Evidence map›Paper›PMID 26135468›Full record

ArticleHerz2016

Platelet hyperaggregability in patients with atrial fibrillation. Evidence of a background proinflammatory milieu.

Nathan E K Procter, Jocasta Ball, Doan T M Ngo, Yuliy Y Chirkov, Jeffrey S Isenberg, Elaine M Hylek, Simon Stewart, John D Horowitz

Abstract read
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In one paragraph

Article in Herz, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

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

4 citing papers in PubMed.

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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

8 authors.

Nathan E K ProcterBasil Hetzel Institute, Department of Cardiology, The Queen Elizabeth Hospital, University of Adelaide, Cardiology Unit, 28 Woodville Rd, Woodville South, 5011, SA, Australia.
Jocasta BallNational Health and Medical Research Council (NHMRC) Centre of Research Excellence to Reduce Inequality in Heart Disease, Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia.
Doan T M NgoBasil Hetzel Institute, Department of Cardiology, The Queen Elizabeth Hospital, University of Adelaide, Cardiology Unit, 28 Woodville Rd, Woodville South, 5011, SA, Australia.
Yuliy Y ChirkovBasil Hetzel Institute, Department of Cardiology, The Queen Elizabeth Hospital, University of Adelaide, Cardiology Unit, 28 Woodville Rd, Woodville South, 5011, SA, Australia.
Jeffrey S IsenbergHeart, Lung, Blood and Vascular Medicine Institute, Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Elaine M HylekSchool of Medicine, Boston University, Boston, MA, USA.
Simon StewartNational Health and Medical Research Council (NHMRC) Centre of Research Excellence to Reduce Inequality in Heart Disease, Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia.
John D HorowitzBasil Hetzel Institute, Department of Cardiology, The Queen Elizabeth Hospital, University of Adelaide, Cardiology Unit, 28 Woodville Rd, Woodville South, 5011, SA, Australia. john.horowitz@adelaide.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAtrial fibrillation (AF) is a condition where platelet hyperaggregability is commonly present. We examined potential physiological bases for platelet hyperaggregability in a cohort of patients with acute and chronic AF. In particular, we sought to identify the impact of inflammation [myeloperoxidase (MPO) and C-reactive protein (CRP)] and impaired nitric oxide (NO) signaling.

methodsClinical and biochemical determinants of adenosine diphosphate (ADP)-induced platelet aggregation were sought in patients (n = 106) hospitalized with AF via univariate and multivariate analysis.

resultsHyper-responsiveness of platelets to ADP was directly (r = 0.254, p < 0.01) correlated with plasma concentrations of thrombospondin-1 (TSP-1), a matricellular protein that impairs NO responses and contributes to development of oxidative stress. In turn, plasma TSP-1 concentrations were directly correlated with MPO concentrations (r = 0.221, p < 0.05), while MPO concentrations correlated with those of asymmetric dimethylarginine (ADMA, r = 0.220, p < 0.05), and its structural isomer symmetric dimethylarginine (SDMA, r = 0.192, p = 0.05). Multivariate analysis identified TSP-1 (β = 0.276, p < 0.05) concentrations, as well as female sex (β = 0.199, p < 0.05), as direct correlates of platelet aggregability, and SDMA concentrations (β = - 0.292, p < 0.05) as an inverse correlate.

conclusionWe conclude that platelet hyperaggregability, where present in the context of AF, may be engendered by impaired availability of NO, as well as via MPO-related inflammatory activation.

Indexed as

AgedAged, 80 and overAtrial FibrillationFemaleHumansMaleMyocarditisNitric OxidePeroxidasePlatelet AggregationReactive Oxygen SpeciesNitric OxidePeroxidaseReactive Oxygen SpeciesAsymmetric dimethylarginineAtrial fibrillationMyeloperoxidasePlatelet aggregationThrombospondin-1

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Registered trials

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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.