Evidence map›Paper›PMID 23554440›Full record

SynthesisEuropean heart journal2013

Oxygen therapy in acute coronary syndrome: are the benefits worth the risk?

Mony Shuvy, Dan Atar, Philippe Gabriel Steg, Sigrun Halvorsen, Sanjit Jolly, Salim Yusuf, Chaim Lotan

3 registry-linked trialsAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European heart journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 4% 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.

NCT02286544 phase1completedstarted 2014, after this paper: background citation

Effects of Oxygen Treatment on Mechanisms Involved in Ischemia-reperfusion Injury: A Single Center, Randomized, Controlled Pilot Study in Healthy Volunteers

Ran2014Enrolled36Registered outcomes1Posted comparisons0ConditionsAcute Coronary Syndrome (ACS), Inflammation, Myocardial Infarction, Reperfusion InjuryArmsAtorvastatin, Oxygen (Oxymask®), Salmonella typhi vaccine (Typhim Vi®)
Open the trial in the graph
NCT01787110 phase3completednot on this map

DETermination of the Role of OXygen in Suspected Acute Myocardial Infarction (DETO2X-AMI) Based on the SWEDEHEART Registry

TypeinterventionalSponsorKarolinska InstitutetRan2013 to 2016Enrolled6,629ConditionsAcute Coronary Syndrome, Non-ST Elevation (NSTEMI) Myocardial Infarction, Acute ST Segment Elevation Myocardial Infarction, Angina, UnstableArmsOxygen
NCT02290080 phase3completednot on this mapstarted 2014, after this paper: background citation

Determination of the Role of Oxygen on Mechanisms Involved in Ischemia-reperfusion Injury in Suspected Acute Myocardial Infarction by Biomarkers. A Sub Study to the DETO2X-AMI Trial.

TypeinterventionalSponsorKarolinska InstitutetRan2014 to 2015Enrolled175ConditionsAcute Myocardial Infarction (AMI), Acute Coronary Syndrome (ACS), ST Elevation (STEMI) Myocardial Infarction, Ischemic Reperfusion InjuryArmsOxygen
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Oxygen therapy for acute myocardial infarction.The Cochrane database of systematic reviews · 2016
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Role of Oxidative Stress in Sensorineural Hearing Loss.International journal of molecular sciences · 2024
    Review
  6. Article
  7. Do We Really Need Aspirin Loading for STEMI?Cardiovascular drugs and therapy · 2022
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. WHO Needs High FIOTurkish journal of anaesthesiology and reanimation · 2017
    Article
  17. Article
  18. 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

7 authors at 1 institution in 1 country.

Mony ShuvyHeart Institute, Hadassah Hebrew University Medical Center, PO Box 12000, Jerusalem, Israel. monysh@gmail.com
Dan Atar
Philippe Gabriel Steg
Sigrun Halvorsen
Sanjit Jolly
Salim Yusuf
Chaim Lotan
Hadassah Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oxygen supplementation is a standard treatment for all patients who present with acute coronary syndrome, regardless of oxygen saturation levels. Most of the data regarding the function of oxygen in myocardial infarction is based on a limited number of basic and clinical studies. We performed a systematic literature review that explores the basic and clinical data on the function of oxygen in ischaemic heart disease and myocardial infarction. This review discusses many aspects of oxygen treatment: (i) basic studies on the effects of oxygen in ischaemia and the potential cardiovascular effects of oxygen metabolites; (ii) clinical trials that have assessed the value of inhaled oxygen, supersaturated oxygen, and intracoronary injection of hyperoxaemic solutions in myocardial infarction; and (iii) the haemodynamic effects of oxygen in various clinical scenarios and its direct effects on the coronary vasculature. Our findings suggest that there are conflicting data on the effects of oxygen treatment. Further, the potential harmful effects of oxygen must be considered, particularly in myocardial infarction. These findings question the current guidelines and recommendations and emphasize the need for large clinical trials.

Indexed as

Acute Coronary SyndromeCoronary CirculationHemodynamicsHumansHyperbaric OxygenationMyocardial InfarctionMyocardial ReperfusionOxygenPractice Guidelines as TopicRandomized Controlled Trials as TopicRisk FactorsOxygenAcute coronary syndromeMyocardial infarctionOxygen therapy

Identifiers

PMID23554440
OpenAlexW2167176383

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.