Evidence map›Paper›PMID 22562290›Full record

Trial reportClinical research in cardiology : official journal of the German Cardiac Society2012

TNF-α, myocardial perfusion and function in patients with ST-segment elevation myocardial infarction and primary percutaneous coronary intervention.

Eva S Kehmeier, Wolfgang Lepper, Martina Kropp, Christian Heiss, Ulrike Hendgen-Cotta, Jan Balzer, Mirja Neizel, Christian Meyer, Marc W Merx, Pablo E Verde and 4 more

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report 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 NCT00529607 (New Imaging and Diagnostic Techniques for the Assessment of Reperfusion Injury in Myocardial Infarction.), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 18% 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.

NCT00529607 completednot on this map

New Imaging and Diagnostic Techniques for the Assessment of Reperfusion Injury in Myocardial Infarction.

TypeobservationalSponsorRWTH Aachen UniversityRan2007 to 2009Enrolled200ConditionsReperfusion InjuryArmscontrast echocardiography, 2D and 3D echocardiography, cardiac MRI, blood sampling
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Review
  3. Influence of metabolic syndrome on plaque features and clinical outcomes in patients with acute coronary syndrome.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Dynamic Profile of CD4Mediators of inflammation · 2019
    Article
  11. Review
  12. Apoptosis in ischemic heart disease.Journal of translational medicine · 2017
    Review
  13. Article
  14. Article
  15. Observational
  16. 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

14 authors at 3 institutions in 1 country.

Eva S KehmeierDivision of Cardiology, Pulmonary Diseases and Vascular Medicine, Department of Medicine, University Hospital Aachen, 52074 Aachen, Germany.
Wolfgang Lepper
Martina Kropp
Christian Heiss
Ulrike Hendgen-Cotta
Jan Balzer
Mirja Neizel
Christian Meyer
Marc W Merx
Pablo E Verde
Christian Ohmann
Gerd Heusch
Malte Kelm
Tienush Rassaf
Universitätsklinikum Aachen · DEHeinrich Heine University Düsseldorf · DEDüsseldorf University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo characterize the time course of tumor necrosis factor-α (TNF-α) serum levels along with myocardial perfusion and contractile function in patients with ST-segment elevation myocardial infarction (STEMI) and successful primary percutaneous coronary intervention (PCI).

methodsSerum levels of TNF-α, interleukin 6 (IL-6), and C-reactive protein (CRP) were measured in 42 patients with STEMI before, one and 6 days after successful PCI. Myocardial perfusion was assessed by contrast-enhanced echocardiography (ceEcho), contractile function by unenhanced two-dimensional (2DE) and real-time three-dimensional echocardiography. In a subset of 18 patients, infarct size was quantified by late gadolinium enhancement cardiovascular magnetic resonance imaging (LGE-CMR) on day six.

resultsTNF-α serum levels were in the upper normal range within the first 12 h from symptom onset and increased continuously until day six, while IL-6 and CRP increased subsequently with a peak on day one after STEMI. Serum TNF-α on day one after PCI correlated with perfusion defects, wall motion abnormalities, and infarct size (ceEcho: r = 0.52, p = 0.005; 2DE: r = 0.56, p = 0.002; LGE-CMR: r = 0.83-0.86; p < 0.0001). Using multiple regression linear analysis, infarct size on day six was predicted by serum TNF-α 1 day after PCI (p = 0.006, adjusted R (2) 0.638).

conclusionOur data reflect the clinical significance of early TNF-α elevation in patients with STEMI and primary PCI (Controlled Clinical Trials number, NCT00529607).

Indexed as

C-Reactive ProteinEchocardiographyEchocardiography, Three-DimensionalFemaleGadoliniumHumansInterleukin-6Linear ModelsMagnetic Resonance ImagingMaleMiddle AgedMyocardial InfarctionMyocardial ReperfusionPercutaneous Coronary InterventionTime FactorsTumor Necrosis Factor-alphaC-Reactive ProteinGadoliniumInterleukin-6Tumor Necrosis Factor-alpha

Identifiers

PMID22562290
OpenAlexW2029818110

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.