Evidence mapPaperPMID 36525544Full record

ArticleAIDS (London, England)2023

Ideal cardiovascular health, biomarkers, and coronary artery disease in persons with HIV.

Pamela S Douglas, Sara McCallum, Michael T Lu, Triin Umbleja, Kathleen V Fitch, Borek Foldyna, Markella V Zanni, Evelynne S Fulda, Gerald S Bloomfield, Carl J Fichtenbaum and 9 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in AIDS (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT02344290. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 16% 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.

NCT02344290 phase3completed

Randomized Trial to Prevent Vascular Events in HIV - REPRIEVE

Ran2015Enrolled7,769Registered outcomes37Posted comparisons40ConditionsCardiovascular Diseases, HIVArmsPitavastatin, Placebo
Open the trial in the graph
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 13 institutions in 1 country.

Pamela S DouglasDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina.
Sara McCallumMetabolism Unit, Massachusetts General Hospital, Harvard Medical School.
Michael T LuCardiovascular Imaging Research Center, Department of Radiology, Massachusetts General Hospital, Harvard Medical School.
Triin UmblejaCenter for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Kathleen V FitchMetabolism Unit, Massachusetts General Hospital, Harvard Medical School.
Borek FoldynaCardiovascular Imaging Research Center, Department of Radiology, Massachusetts General Hospital, Harvard Medical School.
Markella V ZanniMetabolism Unit, Massachusetts General Hospital, Harvard Medical School.
Evelynne S FuldaMetabolism Unit, Massachusetts General Hospital, Harvard Medical School.
Gerald S BloomfieldDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina.
Carl J FichtenbaumDivision of Infectious Diseases, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Edgar T OvertonDivision of Infectious Diseases, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama.
Judith A AbergDivision of Infectious Diseases, Icahn School of Medicine at Mount Sinai, New York, New York.
Carlos D MalvestuttoDivision of Infectious Diseases, Ohio State University Medical Center, Columbus, Ohio.
Tricia H BurdoDepartment of Microbiology, Immunology, and Inflammation and Center for NeuroVirology and Gene Editing, Temple University Lewis Katz School of Medicine, Philadelphia, Pennsylvania.
Roberto C ArduinoDivision of Infectious Diseases, McGovern Medical School at The University of Texas Health Science Center, Houston, Texas.
Ken S HoDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Michael T YinDivision of Infectious Diseases, Columbia University College of Physicians and Surgeons, New York, New York, USA.
Heather J RibaudoCenter for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Steven K GrinspoonMetabolism Unit, Massachusetts General Hospital, Harvard Medical School.
Massachusetts General Hospital · USHarvard University · USCancer Research And Biostatistics · USColumbia University · USDuke University · USGTx (United States) · USIcahn School of Medicine at Mount Sinai · USTemple University · USThe Ohio State University Wexner Medical Center · USThe University of Texas Health Science Center at Houston · USUniversity of Alabama at Birmingham · USUniversity of Cincinnati Medical Center · USUniversity of Pittsburgh · US

Funding

AIDS Clinical Trials Group for Research on Therapeutics for HIV and Related InfectionsUM1AI068636 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · 2021 to 2025
$229.0M
Statistical and Data Management Center (SDMC), AIDS Clinical Trials Group (ACTG)UM1AI068634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · 2021 to 2025
$81.6M
Case Clinical Trials UnitUM1AI069501 · NIAID · CASE WESTERN RESERVE UNIVERSITY · 2021 to 2025
$13.2M
Pitt-Ohio State Clinical Trials UnitUM1AI069494 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · 2021 to 2025
$13.1M
Columbia Collaborative HIV/AIDS Clinical Trials UnitUM1AI069470 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · 2021 to 2025
$12.7M
UNC Center for AIDS Research Core F BiostatisticsP30AI050410 · UNIV OF NORTH CAROLINA CHAPEL HILL · 2001 to 2025
$10.9M
Clinical and Translational Science CenterUL1TR002384 · WEILL MEDICAL COLL OF CORNELL UNIV · 2025 to 2025
$9.8M
ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · MASSACHUSETTS GENERAL HOSPITAL · 1994 to 2025
$6.0M
Consequences of Persistent Immune Activation among ART-treated Women with HIVK24AI157882 · MASSACHUSETTS GENERAL HOSPITAL · 2025 to 2025
$182k
NCATS NIH HHS UL1 TR002384NHLBI NIH HHS U01 HL123336NHLBI NIH HHS U01 HL123339NIAID NIH HHS K24 AI157882NIAID NIH HHS P30 AI050410NIAID NIH HHS U01 AI069470NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069470NIAID NIH HHS UM1 AI069494NIAID NIH HHS UM1 AI069501NIDDK NIH HHS P30 DK040561
6 · The paper itself

Abstract

objectiveTo investigate relationships between Life's Simple 7 (LS7), an assessment of cardiovascular health (CVH), and coronary plaque among people with HIV (PWH).

designCross-sectional.

methodsCoronary computed tomography angiography, immune/inflammatory biomarkers, and characterization of LS7 were collected among a subset of ART-treated PWH enrolled in REPRIEVE, a primary prevention trial. Analyses adjusted for cardiovascular disease risk (ASCVD score).

resultsMedian age of the 735 participants was 51(±6) years, 16% female, and median (Q1-Q3) CVD risk was 4.5% (2.6-6.9). Forty percent had poor (≤2 ideal components), 51% had intermediate (three or four ideal components), and only 9% had ideal CVH (≥5). Coronary plaque was present in 357 (49%); 167 (23%) had one or more vulnerable plaque features, 293 (40%) had noncalcified plaque, and 242 (35%) had a coronary artery calcium score >0. All three phenotypes were increasingly more prevalent with poorer CVH and these relationships remained after adjusting for ASCVD risk. Poor CVH was associated with higher high-sensitivity C-reactive protein, oxidized low-density cholesterol, and interleukin-6. The relationship of LS7 to plaque remained after adjusting for these biomarkers.

conclusionsAmong PWH, poor CVH as measured by LS7 was associated with coronary plaque presence, vulnerable features, and calcification. LS7 was also associated with selected biomarkers; adjustment for these and ASCVD score reduced but did not eliminate LS7's association with plaque, suggesting the possibility of additional protective mechanisms against atherogenesis and plaque remodeling. Clinical use of LS7 and further exploration of its relationships with coronary artery disease may enhance efforts to reduce cardiovascular morbidity and mortality in PWH. CLINICAL TRIALS REGISTRATION: NCT02344290.

Indexed as

Cardiovascular DiseasesCoronary Artery DiseaseHIV InfectionsPlaque, AtheroscleroticBiomarkersCross-Sectional StudiesFemaleHumansMaleRisk FactorsBiomarkers

Identifiers

PMID36525544
PMCPMC9877147
OpenAlexW4312051979

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.