Evidence map›Paper›PMID 38116928›Full record

ArticleJournal of the American Heart Association2024

Common Carotid Artery Stenosis Degree as a Predictor of Cardiovascular Disease in a General Population: The Suita Study.

Masayuki Teramoto, Yoshihiro Kokubo, Ahmed Arafa, Rena Kashima, Yoko M Nakao, Haytham A Sheerah, Hiroharu Kataoka

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. 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

7 authors at 3 institutions in 3 countries.

Masayuki TeramotoDepartment of Preventive Cardiology National Cerebral and Cardiovascular Center Suita Japan.ORCID 0000-0002-2318-2447
Yoshihiro KokuboDepartment of Preventive Cardiology National Cerebral and Cardiovascular Center Suita Japan.ORCID 0000-0002-0705-9449
Ahmed ArafaDepartment of Preventive Cardiology National Cerebral and Cardiovascular Center Suita Japan.ORCID 0000-0002-3335-2243
Rena KashimaDepartment of Preventive Cardiology National Cerebral and Cardiovascular Center Suita Japan.
Yoko M NakaoLeeds Institute of Cardiovascular and Metabolic Medicine University of Leeds Leeds United Kingdom.ORCID 0000-0002-3627-5626
Haytham A SheerahDepartment of Preventive Cardiology National Cerebral and Cardiovascular Center Suita Japan.ORCID 0000-0001-5949-6803
Hiroharu KataokaDepartment of Neurosurgery National Cerebral and Cardiovascular Center Suita Japan.ORCID 0000-0001-8507-7557
National Cerebral and Cardiovascular Center · JPBeni-Suef University · EGUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe utility of screening for the degree of common carotid artery (CCA) stenosis as a predictor of cardiovascular disease (CVD) in a general population remains unclear. METHODS AND

resultsWe studied 4775 Japanese men and women whose CCA was measured using bilateral carotid ultrasonography at baseline (April 1994-August 2001). We calculated the degree of stenosis as a percentage of the stenotic area of the lumen in the cross-section perpendicular to the long axis. The Cox proportional hazards model was used to calculate multivariable-adjusted hazard ratios (HRs) with 95% CIs for incident CVD and its subtypes according to the degree of CCA stenosis. During the median 14.2 years of follow-up, 385 incident CVD events (159 coronary heart disease and 226 stroke) were documented. The degree of CCA stenosis was associated with increased risks of incident CVD, coronary heart disease, and stroke, with multivariable-adjusted HRs (95% CIs) for <25%, 25%-49%, and ≥50% stenosis with plaque compared with no CCA plaque of 1.37 (1.07-1.76), 1.72 (1.23-2.40), and 2.49 (1.69-3.67), respectively. Adding the CCA stenosis degree to traditional CVD risk factors increased Harrell's C statistics (0.772 [95% CI, 0.751-0.794] to 0.778 [95% CI, 0.758-0.799];

conclusionsThe degree of CCA stenosis may be used as a predictive marker for the development of CVD in the general population.

Indexed as

Cardiovascular DiseasesCarotid StenosisCoronary DiseaseStrokeCarotid Artery, CommonConstriction, PathologicFemaleHumansMaleRisk AssessmentRisk Factorscarotid stenosiscarotid ultrasonographycohort studycoronary heart diseasestroke

Identifiers

PMID38116928
PMCPMC10863812
OpenAlexW4389998093

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.