Evidence map›Paper›PMID 27928583›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2017

Incidence, laboratory detection and prognostic relevance of hypoxic hepatitis in cardiogenic shock.

Christian Jung, Georg Fuernau, Ingo Eitel, Steffen Desch, Gerhard Schuler, Malte Kelm, Volker Adams, Holger Thiele

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00491036 (Randomized Clinical Study of Intraaortic Balloon Pump Use in Cardiogenic Shock Complicating Acute Myocardial Infarction), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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.

NCT00491036 phase4completednot on this map

Randomized Clinical Study of Intraaortic Balloon Pump Use in Cardiogenic Shock Complicating Acute Myocardial Infarction

TypeinterventionalSponsorUniversity of LeipzigRan2009 to 2016Enrolled600ConditionsMyocardial Infarction, Shock, CardiogenicArmsIntraaortic balloon pump
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Prevalence and prognostic relevance of abnormal liver function tests in critically ill patients with cardiac arrest.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Cardiogenic Shock: Focus on Non-Cardiac Biomarkers.Current heart failure reports · 2024
    Review
  7. Review
  8. [Liver diseases in the intensive care unit].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024
    Review
  9. [ECLS shock study-no advantage for venoarterial ECMO in cardiogenic shock].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024
    Article
  10. Review
  11. Hemodynamic monitoring in cardiogenic shock.Journal of intensive medicine · 2023
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. [Hepatic dysfunction in patients with cardiogenic shock].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2019
    Review
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 5 institutions in 1 country.

Christian JungMedical Faculty, Division of Cardiology, Pulmonology and Vascular Medicine, University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany. christian.jung@med.uni-duesseldorf.de.
Georg FuernauMedical Clinic II, Cardiology/Angiology/Intensive Care Medicine, University Heart Center Lübeck, Lübeck, Germany.
Ingo EitelMedical Clinic II, Cardiology/Angiology/Intensive Care Medicine, University Heart Center Lübeck, Lübeck, Germany.
Steffen DeschMedical Clinic II, Cardiology/Angiology/Intensive Care Medicine, University Heart Center Lübeck, Lübeck, Germany.
Gerhard SchulerDepartment of Internal Medicine/Cardiology, University of Leipzig-Heart Center, Leipzig, Germany.
Malte KelmMedical Faculty, Division of Cardiology, Pulmonology and Vascular Medicine, University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
Volker AdamsDepartment of Internal Medicine/Cardiology, University of Leipzig-Heart Center, Leipzig, Germany.
Holger ThieleMedical Clinic II, Cardiology/Angiology/Intensive Care Medicine, University Heart Center Lübeck, Lübeck, Germany.
University of Lübeck · DELeipzig Heart Institute · DEDüsseldorf University Hospital · DEGerman Centre for Cardiovascular Research · DEHeinrich Heine University Düsseldorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the improvement of therapeutic options for patients in acute myocardial infarction (AMI), cardiogenic shock (CS) remains a complication with high mortality rates. Organ failure centrally determines the prognosis of these high-risk patients. Aim of the current study was to assess the incidence of hypoxic hepatitis (HH) in CS, its laboratory detection evaluating novel and established biomarkers and to estimate the prognostic relevance of HH in current clinical practice.

methodsIn 172 patients with CS complicating AMI, blood samples were collected at admission and after 1 day as prespecified subanalysis of the intra-aortic balloon pumping IABP-SHOCK II trial. Classic parameters of HH were measured in addition to argininosuccinate synthase 1 and sulfotransferase isoform SULT2A1 was determined as new biomarker using standard enzyme-linked immunosorbent assay kits. All-cause mortality at 30 days was used for outcome assessment.

resultsThe overall mortality rate was 40%. The incidence of HH with an increase of aminotransferase levels to be 20 times above the upper normal level was 18%. Patients with HH had a distinctly higher 30-day mortality rate compared to patients without HH (68 vs. 34%; p < 0.001). After multivariable adjustment aspartate-aminotransferase (ASAT) remained an independent predictor of 30-day mortality together with serum lactate and serum creatinine, while the new biomarkers failed to predict outcome. Comparing different liver markers using receiver operating characteristic analysis, ASAT showed the highest area under the curve for the prediction of outcome.

conclusionsHH occurs frequently in CS and is associated with particular poor outcome. As conventional biomarker, ASAT is the strongest laboratory predictor of outcome. ClinicalTrials.gov Identifier: NCT00491036.

Indexed as

AgedClinical Laboratory TechniquesComorbidityEnzyme AssaysFemaleGermanyHepatitisHumansIncidenceIschemiaLiverMaleMiddle AgedPrognosisReproducibility of ResultsRisk FactorsCardiogenic shockCritical careHypoxic hepatitisLiver failureOrgan failure

Identifiers

PMID27928583
OpenAlexW2560750144

What OpenQuestion holds

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Registered trials

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.