Evidence map›Paper›PMID 23250803›Full record

ArticleDiabetes care2013

Effect of hypoglycemic agents on ischemic preconditioning in patients with type 2 diabetes and symptomatic coronary artery disease.

Rosa Maria Rahmi, Augusto Hiroshi Uchida, Paulo Cury Rezende, Eduardo Gomes Lima, Cibele Larrosa Garzillo, Desiderio Favarato, Celia M C Strunz, Myrthes Takiuti, Priscyla Girardi, Whady Hueb and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 39 citations in OpenAlex.

  1. Current Position of Gliclazide and Sulfonylureas in the Contemporary Treatment Paradigm for Type 2 Diabetes: A Scoping Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. The impact of glucose-lowering medications on cardiovascular disease.Cardiovascular endocrinology & metabolism · 2018
    Review
  8. Article
  9. Review
  10. Article
  11. Cardiovascular effects of anti-diabetes drugs.Expert opinion on drug safety · 2016
    Review
  12. Article
  13. Article
  14. Review
  15. Cardiovascular effects of incretin therapy in diabetes care.Metabolic syndrome and related disorders · 2014
    Review
  16. Review
  17. Review
  18. Article
  19. 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

12 authors at 1 institution in 1 country.

Rosa Maria RahmiDepartment of Atherosclerosis, Heart Institute of the University of São Paulo, São Paulo, Brazil.
Augusto Hiroshi Uchida
Paulo Cury Rezende
Eduardo Gomes Lima
Cibele Larrosa Garzillo
Desiderio Favarato
Celia M C Strunz
Myrthes Takiuti
Priscyla Girardi
Whady Hueb
Roberto Kalil Filho
José A F Ramires
Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effect of two hypoglycemic drugs on ischemic preconditioning (IPC) patients with type 2 diabetes and coronary artery disease (CAD). RESEARCH DESIGN AND

methodsWe performed a prospective study of 96 consecutive patients allocated into two groups: 42 to group repaglinide (R) and 54 to group vildagliptin (V). All patients underwent two consecutive exercise tests (ET1 and ET2) in phase 1 without drugs. In phase 2, 1 day after ET1 and -2, 2 mg repaglinide three times daily or 50 mg vildagliptin twice daily was given orally to patients in the respective group for 6 days. On the seventh day, 60 min after 6 mg repaglinide or 100 mg vildagliptin, all patients underwent two consecutive exercise tests (ET3 and ET4).

resultsIn phase 1, IPC was demonstrated by improvement in the time to 1.0 mm ST-segment depression and rate pressure product (RPP). All patients developed ischemia in ET3; however, 83.3% of patients in group R experienced ischemia earlier in ET4, without significant improvement in RPP, indicating the cessation of IPC (P < 0.0001). In group V, only 28% of patients demonstrated IPC cessation, with 72% still having the protective effect (P < 0.0069).

conclusionsRepaglinide eliminated myocardial IPC, probably by its effect on the KATP channel. Vildagliptin did not damage this protective mechanism in a relevant way in patients with type 2 diabetes and CAD, suggesting a good alternative treatment in this population.

Indexed as

Ischemic PreconditioningAdamantaneAgedCarbamatesCoronary Artery DiseaseDiabetes Mellitus, Type 2FemaleHumansHypoglycemic AgentsMaleMiddle AgedNitrilesPiperidinesProspective StudiesPyrrolidinesVildagliptinAdamantaneCarbamatesHypoglycemic AgentsNitrilesPiperidinesPyrrolidinesrepaglinideVildagliptin

Identifiers

PMID23250803
PMCPMC3661846
OpenAlexW2113565490

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.