Evidence map›Paper›PMID 27478457›Full record

ArticleArchives of medical science : AMS2016

Timing of coronary artery bypass surgery in patients with non-ST-segment elevation myocardial infarction and postoperative outcomes.

Ismail Cihan Ozbek, Kenan Sever, Ozkan Demirhan, Denyan Mansuroglu, Muslum Cicek, Ebubekir Emre Men, Fusun Gunesdogdu, Murat Ugurlucan, Murat Basaran, Nuri Kurtoglu

Open access · goldAbstract read
In one paragraph

Article in Archives of medical science : AMS, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 73% 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

0 citing papers in PubMed, 4 citations in OpenAlex.

No citing paper in PubMed yet.

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

10 authors at 3 institutions in 1 country.

Ismail Cihan OzbekCardiovascular Surgery Department, Gaziosmanpasa Hospital, Istanbul, Turkey.
Kenan SeverCardiovascular Surgery Department, Gaziosmanpasa Hospital, Istanbul, Turkey.
Ozkan DemirhanThoracic Surgery Department, Istanbul Bilim University, Istanbul, Turkey.
Denyan MansurogluCardiovascular Surgery Department, Gaziosmanpasa Hospital, Istanbul, Turkey.
Muslum CicekAnesthesiology Department, Gaziosmanpasa Hospital, Istanbul, Turkey.
Ebubekir Emre MenCardiology Department, Gaziosmanpasa Hospital, Istanbul, Turkey.
Fusun GunesdogduCardiology Department, Gaziosmanpasa Hospital, Istanbul, Turkey.
Murat UgurlucanDepartment of Cardiovascular Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey.
Murat BasaranDepartment of Cardiovascular Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey.
Nuri KurtogluCardiology Department, Gaziosmanpasa Hospital, Istanbul, Turkey.
Gaziosmanpaşa Taksim Eğitim ve Araştırma Hastanesi · TRIstanbul University · TRIstanbul Bilim University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of the study was to assess whether a cardiac troponin T (cTnT) level 1 ng/ml or below threshold is safe and to evaluate mid-term follow-up results in stable patients with non-ST-segment elevation after acute myocardial infarction. MATERIAL AND

methodsAmong cTnT positive patients who presented to the emergency unit with chest pain and received coronary angiography, 100 patients who underwent isolated coronary artery bypass grafting (CABG) constituted the study group (group 1). The same number of patients (n = 100) who were cTnT negative and underwent an isolated CABG operation under elective conditions were selected as the control group (group 2).

resultsAmong preoperative criteria, group 1 had significantly higher smoking rates (74% vs. 41%, p = 0.0001), and significantly lower ejection fraction values (47.1 ±8.25, 54.69 ±8.73, p = 0.0001). There were no significant differences between the groups with respect to operative parameters. Postoperative follow-up periods were significantly longer in group 1 (23.25 ±14 vs. 17.55 ±7.95 months, p = 0.001). Average waiting time for cTnT to drop below the 1 ng/ml threshold value was 5.73 ±2.95 (1-12) days. Intra-aortic balloon pump use in Groups 1 and 2 was 3% and 1%, respectively. There were no hospital mortalities in either group. Mortality rates at mid term were 6% in both groups.

conclusionsThis study compared two groups positive and negative for preoperative cTnT. The findings show that it is safe to wait until cTnT levels decrease to the 1 ng/ml threshold value in cTnT positive patients having a stable course. This waiting period is not very long, which is significant with respect to potential complications.

Indexed as

coronary artery bypass graftingmyocardial infarctionnon-ST-segment elevationtimingtroponin-T

Identifiers

PMID27478457
PMCPMC4947603
OpenAlexW2321065991

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.