Evidence mapPaperPMID 36835906Full record

ArticleJournal of clinical medicine2023

Higher Leukocyte Count Is Associated with Lower Presence of Carotid Lipid-Rich Necrotic Core: A Sub-Study in the Plaque at RISK (PARISK) Study.

Twan Jowan van Velzen, Jeffrey Stolp, Dianne van Dam-Nolen, Mohamed Kassem, Jeroen Hendrikse, Marianne Eline Kooi, Daniel Bos, Paul J Nederkoorn

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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 at 4 institutions in 1 country.

Twan Jowan van VelzenDepartment of Neurology, Amsterdam UMC, Location AMC, 1105 AZ Amsterdam, The Netherlands.
Jeffrey StolpDepartment of Neurology, Amsterdam UMC, Location AMC, 1105 AZ Amsterdam, The Netherlands.
Dianne van Dam-NolenDepartment of Radiology and Nuclear Medicine, Erasmus MC, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands.ORCID 0000-0002-4527-3876
Mohamed KassemDepartment of Radiology and Nuclear Medicine, Maastricht UMC+, 6229 HX Maastricht, The Netherlands.ORCID 0000-0001-8392-2323
Jeroen HendrikseDepartment of Radiology, UMC Utrecht Brain Center, 3584 CX Utrecht, The Netherlands.
Marianne Eline KooiDepartment of Radiology and Nuclear Medicine, Maastricht UMC+, 6229 HX Maastricht, The Netherlands.ORCID 0000-0001-7562-5724
Daniel BosDepartment of Radiology and Nuclear Medicine, Erasmus MC, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands.
Paul J NederkoornDepartment of Neurology, Amsterdam UMC, Location AMC, 1105 AZ Amsterdam, The Netherlands.
Amsterdam University Medical Centers · NLErasmus MC · NLMaastricht University Medical Centre · NLUniversity Medical Center Utrecht · NL

Funding

Center for Translational Molecular Medicine 01C-202Hartstichting DHF2008-T094Netherlands Organisation for Health Research and Development 843004107
6 · The paper itself

Abstract

backgroundIncreasing evidence suggests that inflammation inside the vessel wall has a prominent role in atherosclerosis. In carotid atherosclerosis in particular, vulnerable plaque characteristics are strongly linked to an increased stroke risk. An association between leukocytes and plaque characteristics has not been investigated before and could help with gaining knowledge on the role of inflammation in plaque vulnerability, which could contribute to a new target for intervention. In this study, we investigated the association of the leukocyte count with carotid vulnerable plaque characteristics.

methodsAll patients from the Plaque At RISK (PARISK) study whom had complete data on their leukocyte count and CTA- and MRI-based plaque characteristics were included. Univariable logistic regression was used to detect associations of the leukocyte count with the separate plaque characteristics (intra-plaque haemorrhage (IPH), lipid-rich-necrotic core (LRNC), thin or ruptured fibrous cap (TRFC), plaque ulceration and plaque calcifications). Subsequently, other known risk factors for stroke were included as covariates in a multivariable logistic regression model.

results161 patients were eligible for inclusion in this study. Forty-six (28.6%) of these patients were female with a mean age of 70 [IQR 64-74]. An association was found between a higher leukocyte count and lower prevalence of LRNC (OR 0.818 (95% CI 0.687-0.975)) while adjusting for covariates. No associations were found between the leucocyte count and the presence of IPH, TRFC, plaque ulceration or calcifications.

conclusionsThe leukocyte count is inversely associated with the presence of LRNC in the atherosclerotic carotid plaque in patients with a recently symptomatic carotid stenosis. The exact role of leukocytes and inflammation in plaque vulnerability deserves further attention.

Indexed as

atherosclerosiscarotid stenosisischemic strokeleukocytevulnerable plaque

Identifiers

PMID36835906
PMCPMC9961713
OpenAlexW4319786847

What Socratic holds

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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 Socratic graph.