Evidence map›Paper›PMID 26364188›Full record

ReviewCurrent cardiology reports2015

EDTA Chelation Therapy to Reduce Cardiovascular Events in Persons with Diabetes.

Pamela Ouyang, Sheldon H Gottlieb, Valerie L Culotta, Ana Navas-Acien

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current cardiology reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

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  6. Role of Divalent Cations in Infections in Host-Pathogen Interaction.International journal of molecular sciences · 2024
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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

4 authors at 2 institutions in 1 country.

Pamela OuyangDivision of Cardiology, Johns Hopkins University School of Medicine, 301 Bldg St 2400, 4940 Eastern Ave, Baltimore, MD, 21224, USA. pouyang1@jhmi.edu.
Sheldon H GottliebDivision of Cardiology, Johns Hopkins University School of Medicine, 301 Bldg St 2424, 4940 Eastern Ave, Baltimore, MD, 21224, USA. sgottli@jhmi.edu.
Valerie L CulottaDivision of Biochemistry and Molecular Biology, Johns Hopkins University School of Public Health, 615 N. Wolfe St, E7626, Baltimore, MD, 21205, USA. vculotta@jhsph.edu.
Ana Navas-AcienDivision of Occupational and Environmental Health, Johns Hopkins University School of Public Health, 615 N. Wolfe St, W7513D, Baltimore, MD, 21205, USA. anavas@jhu.edu.
Johns Hopkins University · USJohns Hopkins Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Trial to Assess Chelation Therapy (TACT) was a randomized double-blind placebo-controlled trial enrolling patients age ≥50 years with prior myocardial infarction. TACT used a 2 × 2 factorial design to study ethylene diamine tetraacetic acid (EDTA) chelation and high-dose vitamin supplementation. Chelation provided a modest but significant reduction in cardiovascular endpoints. The benefit was stronger and significant among participants with diabetes but absent in those without diabetes. Mechanisms by which chelation might reduce cardiovascular risk in persons with diabetes include the effects of EDTA chelation on transition and toxic metals. Transition metals, particularly copper and iron, play important roles in oxidative stress pathways. Toxic metals, in particular cadmium and lead, are toxic for the cardiovascular system. This review discusses the epidemiologic evidence and animal and human studies supporting the role of these metals in the development of diabetes and ischemic heart disease and potential ways by which EDTA chelation could confer cardiovascular benefit.

Indexed as

Cardiovascular DiseasesChelating AgentsChelation TherapyDiabetes ComplicationsEdetic AcidHumansMetalsMetals, HeavyOxidative StressRandomized Controlled Trials as TopicChelating AgentsEdetic AcidMetalsMetals, HeavyCardiovascular diseaseChelationDiabetesMetalsOxidative stress

Identifiers

PMID26364188
OpenAlexW2189330089

What OpenQuestion holds

Textmetadata
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.