Evidence map›Paper›PMID 27709325›Full record

Observational studyHeart and vessels2017

Prediction of 1-year clinical outcomes using the SYNTAX score in patients with prior heart failure undergoing percutaneous coronary intervention: sub-analysis of the SHINANO registry.

Masatoshi Minamisawa, Takashi Miura, Hirohiko Motoki, Hideki Kobayashi, Masanori Kobayashi, Hiroyuki Nakajima, Hikaru Kimura, Hiroshi Akanuma, Eiichiro Mawatari, Toshio Sato and 17 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Heart and vessels, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
–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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Early predictors of severe left main and/or three-vessel disease in patients with non-ST-segment elevation myocardial infarction: A dual-center retrospective study.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2024
    Article
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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

27 authors.

Masatoshi MinamisawaDepartment of Cardiovascular Medicine, Shinshu University School of Medicine, -1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan. masa1981@shinshu-u.ac.jp.
Takashi MiuraDepartment of Cardiovascular Medicine, Shinshu University School of Medicine, -1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Hirohiko MotokiDepartment of Cardiovascular Medicine, Shinshu University School of Medicine, -1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Hideki KobayashiDepartment of Cardiology, Shinshu Ueda Medical Center, Ueda, Japan.
Masanori KobayashiDepartment of Cardiology, Matsumoto Kyoritsu Hospital, Matsumoto, Japan.
Hiroyuki NakajimaDepartment of Cardiology, Nagano Matsushiro General Hospital, Nagano, Japan.
Hikaru KimuraDepartment of Cardiology, Saku Central Hospital, Saku, Japan.
Hiroshi AkanumaDepartment of Cardiology, Iida Municipal Hospital, Iida, Japan.
Eiichiro MawatariDepartment of Cardiology, Kita Alps Medical Center, Azumino, Japan.
Toshio SatoDepartment of Cardiology, Shinonoi General Hospital, Nagano, Japan.
Shoji HottaDepartment of Cardiology, Ina Central Hospital, Ina, Japan.
Yuichi KamiyoshiDepartment of Cardiology, Aizawa Hospital, Matsumoto, Japan.
Takuya MaruyamaDepartment of Cardiology, Shinonoi General Hospital, Nagano, Japan.
Noboru WatanabeDepartment of Cardiology, Hokushin General Hospital, Nakano, Japan.
Takayuki EisawaDepartment of Cardiology, Komoro Kosei General Hospital, Komoro, Japan.
Shinichi AsoDepartment of Cardiology, Aizawa Hospital, Matsumoto, Japan.
Shinichiro UchikawaDepartment of Cardiology, Azumino Red Cross Hospital, Azumino, Japan.
Keisuke SendaDepartment of Cardiology, Okaya Municipal Hospital, Okaya, Japan.
Takehiro MoritaDepartment of Cardiology, Nagano Matsushiro General Hospital, Nagano, Japan.
Naoto HashizumeDepartment of Cardiovascular Medicine, Shinshu University School of Medicine, -1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Naoyuki AbeDepartment of Cardiovascular Medicine, Shinshu University School of Medicine, -1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Soichiro EbisawaDepartment of Cardiovascular Medicine, Shinshu University School of Medicine, -1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Atsushi IzawaDepartment of Cardiovascular Medicine, Shinshu University School of Medicine, -1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Yusuke MiyashitaDepartment of Cardiovascular Medicine, Shinshu University School of Medicine, -1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Jun KoyamaDepartment of Cardiovascular Medicine, Shinshu University School of Medicine, -1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Uichi IkedaDepartment of Cardiovascular Medicine, Shinshu University School of Medicine, -1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
SHINANO Registry Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although coronary artery disease (CAD) is common in patients with heart failure (HF), little is known about the prognostic significance of coronary lesion complexity in patients with prior HF undergoing percutaneous coronary intervention (PCI). The aim of this study was to investigate whether the coronary Synergy between Percutaneous Coronary Intervention with TAXus and Cardiac Surgery (SYNTAX) score could improve risk stratification in HF patients with CAD. Two hundred patients (mean age 73 ± 11 years, left ventricular ejection fraction 49 ± 15 %) with prior HF who underwent PCI were divided into two groups stratified by SYNTAX score (median value 12) and tracked prospectively for 1 year. The study endpoint was the composite of major adverse cardiovascular events (MACE), including all-cause death, myocardial infarction, stroke, and hospitalization for worsening HF. Adverse events were observed in 39 patients (19.5 %). Patients with high SYNTAX scores (n = 100) showed worse prognoses than those with low scores (n = 100) (26.0 vs. 13.0 %, respectively, P = 0.021). In multivariate Cox-regression analysis, SYNTAX score ≥12 was significantly associated with MACE (hazard ratio: 1.99, 95 % confidence interval: 1.02-3.97; P = 0.045). In patients with prior HF and CAD, high SYNTAX scores predicted a high incidence of MACE. These results suggest that the SYNTAX score might be a useful parameter for improving risk stratification in these patients.

Indexed as

Percutaneous Coronary InterventionAgedAged, 80 and overCause of DeathCoronary Artery DiseaseDrug-Eluting StentsFemaleHeart FailureHospital MortalityHumansJapanKaplan-Meier EstimateMaleMiddle AgedMultivariate AnalysisMyocardial InfarctionCoronary artery diseaseHeart failurePrognosisSYNTAX score

Identifiers

PMID27709325
PMCPMC5371627

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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.