Evidence map›Paper›PMID 3946459›Full record

ArticleThe American journal of medicine1986

Prevalence and prognostic significance of hypercholesterolemia in men with hypertension. Prospective data on the primary screenees of the Multiple Risk Factor Intervention Trial.

J Stamler, D Wentworth, J D Neaton

3 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in The American journal of medicine, 1986. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% 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.

NCT03047538 phase4withdrawnstarted 2017, after this paper: background citation

Fixed Combination for Lipid and Blood Pressure Control. Randomized Cross-over Study

Ran2017Enrolled0Registered outcomes5Posted comparisons0ConditionsArterial Hypertension, Blood Pressure, Dyslipidemias, Lipid Metabolism DisordersArmsAtorvastatin, Amlodipine, Perindopril
Open the trial in the graph
NCT00000487 phase3completednot on this map

Multiple Risk Factor Intervention Trial for the Prevention of Coronary Heart Disease (MRFIT)

TypeinterventionalSponsorUniversity of MinnesotaRan1972 to 1998ConditionsCardiovascular Diseases, Coronary Disease, Heart Diseases, Myocardial IschemiaArmsantihypertensive agents, smoking cessation, diet, fat-restricted, diuretics
NCT00005156 completednot on this map

Mortality Surveillance of MRFIT Screenees

TypeobservationalSponsorUniversity of MinnesotaRan1982 to 1996ConditionsCardiovascular Diseases, Heart Diseases, Cerebrovascular Accident, Coronary Disease
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 112 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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  5. Effect of Retatrutide, a Novel Triple Receptor Agonist, on Blood Pressure and Lipid Levels: A Systematic Review and Meta-analysis of Randomized Controlled Trials.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Review
  6. Article
  7. Review
  8. Observational
  9. Metabolomic characterization of hypertension and dyslipidemia.Metabolomics : Official journal of the Metabolomic Society · 2018
    Article
  10. Article
  11. Article
  12. Article
  13. LIPITENSION: Interplay between dyslipidemia and hypertension.Indian journal of endocrinology and metabolism · 2012
    Article
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  15. Article
  16. Review
  17. Article
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  19. Article
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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

3 authors at 2 institutions in 1 country.

J Stamler
D Wentworth
J D Neaton
University of Minnesota · USNorthwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To assess the impact of serum cholesterol level on the risk of fatal coronary heart disease for men with high blood pressure, the six-year follow-up data from 361,662 men (aged 35 to 57 years) screened in 18 cities in the recruitment effort for the Multiple Risk Factor Intervention Trial were evaluated. Of these men, 356,222 reported no history of hospitalization for myocardial infarction; 100,032 of these 356,222 had a baseline mean diastolic blood pressure equal to or greater than 90 mm Hg. For those men with high blood pressure, the overall age-adjusted six-year rate of coronary heart disease death was 79 percent higher than for those with diastolic blood pressure less than 90 mm Hg. Compared with men with diastolic blood pressure less than 90 mm Hg and serum cholesterol below 182 mg/dl, men with diastolic blood pressure equal to or greater than 90 mm Hg had the following relative risks, based on the serum cholesterol level: for those with a serum cholesterol level less than 182 mg/dl, risk was 1.64; for those with a level of 182 to 202 mg/dl, risk was 2.14; for those with a level of 203 to 220 mg/dl, risk was 3.14; for those with a level of 221 to 244 mg/dl, risk was 3.29; and for those with a level equal to or greater than 245 mg/dl, risk was 5.14. Thus, for men with high blood pressure, serum cholesterol related to coronary heart disease risk in a strong, graded way, over the entire distribution of serum cholesterol, from levels of 182 mg/dl and higher. This was the case for hypertensive male smokers and nonsmokers, with cigarette use associated with a further marked increase in risk--at least a doubling of the mortality rate--at any level of serum cholesterol. These data underscore the necessity for a strategy of comprehensive care for persons with high blood pressure, including approaches to both nutritional and hygienic counseling and drug treatment, aimed at controlling all of the established major risk factors influencing prognosis.

Indexed as

AdultCholesterolCoronary DiseaseFollow-Up StudiesHumansHypercholesterolemiaHypertensionMaleMiddle AgedPrognosisProspective StudiesRiskSampling StudiesSmokingUnited StatesCholesterol

Identifiers

PMID3946459
OpenAlexW2053062957

What Socratic holds

Textmetadata
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.