Evidence map›Paper›PMID 24831770›Full record

ReviewLancet (London, England)2014

Cardiovascular remodelling in coronary artery disease and heart failure.

Gerd Heusch, Peter Libby, Bernard Gersh, Derek Yellon, Michael Böhm, Gary Lopaschuk, Lionel Opie

3 registry-linked trialsAbstract readReview
In one paragraph

Review in Lancet (London, England), 2014. 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 362 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
362citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05023681 phase4completednot on this mapstarted 2021, after this paper: background citation

Efficacy and Safety of an Early Phase Single Bolus r-SAK for Acute Myocardial Infarction: a Multi-center Randomized Clinical Trial (OPTIMA-5)

TypeinterventionalSponsorThe First Affiliated Hospital with Nanjing Medical UniversityRan2021 to 2022Enrolled200ConditionsAcute Myocardial InfarctionArmsRecombinant Staphylokinase, normal saline
NCT05410925 phase4recruitingnot on this mapstarted 2023, after this paper: background citation

Efficacy and Safety of a Half-dose Bolus of r-SAK Prior to Primary PCI in ST-elevation Myocardial Infarction: a Multicenter Randomized Double-blind Placebo-controlled Trial (OPTIMA-6)

TypeinterventionalSponsorThe First Affiliated Hospital with Nanjing Medical UniversityRan2023 to 2027Enrolled2,260ConditionsST Elevation Myocardial InfarctionArmsRecombinant staphylokinase, Placebo
NCT05649696 phase4completednot on this mapstarted 2021, after this paper: background citation

A Single Bolus R-SAK Prior to Primary PCI for ST-elevation Myocardial Infarction (OPTIMA-5): 1-Year Follow-up

TypeinterventionalSponsorThe First Affiliated Hospital with Nanjing Medical UniversityRan2021 to 2023Enrolled210ConditionsST-segment Elevation Myocardial Infarction (STEMI)ArmsRecombinant Staphylokinase, Normal Saline
3 · Its place in the literature

Who cites it

362 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  12. HMGB1 as a danger signal in vascular remodeling.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2026
    Review
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302 more citing papers are in PubMed but not listed here.

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.

Gerd HeuschInstitut für Pathophysiologie, Universitätsklinikum Essen, Essen, Germany.
Peter LibbyBrigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Bernard GershDivision of Cardiovascular Diseases, Mayo Clinic, and Mayo Clinic College of Medicine, Rochester, MN, USA.
Derek YellonThe Hatter Cardiovascular Institute, University College London, London, UK.
Michael BöhmKlinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Homburg/Saar, Germany.
Gary LopaschukMazankowski Alberta Heart Institute, University of Alberta, Edmonton, AB, Canada.
Lionel OpieHatter Institute for Cardiovascular Research in Africa, University of Cape Town, Cape Town, South Africa. Electronic address: lionel.opie@uct.ac.za.

Funding

Molecular Determinants of Arterial Remodeling in AtherogenesisR01HL080472 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI LIBBY, PETER · 2005 to 2018
$5.0M
British Heart Foundation RG/08/015/26411NHLBI NIH HHS R01 HL080472
6 · The paper itself

Abstract

Remodelling is a response of the myocardium and vasculature to a range of potentially noxious haemodynamic, metabolic, and inflammatory stimuli. Remodelling is initially functional, compensatory, and adaptive but, when sustained, progresses to structural changes that become self-perpetuating and pathogenic. Remodelling involves responses not only of the cardiomyocytes, endothelium, and vascular smooth muscle cells, but also of interstitial cells and matrix. In this Review we characterise the remodelling processes in atherosclerosis, vascular and myocardial ischaemia-reperfusion injury, and heart failure, and we draw attention to potential avenues for innovative therapeutic approaches, including conditioning and metabolic strategies.

Indexed as

Adaptation, PhysiologicalCoronary Artery DiseaseCoronary VesselsHeart FailureHumansIschemic Preconditioning, MyocardialMitochondria, HeartMyocardial Reperfusion InjuryOxidation-ReductionVentricular Remodeling

Identifiers

PMID24831770
PMCPMC4330973

What OpenQuestion holds

Textmetadata
LicenceTDM
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.