Evidence map›Paper›PMID 27122737›Full record

ArticleActa Cardiologica Sinica2013

The Effect of Intensified Low Density Lipoprotein Cholesterol Reduction on Recurrent Myocardial Infarction and Cardiovascular Mortality.

Wei-Chun Huang, Tzu-Wen Lin, Kuan-Rau Chiou, Chin-Chang Cheng, Feng-Yu Kuo, Cheng-Hung Chiang, Jin-Shiou Yang, Ko-Long Lin, Shin-Hung Hsiao, Tong-Chen Yeh and 5 more

Abstract read
In one paragraph

Article in Acta Cardiologica Sinica, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Type 2 statin use increased perioperative blood loss in primary reverse total shoulder arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  4. Review
  5. Quality care in ST-segment elevation myocardial infarction.Journal of the Chinese Medical Association : JCMA · 2022
    Review
  6. Review
  7. Article
  8. Review
  9. Observational
  10. Article
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

15 authors at 4 institutions in 1 country.

Wei-Chun HuangCardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung; ; School of Medicine, National Yang-Ming University, Taipei; ; Department of Physical Therapy, Fooyin University;
Tzu-Wen LinCheng Shiu University;
Kuan-Rau ChiouCardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung; ; School of Medicine, National Yang-Ming University, Taipei;
Chin-Chang ChengCardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung; ; School of Medicine, National Yang-Ming University, Taipei;
Feng-Yu KuoCardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung;
Cheng-Hung ChiangCardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung;
Jin-Shiou YangDepartment of Physical Therapy, Fooyin University;
Ko-Long LinCheng Shiu University;
Shin-Hung HsiaoCardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung; ; School of Medicine, National Yang-Ming University, Taipei;
Tong-Chen YehCardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung;
Guang-Yuan MarCardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung;
Hsiang-Chiang HsiaoCardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung; ; School of Medicine, National Yang-Ming University, Taipei;
Shoa-Lin LinCardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung; ; School of Medicine, National Yang-Ming University, Taipei;
Chuen-Wang ChiouCardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung; ; School of Medicine, National Yang-Ming University, Taipei;
Chun-Peng LiuCardiovascular Medical Center, Kaohsiung Veterans General Hospital, Kaohsiung; ; School of Medicine, National Yang-Ming University, Taipei;
Kaohsiung Veterans General Hospital · TWNational Yang Ming Chiao Tung University · TWCheng Shiu University · TWFooyin University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLipid-lowering therapy plays an important role in preventing the recurrence of cardiovascular events in patients after acute myocardial infarction (AMI). This study aimed to assess the effect of intensified low density lipoprotein cholesterol (LDL-C) reduction on recurrent myocardial infarction and cardiovascular mortality in patients after AMI.

methodThe 562 enrolled AMI patients (84.2% male) were divided into two groups according to 3-month LDL-C decrease percentage equal to or more than 40% (n = 165) and less than 40% (n = 397). To evaluate the long-term efficacy of LDL-C reduction, the 5-year outcomes were collected, including time to the first occurrence of myocardial infarction and time to cardiovascular death.

resultsThe baseline characteristics and complication rates were not different between the two study groups. The patients with 3-month LDL-C decrease ≥ 40% had higher baseline LDL-C and lower 3-month, 1-year, 2-year, 3-year, 4-year and 5-year LDL-C than the patients with 3-month LDL-C decrease < 40%. In Kaplan-Meier analyses, those patients with 3-month LDL-C decrease ≥ 40% had a higher rate of freedom from myocardial infarction (p = 0.006) and survival rate (p = 0.02) at 5-year follow-up. The 3-month LDL-C < 40% parameter was significantly related to cardiovascular death (HR: 9.62, 95% CI 1.18-78.62, p < 0.04).

conclusionsAfter acute myocardial infarction, 3-month LDL-C decrease < 40% was identified to be a significant risk factor for predicting 5-year cardiovascular death. The patients with 3-month LDL-C decrease ≥ 40% had a higher rate of freedom from myocardial infarction and lower cardiovascular mortality, even though these patients had higher baseline LDL-C value. KEY WORDS: Acute myocardial infarction; Cardiovascular death; Low-density lipoprotein cholesterol; Mortality; Statin.

Identifiers

PMID27122737
PMCPMC4804789
OpenAlexW2106790428

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.