Evidence map›Paper›PMID 24271460›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2014

Admission glucose, fasting glucose, HbA1c levels and the SYNTAX score in non-diabetic patients undergoing coronary angiography.

Yaron Arbel, Margalit Zlotnik, Amir Halkin, Ofer Havakuk, Shlomo Berliner, Itzhak Herz, Itay Rabinovich, Gad Keren, Shmuel Bazan, Ariel Finkelstein and 1 more

Registry-linked trialAbstract read
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In one paragraph

Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03700645 (Allopurinol in the Treatment of Patients With Diabetes Mellitus and Multivessel Coronary Artery Disease Treated by Either PCI or CABG), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.3field-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.

NCT03700645 phase4unknown statusnot on this mapstarted 2018, after this paper: background citation

Allopurinol in the Treatment of Patients With Diabetes Mellitus and Multivessel Coronary Artery Disease Treated by Either PCI or CABG: Pilot Study

TypeinterventionalSponsorTel-Aviv Sourasky Medical CenterRan2018 to 2020Enrolled100ConditionsDiabetes Mellitus, Ischemic Heart Disease, Multi Vessel Coronary Artery DiseaseArmsAllopurinol
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 48 citations in OpenAlex.

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  11. Classical determinants of coronary artery disease as predictors of complexity of coronary lesions, assessed with the SYNTAX score.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2017
    Article
  12. Association Between IL-18 and Carotid Intima-Media Thickness in Patients with Type II Diabetic Nephropathy.Medical science monitor : international medical journal of experimental and clinical research · 2017
    Article
  13. SYNTAX score-0 patients: risk stratification in nonobstructive coronary artery disease.Clinical research in cardiology : official journal of the German Cardiac Society · 2016
    Article
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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

11 authors at 2 institutions in 1 country.

Yaron ArbelDepartment of Cardiology, Tel Aviv Sourasky Medical Center, Affiliated to Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel, yarona@tlvmc.gov.il.
Margalit Zlotnik
Amir Halkin
Ofer Havakuk
Shlomo Berliner
Itzhak Herz
Itay Rabinovich
Gad Keren
Shmuel Bazan
Ariel Finkelstein
Shmuel Banai
Tel Aviv University · ILTel Aviv Sourasky Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPre-diabetic state is a major risk factor for the development of diabetes and cardiovascular events. Admission glucose, fasting glucose and HbA1c levels have an effect on prognosis in patients with pre-diabetes and in non-diabetic individuals. The aim of the present study was to investigate which of the following glucometabolic markers (admission glucose, fasting glucose and HbA1c levels) is correlated with the severity of coronary artery disease (CAD) in non-diabetic patients.

methodsCAD severity according to SYNTAX score was prospectively evaluated in 226 non-diabetic patients hospitalized with myocardial infarction or stable angina and underwent coronary angiography. Glucose intolerance was assessed by serum admission glucose, fasting glucose and HbA1c levels. Logistic regression analysis was used to evaluate which glucometabolic factor has the strongest correlation with CAD severity.

resultsHbA1c was the only glucometabolic factor associated with SYNTAX score above 22 (OR = 3.03, CI 95% 1.03-8.9, p = 0.04). HbA1c was also significantly associated with CAD severity in subgroup analysis (MI and stable angina).

conclusionsIn non-diabetic patients with myocardial infarction or stable angina, HbA1c levels correlate with CAD severity as measured by the SYNTAX score. No correlation was found between admission glucose or fasting glucose levels and CAD severity.

Indexed as

Coronary AngiographyPatient AdmissionAdultAgedAged, 80 and overAngina, StableBiomarkersBlood GlucoseCoronary Artery DiseaseFastingFemaleGlycated HemoglobinHumansIsraelLogistic ModelsMaleBiomarkersBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID24271460
OpenAlexW2065532193

What OpenQuestion holds

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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.