Evidence mapPaperPMID 39830613Full record

ArticleASIDE internal medicine2025

The Impact of Idiopathic Intracranial Hypertension on Cardiovascular Disease Risk Among UK Women: An Obesity-Adjusted Analysis.

Ahmed Y Azzam, Mahmoud M Morsy, Mohamed Hatem Ellabban, Ahmed M Morsy, Adham Adel Zahran, Mahmoud Nassar, Omar S Elsayed, Adam Elswedy, Osman Elamin, Ahmed Saad Al Zomia and 8 more

Abstract read
In one paragraph

Article in ASIDE internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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

2 citing papers in PubMed.

  1. Article
  2. 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

18 authors.

Ahmed Y AzzamFaculty of Medicine, October 6 University, 6 of October City, Giza, Egypt.
Mahmoud M MorsyFaculty of Medicine, October 6 University, 6 of October City, Giza, Egypt.
Mohamed Hatem EllabbanFaculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ahmed M MorsyKasr Alainy Faculty of Medicine, Cairo University Hospitals, Cairo University, Cairo, Egypt.
Adham Adel ZahranKasr Alainy Faculty of Medicine, Cairo University Hospitals, Cairo University, Cairo, Egypt.
Mahmoud NassarDepartment of Medicine, Division of Endocrinology, Diabetes and Metabolism, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, New York, USA.
Omar S ElsayedFaculty of Medicine, October 6 University, 6 of October City, Giza, Egypt.
Adam ElswedyFaculty of Medicine, October 6 University, 6 of October City, Giza, Egypt.
Osman ElaminDepartment of Neurosurgery, Jordan Hospital, Amman, Jordan.
Ahmed Saad Al ZomiaCollege of Medicine, King Khalid University, Abha, Saudi Arabia.
Hana J AbukhadijahMedical Research Center, Hamad Medical Corporation, Doha, Qatar.
Hammam A AlotaibiOphthalmology Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Oday AtallahDepartment of Neurosurgery, Hannover Medical School, Hannover, Germany.
Mohammed A AzabDepartment of Neurosurgery, Cleveland Clinic Foundation, Cleveland, OH, USA.
Muhammed Amir EssibayiMontefiore-Einstein Cerebrovascular Research Lab, Albert Einstein College of Medicine, Bronx, NY, USA.
Adam A DmytriwNeuroendovascular Program, Massachusetts General Hospital & Brigham and Women's Hospital, Harvard University, Boston, MA, USA.
Mohamed D MorsyCollege of Medicine, King Khalid University, Abha, Saudi Arabia.
David J AltschulMontefiore-Einstein Cerebrovascular Research Lab, Albert Einstein College of Medicine, Bronx, NY, USA.

Funding

Einstein-Montefiore Clinical and Translational Science Award HubUM1TR004400 · ALBERT EINSTEIN COLLEGE OF MEDICINE · 2025 to 2025
$4.3M
NCATS NIH HHS UM1 TR004400
6 · The paper itself

Abstract

Introduction: Idiopathic intracranial hypertension (IIH) is known to elevate cardiovascular disease (CVD) risk, but the extent to which obesity and IIH-specific factors contribute to this risk is not well understood. WE aim to separate the effects of obesity from IIH-specific factors on the risk of stroke and CVD, building on previous findings that indicate a two-fold increase in cardiovascular events in women with IIH compared to BMI-matched controls. Methods: An obesity-adjusted risk analysis was conducted using Indirect Standardization based on data from a cohort study by Adderley et al., which included 2,760 women with IIH and 27,125 matched healthy controls from The Health Improvement Network (THIN). Advanced statistical models were employed to adjust for confounding effects of obesity and determine the risk contributions of IIH to ischemic stroke and CVD, independent of obesity. Four distinct models explored the interactions between IIH, obesity, and CVD risk. Results: The analysis showed that IIH independently contributes to increased cardiovascular risk beyond obesity alone. Risk ratios for cardiovascular outcomes were significantly higher in IIH patients compared to controls within similar obesity categories. Notably, a synergistic effect was observed in obese IIH patients, with a composite CVD risk ratio of 6.19 (95% CI: 4.58-8.36, p<0.001) compared to non-obese controls. Conclusions: This study underscores a significant, independent cardiovascular risk from IIH beyond obesity. The findings advocate for a shift in managing IIH to include comprehensive cardiovascular risk assessment and mitigation. Further research is required to understand the mechanisms and develop specific interventions for this group.

Indexed as

Cardiovascular DiseaseIdiopathic Intracranial HypertensionIschemic StrokePseudotumor CerebriStroke

Identifiers

PMID39830613
PMCPMC11739732

What Socratic holds

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Registered trials

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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.