Evidence map›Paper›PMID 39933828›Full record

ArticleOpen heart2025

Association of blood pressure and left ventricular mass with subclinical coronary atherosclerosis.

Enver De Wei Loh, Weiting Huang, Rehena Sultana, Siew Ching Kong, Chirk Jenn Ng, Swee Yaw Tan, Calvin Chin, Jonathan Jiunn Liang Yap, Khung K Yeo

Abstract read
In one paragraph

Article in Open heart, 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. Observational
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

9 authors.

Enver De Wei Loh *Lee Kong Chian School of Medicine, Singapore.ORCID http://orcid.org/0000-0002-9205-1854
Weiting Huang *Cardiology, National Heart Centre Singapore, Singapore huang.weiting@singhealth.com.sg.ORCID http://orcid.org/0000-0003-3453-2374
Rehena SultanaDuke-NUS Medical School, Singapore.
Siew Ching KongNational Heart Centre Singapore, Singapore.
Chirk Jenn NgDepartment of Research, SingHealth Polyclinics, Singapore.
Swee Yaw TanNational Heart Centre Singapore, Singapore.
Calvin ChinNational Heart Centre Singapore, Singapore.
Jonathan Jiunn Liang YapNational Heart Centre Singapore, Singapore.
Khung K YeoCardiology, National Heart Centre Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft ventricular (LV) mass is closely associated with atherosclerotic heart disease, but the mechanisms are not well defined. This study aimed to evaluate the risk factors associated with LV mass and subclinical coronary atherosclerosis, in an Asian population free of baseline cardiovascular disease.

methodsThe SingHEART study is a population-based cohort in which individuals underwent ambulatory blood pressure (BP) monitoring, cardiac MRI to measure indexed LV mass index (LVMI) and coronary artery calcium (CAC) scoring. Individuals were stratified based on LVMI and the presence of CAC, and intergroup differences in risk factors were analysed. Logistic regression models were used to assess the interaction of BP and LVMI on prevalent CAC.

resultsThe study included 880 subjects (mean age 45.8±11.7 years, 51.4% women). Individuals with high LVMI had higher BP than those with normal LVMI. Across all LVMI groups, higher BP was associated with the presence of CAC. Compared with individuals with normotensive BP and normal LVMI, those with normotensive BP and high LVMI had no increased risk of prevalent CAC (p=0.530); however, risk was progressively higher in those with hypertensive BP and normal LVMI (risk ratio (RR) 1.47, 95% CI 1.13 to 1.91), or hypertensive BP and high LVMI (RR 1.72, 95% CI 1.26 to 2.36).

conclusionsIn this healthy asymptomatic population, hypertension was the strongest risk factor for high LVMI and prevalent CAC. LV hypertrophy was a risk modifier, and its prognostic significance in adults without hypertension requires further study.

Indexed as

Blood PressureCoronary Artery DiseaseHeart VentriclesHypertensionHypertrophy, Left VentricularVentricular Function, LeftAdultAsymptomatic DiseasesBlood Pressure Monitoring, AmbulatoryCross-Sectional StudiesFemaleFollow-Up StudiesHumansMagnetic Resonance Imaging, CineMaleMiddle AgedAtherosclerosisHypertensionMagnetic Resonance Imaging

Identifiers

PMID39933828
PMCPMC11815405

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.