Evidence map›Paper›PMID 22212516›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2012

Interleukin-6, -7, -8 and -10 predict outcome in acute myocardial infarction complicated by cardiogenic shock.

Roland Prondzinsky, Susanne Unverzagt, Henning Lemm, Nikolas-Arne Wegener, Axel Schlitt, Konstantin M Heinroth, Sebastian Dietz, Ute Buerke, Patrick Kellner, Harald Loppnow and 4 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00469248 (Intra-Aortic Balloon Counterpulsation in Patients With Acute Myocardial Infarction Complicated by Cardiogenic Shock - The Prospective, Randomised IABP SHOCK Trial for Attenuation of Multi-Organ Dysfunction Syndrome), which is not on this map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
3.7field-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.

NCT00469248 nacompletednot on this map

Intra-Aortic Balloon Counterpulsation in Patients With Acute Myocardial Infarction Complicated by Cardiogenic Shock - The Prospective, Randomised IABP SHOCK Trial for Attenuation of Multi-Organ Dysfunction Syndrome

TypeinterventionalSponsorMartin-Luther-Universität Halle-WittenbergRan2003 to 2004Enrolled45ConditionsMyocardial Infarction, Cardiogenic ShockArmsIntra-aortic balloon pump counterpulsation
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Temporal cytokine trajectories during microaxial flow pump support identify a high-risk inflammatory phenotype in cardiogenic shock.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Interleukin-6 in Cardiogenic Shock.Current cardiology reports · 2025
    Review
  12. Review
  13. Circulating levels of miR-20b-5p are associated with survival in cardiogenic shock.Journal of molecular and cellular cardiology plus · 2025
    Article
  14. CytoSorbBiomedicines · 2025
    Article
  15. Review
  16. Review
  17. Article
  18. Cardiogenic Shock: Focus on Non-Cardiac Biomarkers.Current heart failure reports · 2024
    Review
  19. Article
  20. Review
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

14 authors at 2 institutions in 1 country.

Roland ProndzinskyDepartment of Medicine III, Martin-Luther-University Halle-Wittenberg, Halle/Saale, Germany. r.prondzinsky@klinikum-saalekreis.de
Susanne Unverzagt
Henning Lemm
Nikolas-Arne Wegener
Axel Schlitt
Konstantin M Heinroth
Sebastian Dietz
Ute Buerke
Patrick Kellner
Harald Loppnow
Martin G Fiedler
Joachim Thiery
Karl Werdan
Michael Buerke
Martin Luther University Halle-Wittenberg · DELeipzig University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe IABP-SHOCK-trial was a morbidity-based randomized controlled trial in patients with infarction-related cardiogenic shock (CS), which used the change of the quantified degree of multiorgan failure as determined by APACHE II score over a 4-day period as primary outcome measure. The prospective hypothesis was that adding IABP therapy to "standard care" would improve CS-triggered multi organ dysfunction syndrome (MODS). The primary endpoint showed no difference between conventionally managed cardiogenic shock patients and those with IABP support. In an inflammatory marker substudy, we analysed the prognostic value of interleukin (IL)-1β, -6, -7, -8, and -10 in patients with acute myocardial infarction complicated by cardiogenic shock.

designInflammatory marker substudy of the prospective, randomized, controlled, open label IABP-SHOCK-trial (ClinicalTrials.gov ID-NCT00469248). SETTING AND

methodsA single-center study was performed in a 12-bed Intensive-Care-Unit in an university hospital in which 40 consecutive patients were enrolled with an observational period of 96 h.

resultsThe pro- and anti-inflammatory markers IL-6, -7, -8 and -10 showed a predictive power for mortality of infarct-related CS patients, while IL-1β did not discriminate. The maximal values during the observational period, in case of IL-7 the minimal value, showed the best power to predict mortality. Both, ROC and multivariate analyses confirmed these suggestions (area under the curve: IL-8, 0.80 ± 0.08; IL-6, 0.79 ± 0.08; IL-10, 0.76 ± 0.08; IL-7, 0.69 ± 0.08). Inflammatory markers were not affected by the presence of IABP support.

conclusionThe inflammatory response in patients with myocardial infarction complicated by cardiogenic shock, as reflected by the inflammatory markers IL-6, IL-7, IL-8 and IL-10, demonstrates a clinically relevant prognostic contribution to clinical outcome.

Indexed as

AdultAgedAged, 80 and overBiomarkersCoronary AngiographyFemaleHumansIntensive Care UnitsInterleukin-10Interleukin-6Interleukin-7Interleukin-8InterleukinsMaleMiddle AgedMultivariate AnalysisBiomarkersInterleukin-10Interleukin-6Interleukin-7Interleukin-8Interleukins

Identifiers

PMID22212516
OpenAlexW1984974671

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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.