Evidence map›Paper›PMID 25023079›Full record

ReviewCurrent opinion in cardiology2014

Chelation therapy after the trial to assess chelation therapy: results of a unique trial.

Maria D Avila, Esteban Escolar, Gervasio A Lamas

Open access · greenAbstract readMulticenter StudyReview
In one paragraph

Review in Current opinion in cardiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
9.1field-weighted citation impact, top 3% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Chelation therapy for atherosclerotic cardiovascular disease.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Calciprotein Particles: Balancing Mineral Homeostasis and Vascular Pathology.Arteriosclerosis, thrombosis, and vascular biology · 2021
    Review
  6. Article
  7. Article
  8. Review
  9. 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

3 authors at 1 institution in 1 country.

Maria D AvilaColumbia University Division of Cardiology, Mount Sinai Medical Center, Miami Beach, Florida, USA.
Esteban Escolar
Gervasio A Lamas
Mount Sinai Medical Center · US

Funding

Trial to Assess Chelation Therapy (TACT)U01AT001156 · NCCIH · MOUNT SINAI MEDICAL CENTER (MIAMI BEACH) · PI LAMAS, GERVASIO A · 2002 to 2004
$18.2M
Trial to Assess Chelation Therapy (TACT)U01HL092607 · NHLBI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI LAMAS, GERVASIO A · 2007 to 2012
$13.5M
NCCIH NIH HHS U01AT001156NHLBI NIH HHS U01HL092607
6 · The paper itself

Abstract

purpose of reviewEDTA chelation therapy has been in off-label use for the treatment of atherosclerosis. We review the results of the first large-scale randomized trial of this treatment. RECENT

findingsThe trial to assess chelation therapy was a $30 million National Institutes of Health-funded study of the safety and efficacy of EDTA-based chelation infusions in 1708 post-myocardial infarction (MI) patients. The trial to assess chelation therapy demonstrated a significant (P=0.035) 18% reduction in a combined primary endpoint of death, MI, stroke, coronary revascularization, or hospitalization for angina. In diabetic patients the benefit was more extreme, with a 41% relative reduction in risk (P=0.0002) and a 43% reduction in total mortality (P=0.011). Safety data were favorable. A reduction of oxidative stress by chelation of toxic metals has been proposed as a possible mechanism of action. SUMMARY: Recent research suggests that EDTA chelation may be a well-tolerated and effective treatment for post-MI patients. Future replication and mechanistic studies are important prior to implementation in all post-MI patients.

Indexed as

Chelation TherapyAtherosclerosisDiabetes ComplicationsEdetic AcidHumansRandomized Controlled Trials as TopicEdetic Acid

Identifiers

PMID25023079
PMCPMC4162329
OpenAlexW2006076459

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.