Evidence map›Paper›PMID 26396552›Full record

ArticleThrombosis journal2015

Markers of thrombin generation are associated with myocardial necrosis and left ventricular impairment in patients with ST-elevation myocardial infarction.

C H Hansen, V Ritschel, S Halvorsen, G Ø Andersen, R Bjørnerheim, J Eritsland, H Arnesen, I Seljeflot

Open access · goldAbstract read
In one paragraph

Article in Thrombosis journal, 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
1.7field-weighted citation impact, top 15% 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, 30 citations in OpenAlex.

  1. Upstream anticoagulation in patients with ST-segment elevation myocardial infarction: a systematic review and meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2023
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  14. Markers of Thrombin Generation Are Associated With Long-Term Clinical Outcome in Patients With ST-Segment Elevation Myocardial Infarction.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis · 2018
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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 at 1 institution in 1 country.

C H HansenCenter for Clinical Heart Research, Oslo University Hospital Ullevål, PB 4956 Nydalen, N-4956 Oslo, Norway ; Departement of Cardiology, Oslo University Hospital Ullevål, Oslo, Norway.
V RitschelCenter for Clinical Heart Research, Oslo University Hospital Ullevål, PB 4956 Nydalen, N-4956 Oslo, Norway ; Departement of Cardiology, Oslo University Hospital Ullevål, Oslo, Norway ; Faculty of Medicine, University of Oslo, Oslo, Norway.
S HalvorsenDepartement of Cardiology, Oslo University Hospital Ullevål, Oslo, Norway ; Faculty of Medicine, University of Oslo, Oslo, Norway.
G Ø AndersenCenter for Clinical Heart Research, Oslo University Hospital Ullevål, PB 4956 Nydalen, N-4956 Oslo, Norway ; Departement of Cardiology, Oslo University Hospital Ullevål, Oslo, Norway.
R BjørnerheimDepartement of Cardiology, Oslo University Hospital Ullevål, Oslo, Norway.
J EritslandDepartement of Cardiology, Oslo University Hospital Ullevål, Oslo, Norway.
H ArnesenCenter for Clinical Heart Research, Oslo University Hospital Ullevål, PB 4956 Nydalen, N-4956 Oslo, Norway ; Faculty of Medicine, University of Oslo, Oslo, Norway.
I SeljeflotCenter for Clinical Heart Research, Oslo University Hospital Ullevål, PB 4956 Nydalen, N-4956 Oslo, Norway ; Departement of Cardiology, Oslo University Hospital Ullevål, Oslo, Norway ; Faculty of Medicine, University of Oslo, Oslo, Norway.
Oslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPlatelet activation, thrombin generation and fibrin formation play important roles in intracoronary thrombus formation, which may lead to acute myocardial infarction. We investigated whether the prothrombotic markers D-dimer, pro-thrombin fragment 1 + 2 (F1 + 2) and endogenous thrombin potential (ETP) are associated with myocardial necrosis assessed by Troponin T (TnT), and left ventricular impairment assessed by left ventricular ejection fraction (LVEF) and N-terminal pro b-type natriuretic peptide (NT-proBNP). MATERIALS/

methodsPatients (n = 987) with ST-elevation mycardial infarction (STEMI) were included. Blood samples were drawn at a median time of 24 h after onset of symptoms.

resultsStatistically significant correlations were found between both peak TnT and D-dimer (p < 0.001) and F1 + 2 (p < 0.001), and between NT-proBNP and D-dimer (p = 0.001) and F1 + 2 (p < 0.001). When dividing TnT and NT-proBNP levels into quartiles there were significant trends for increased levels of both markers across quartiles (all p < 0.001) D-dimer remained significantly associated with NT-proBNP after adjustments for covariates (p = 0.001) whereas the association between NTproBNP and F1 + 2 was no longer statistically significant (p = 0.324). A significant inverse correlation was found between LVEF and D-dimer (p < 0.001) and F1 + 2 (p = 0.013). When dichotomizing LVEF levels at 40 %, we observed significantly higher levels of both D-dimer (p < 0.001) and F1 + 2 (p = 0.016) in the group with low EF (n = 147). SUMMARY/

conclusionIn our cohort of STEMI patients we demonstrated that levels of D-dimer and F1 + 2 were significantly associated with myocardial necrosis as assessed by peak TnT. High levels of these coagulation markers in patients with low LVEF and high NTproBNP may indicate a hypercoagulable state in patients with impaired myocardial function.

Indexed as

D-dimerMyocardial functionMyocardial infarctionProthrombin fragment 1 + 2

Identifiers

PMID26396552
PMCPMC4578351
OpenAlexW1906678689

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.