Evidence map›Paper›PMID 10666353›Full record

ArticleEuropean heart journal2000

Aortic stiffness as a risk factor for recurrent acute coronary events in patients with ischaemic heart disease.

C Stefanadis, J Dernellis, E Tsiamis, C Stratos, L Diamantopoulos, A Michaelides, P Toutouzas

Registry-linked trialOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in European heart journal, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03309618 (Improving Arterial Wall Characteristics in Patients After Myocardial Infarction With a Very Low Dose of Fluvastatin and Valsartan), which is not on this map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
5.3field-weighted citation impact, top 4% of its field
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.

NCT03309618 nacompletedstarted 2012, after this paper: background citation

Improving Arterial Wall Characteristics in Patients After Myocardial Infarction With a Very Low Dose of Fluvastatin and Valsartan: Proof-of-concept Study

Ran2012Enrolled36Registered outcomes10Posted comparisons0ConditionsMyocardial InfarctionArmslow-dose combination of fluvastatin (10 mg) and valsartan (20 mg) (low-flu/val), Placebo
Open the trial in the graph
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 218 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. The COSEVAST Study Outcome: Evidence of COVID-19 Severity Proportionate to Surge in Arterial Stiffness.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. The apex of the aortic arch backshifts with aging.Surgical and radiologic anatomy : SRA · 2017
    Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Aortic Compliance and Stiffness Among Severe Longstanding Hypertensive and Non-hypertensive.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2013
    Article
  18. Article
  19. Aortic distensibility and extent and complexity of coronary artery disease in patients with stable hypertensive and nonhypertensive coronary artery disease.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2013
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

C StefanadisHippokration Hospital, Department of Cardiology, University of Athens, Greece.
J Dernellis
E Tsiamis
C Stratos
L Diamantopoulos
A Michaelides
P Toutouzas
Hippocration General Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsAortic elasticity is an important determinant of left ventricular performance and coronary blood flow. Moreover, it has been shown that aortic elastic properties deteriorate in patients with coronary artery disease. However, the predictive role of aortic elasticity in the occurrence of coronary events, has not been addressed so far. Therefore, we set out to test prospectively the hypothesis that invasive as well as non-invasive measures of aortic elastic properties, assessed at rest from pressure-diameter relationships, could predict the development of recurrent coronary events. METHODS AND

resultsClinical variables and measures of aortic function were assessed in 54 normotensive patients with coronary artery disease. The aortic pressure-diameter relationship was derived invasively with a high-fidelity Y shaped catheter (developed in our Institution) for aortic diameter measurements, simultaneously with a Millar catheter for aortic pressure measurements. Aortic root distensibility was assessed by non-invasive techniques. During an average of 3 years follow-up, 12 of 54 patients either developed unstable angina (n=8) or acute myocardial infarction (n=4). By multivariate Cox model analysis, aortic stiffness was the strongest predictor of progression to any end-point (relative risk: 3.24, CI: 1.79 to 5.83;P=0.000). When aortic stiffness was not considered, aortic distensibility was the only independent predictor for acute coronary syndromes (relative risk: 0.37 CI: 0.21 to 0.65;P=0.000).

conclusionIn patients with coronary artery disease, aortic elastic properties are powerful and independent risk factors for recurrent acute coronary events.

Indexed as

AortaCardiac CatheterizationCoronary DiseaseEchocardiographyElasticityFemaleHumansMaleMiddle AgedMyocardial IschemiaPredictive Value of TestsProportional Hazards ModelsProspective StudiesRecurrenceRisk AssessmentRisk Factors

Identifiers

PMID10666353
OpenAlexW2151241107

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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 Socratic graph.