Evidence map›Paper›PMID 22467260›Full record

ReviewCurrent cardiology reports2012

Role of antithrombotic agents in heart failure.

John G F Cleland, Saqib Mumtaz, Luca Cecchini

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current cardiology reports, 2012. 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
0.9field-weighted citation impact, top 22% 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.

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, 10 citations in OpenAlex.

  1. Review
  2. Medical management of stable coronary atherosclerosis.Current atherosclerosis reports · 2013
    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

3 authors at 2 institutions in 1 country.

John G F ClelandDepartment of Cardiology, Hull York Medical School (University of Hull), Castle Hill Hospital, Kingston-upon-Hull, East Riding of Yorkshire, England, UK. j.g.cleland@hull.ac.uk
Saqib Mumtaz
Luca Cecchini
University of Hull · GBCastle Hill Hospital · GB

Funding

Department of Health 08/53/36Department of Health HTA/08/53/36
6 · The paper itself

Abstract

Despite a vast body of research on antithrombotic therapy for patients with cardiac disease, there are few clinical settings where robust evidence of their benefit exists. Patients with heart failure often have vascular disease and atrial fibrillation contributing to their poor prognosis. For patients with heart failure and atrial fibrillation, anticoagulants are appropriate. For patients with heart failure in sinus rhythm, the weight of evidence suggests that doctors should generally avoid using any antithrombotic agent even if the patient has coronary artery disease. If there is a compulsion to treat, then there is less evidence of harm with clopidogrel or warfarin than with aspirin, although most receive aspirin. More research is required for this "evidence-light" problem. For those with the opportunity, engaging with a randomized trial is clinically and scientifically appropriate. The dilemma for such studies is the comparator. Should it be against or in addition to "standard of care" or both?

Indexed as

Atrial FibrillationContraindicationsFibrinolytic AgentsHeart FailureHumansPlatelet Aggregation InhibitorsPractice Guidelines as TopicRandomized Controlled Trials as TopicThrombosisVenous ThromboembolismFibrinolytic AgentsPlatelet Aggregation Inhibitors

Identifiers

PMID22467260
OpenAlexW2043286951

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.