Evidence map›Paper›PMID 32062643›Full record

SynthesisJournal of atherosclerosis and thrombosis2020

The Relationship of Coronary Artery Calcium and Clinical Coronary Artery Disease with Cognitive Function: A Systematic Review and Meta-Analysis.

Congying Xia, Marleen Vonder, Grigory Sidorenkov, Matthijs Oudkerk, Jan Cees de Groot, Pim van der Harst, Geertruida H de Bock, Peter Paul De Deyn, Rozemarijn Vliegenthart

Open access · diamondAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of atherosclerosis and thrombosis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.8field-weighted citation impact, top 13% 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.

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

17 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Cognition and coronary events: A narrative overview of neurocognitive impairment in ACS patients.American heart journal plus : cardiology research and practice · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Coronary Artery Calcium: A Risk Factor for Brain Aging?Circulation. Cardiovascular imaging · 2021
    Article
  16. Article
  17. 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

9 authors at 2 institutions in 1 country.

Congying XiaUniversity of Groningen, University Medical Center Groningen, Department of Radiology.
Marleen VonderUniversity of Groningen, University Medical Center Groningen, Department of Epidemiology.
Grigory SidorenkovUniversity of Groningen, University Medical Center Groningen, Department of Epidemiology.
Matthijs OudkerkUniversity of Groningen, Faculty of Medical Sciences.
Jan Cees de GrootUniversity of Groningen, University Medical Center Groningen, Department of Radiology.
Pim van der HarstUniversity of Groningen, University Medical Center Groningen, Department of Cardiology.
Geertruida H de BockUniversity of Groningen, University Medical Center Groningen, Department of Epidemiology.
Peter Paul De DeynUniversity of Groningen, University Medical Center Groningen, Department of Neurology, Alzheimer Center Groningen.
Rozemarijn VliegenthartUniversity of Groningen, University Medical Center Groningen, Department of Radiology.
University Medical Center Groningen · NLUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimCoronary artery disease (CAD) and cognitive impairment are common in the elderly, with evidence for shared risk factors and pathophysiological processes. The coronary artery calcium (CAC) score is a marker of subclinical CAD, which may allow early detection of individuals prone to cognitive decline. Prior studies on associations of CAC and clinical CAD with cognitive impairment had discrepant results. This systematic review aims to evaluate the association of (sub)clinical CAD with cognitive function, cognitive decline, and diagnosis of mild cognitive impairment (MCI) or dementia.

methodsA systematic search was conducted in MEDLINE, Embase, and Web of Science until February 2019, supplemented with citations tracking. Two reviewers independently screened studies and extracted information including odds ratios (ORs) and hazard ratios (HRs).

resultsForty-six studies, 10 on CAC and 36 on clinical CAD, comprising 1,248,908 participants were included in the systematic review. Studies about associations of (sub)clinical CAD with cognitive function and cognitive decline had heterogeneous methodology and inconsistent findings. Two population-based studies investigated the association between CAC and risk of dementia over 6-12.2 years using different CAC scoring methods. Both found a tendency toward higher risk of dementia as CAC severity increased. Meta-analysis in 15 studies (663,250 individuals) showed an association between CAD and MCI/dementia (pooled OR 1.32, 95%CI 1.17-1.48) with substantial heterogeneity (I

conclusionsLimited evidence suggests the CAC score is associated with risk of dementia. In clinical CAD, risk of MCI and dementia is increased by 50%, as supported by stronger evidence.

Indexed as

CalciumCognitive DysfunctionCoronary Artery DiseaseCoronary VesselsDementiaHumansPrognosisCalciumAtherosclerosisCoronary artery calciumCoronary artery diseaseDementiaMild cognitive impairment

Identifiers

PMID32062643
PMCPMC7508729
OpenAlexW3006458198

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

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 Socratic graph.