Evidence map›Paper›PMID 12067934›Full record

ArticleHeart (British Cardiac Society)2002

Impact of availability and use of coronary interventions on the prescription of aspirin and lipid lowering treatment after acute coronary syndromes.

P G Steg, B Iung, L J Feldman, D Cokkinos, J Deckers, K A A Fox, U Keil, A P Maggioni

2 registry-linked trialsOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Heart (British Cardiac Society), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.5field-weighted citation impact, top 7% 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.

NCT00673036 unknown statusnot on this mapstarted 2005, after this paper: background citation

French Registry of Acute Coronary Syndrome With or Without ST Elevation

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2005 to 2019Enrolled3,750ConditionsAcute Myocardial InfarctionArmsBlood sample
NCT04050956 recruitingnot on this mapstarted 2019, after this paper: background citation

French Cohort of Myocardial Infarction Evaluation

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2019 to 2049Enrolled30,000ConditionsAcute Myocardial Infarction
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. A clearly visible V wave in the pulmonary artery pressure curve caused by severe mitral valve regurgitation.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2006
    Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 6 countries.

P G StegGroupe Hospitalier Bichat - Claude Bernard, Assistance Publique-Hôpitaux de Paris, Paris, France. gabriel.steg@bch.ap-hop-paris.fr
B Iung
L J Feldman
D Cokkinos
J Deckers
K A A Fox
U Keil
A P Maggioni
Hôpital Bichat-Claude-Bernard · FRCardialysis (Netherlands) · NLMario Negri Institute for Pharmacological Research · ITOnassis Cardiac Surgery Center · GRThe Queen's Medical Research Institute · GBUniversité Claude Bernard Lyon 1 · FRUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been suggested that patients undergoing acute intervention for coronary syndromes may not receive adequate secondary prevention.

objectiveTo analyse the impact of availability and use of coronary interventions on the prescription of secondary prevention after acute coronary syndromes.

designAnalysis of a prospective multicentre register of patients admitted to hospital for acute coronary syndromes.

settingA 1999 pan-European survey in 390 hospitals. PATIENTS: 3092 patients admitted to hospital with acute coronary syndromes (including 777 for ST elevation myocardial infarction within 12 hours of onset).

main outcome measuresRates of prescription of aspirin and lipid lowering agents.

resultsPerformance of coronary angiography and percutaneous coronary interventions (PCI) during the hospital stay were independent predictors of prescription of aspirin at discharge (odds ratio (OR) 1.29 and 1.89, p = 0.053 and p < 0.0001, respectively). Lipid lowering agents were prescribed more often on discharge in patients admitted to hospitals with catheterisation laboratories than without (for infarction with ST elevation, 45% v 40% (NS); for other acute coronary syndromes, 46% v 36%; p < 0.05). Prescription rates were higher among patients undergoing coronary angiography or PCI than in those treated conservatively (for infarction with ST elevation, 49%, 53%, and 39%, p < 0.05; for other acute coronary syndromes, 50%, 54%, and 34%, p < 0.05). Logistic regression analysis showed that PCI was an independent predictor of prescription of lipid lowering agents at discharge (OR 1.48, p < 0.0002).

conclusionsContrary to expectations, invasive procedures for acute coronary syndromes are associated with higher rates of prescription of pharmacological secondary prevention.

Indexed as

Adrenergic beta-AntagonistsAgedAngioplasty, Balloon, CoronaryAngiotensin-Converting Enzyme InhibitorsAspirinCoronary AngiographyCoronary DiseaseFemaleFibrinolytic AgentsHospitalizationHumansHypolipidemic AgentsLogistic ModelsMaleMiddle AgedPatient DischargeAdrenergic beta-AntagonistsAngiotensin-Converting Enzyme InhibitorsAspirinFibrinolytic AgentsHypolipidemic Agents

Identifiers

PMID12067934
PMCPMC1767154
OpenAlexW2147571004

What OpenQuestion 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 OpenQuestion graph.