of Hypertension, State Key Laboratory of Medical Genomics, National Research Center for Translational Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. jan.staessen@appremed.org.ORCID 0000-0002-3026-1637
International database of central arterial properties for risk stratification investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple articles focused on the central arterial systolic (SPTI) and diastolic (DPTI) pressure-time indexes and the subendocardial viability ratio (SEVR). However, whether these indexes contribute to risk stratification in the general population is unknown. SPTI, DPTI and SEVR were noninvasively measured by the SphygmoCor technology. Incidence rates and standardized (per 1-SD increment) multivariable-adjusted hazard ratios (HRs) for cardiovascular (primary) and cardiac endpoints and stroke were evaluated in the International Database of Central Arterial Properties for Risk Stratification (n = 5099). Model refinement was assessed by the area under the curve (AUC) and the integrated discrimination (IDI) and net reclassification (NRI) improvement. Over 4 years (median), 215 cardiovascular, 133 cardiac endpoints and 79 strokes occurred. For SPTI, fully adjusted HRs were 1.37 (95% CI: 1.18-1.59), 1.35 (1.11-1.64) and 1.33 (1.05-1.69) for the cardiovascular and cardiac endpoints and stroke. The corresponding HRs for DPTI were 1.49 (1.31-1.69), 1.23 (1.02-1.48) and 1.74 (1.46-2.07). For SEVR, none of the HRs reached significance. Analyses with these indexes categorized by quartiles were confirmatory. Analyses stratified by various risk factors did not reveal subgroup differences. For the cardiovascular endpoint, adding SPTI or DPTI to the base model improved the AUC, while adding SPTI or DPTI combined with mean arterial pressure, increased IDI by ~1.7% and NRI by ~17% (P < 0.001 for all). Whereas cardiovascular and cardiac endpoints and stroke were related with the non-invasively measured SPTI and DPTI, SEVR was not.

Indexed as

Arterial PressureCardiovascular DiseasesAgedBlood PressureFemaleHumansMaleRisk FactorsStrokecardiovascular diseaseCentral arterial pressure-time indexesdigital hypertensionpopulation sciencerisk stratification

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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.