Evidence map›Paper›PMID 32476573›Full record

SynthesisJournal of the American Heart Association2020

Impact of Circadian Blood Pressure Pattern on Silent Cerebral Small Vessel Disease: A Systematic Review and Meta-Analysis.

Anthipa Chokesuwattanaskul, Wisit Cheungpasitporn, Charat Thongprayoon, Saraschandra Vallabhajosyula, Tarun Bathini, Michael A Mao, Liam D Cato, Ronpichai Chokesuwattanaskul

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Review
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  14. Twenty-four hour blood pressure variability and the prevalence and the progression of cerebral white matter hyperintensities.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
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  18. Observational
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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

8 authors.

Anthipa ChokesuwattanaskulDivision of Neurology Faculty of Medicine Chulalongkorn University and King Chulalongkorn Memorial Hospital Bangkok Thailand.
Wisit CheungpasitpornDepartment of Medicine University of Mississippi Medical Center Jackson MS.
Charat ThongprayoonDivision of Nephrology Department of Medicine Mayo Clinic Rochester MN.
Saraschandra VallabhajosyulaDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN.
Tarun BathiniDepartment of Internal Medicine University of Arizona Tucson AZ.
Michael A MaoDepartment of Internal Medicine Mayo Clinic Jacksonville FL.
Liam D CatoUniversity Hospitals Birmingham NHS Foundation Trust Birmingham United Kingdom.
Ronpichai ChokesuwattanaskulKing Chulalongkorn Memorial Hospital Thai Red Cross Society Bangkok Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Abnormal circadian blood pressure (BP) variations during sleep, specifically the non-dipping (<10% fall in nocturnal BP) and reverse-dipping patterns (rise in nocturnal BP), have been associated with an increased risk of cardiovascular events and target organ damage. However, the relationship between abnormal sleep BP variations and cerebral small vessel disease markers is poorly established. This study aims to assess the association between non-dipping and reverse-dipping BP patterns with markers of silent cerebral small vessel disease. Methods and Results MEDLINE, Embase, and Cochrane Databases were searched from inception through November 2019. Studies that reported the odds ratios (ORs) for cerebral small vessel disease markers in patients with non-dipping or reverse-dipping BP patterns were included. Effect estimates from the individual studies were extracted and combined using the random-effect, generic inverse variance method of DerSimonian and Laird. Twelve observational studies composed of 3497 patients were included in this analysis. The reverse-dipping compared with normal dipping BP pattern was associated with a higher prevalence of white matter hyperintensity with a pooled adjusted OR of 2.00 (95% CI, 1.13-2.37; I

Indexed as

Blood PressureCircadian RhythmAdultAgedAged, 80 and overAsymptomatic DiseasesCerebral Small Vessel DiseasesFemaleHumansMaleMiddle AgedNeuroimagingObservational Studies as TopicRisk AssessmentRisk FactorsTime Factorsblood pressure variabilitycircadianmeta‐analysismicrobleedwhite matter

Identifiers

PMID32476573
PMCPMC7429026

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.