Evidence map›Paper›PMID 28272470›Full record

SynthesisScientific reports2017

Meta-analysis of remote ischemic conditioning in patients with acute myocardial infarction.

Changfeng Man, Dandan Gong, Yongjing Zhou, Yu Fan

Abstract readMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Pooled it
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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

4 authors.

Changfeng ManInstitute of Molecular Biology &Translational Medicine, the Affiliated People's Hospital, Jiangsu University, Zhenjiang, Jiangsu, (212002) PR China.
Dandan GongInstitute of Molecular Biology &Translational Medicine, the Affiliated People's Hospital, Jiangsu University, Zhenjiang, Jiangsu, (212002) PR China.
Yongjing ZhouInstitute of Molecular Biology &Translational Medicine, the Affiliated People's Hospital, Jiangsu University, Zhenjiang, Jiangsu, (212002) PR China.
Yu FanInstitute of Molecular Biology &Translational Medicine, the Affiliated People's Hospital, Jiangsu University, Zhenjiang, Jiangsu, (212002) PR China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Effects of remote ischemic conditioning (RIC) in acute myocardial infarction (AMI) patients remain conflicting. We performed this meta-analysis of randomized clinical trials (RCTs) to evaluate the benefits of the RIC in patients with AMI. Potentially relevant RCTs were identified by searching PubMed, Embase, Cochrane Library, VIP, CNKI, and Wanfang database until November 2016. RCTs evaluating RIC using intermittent limb ischemia-reperfusion in AMI patients were included. Thirteen RCTs were identified and analyzed. Meta-analysis showed that RIC significantly reduced the area under the curve (AUC) of creatine kinase-myocardial band (CK-MB) (standardized mean difference [SMD] -0.29; 95% confidence intervals [CI] -0.44 to -0.14; P = 0.0002) and AUC of troponin T (SMD -0.22; 95% CI -0.37 to -0.08; P = 0.003). Risk ratio (RR) for ≥70% ST-segment resolution favored RIC group than the control group (RR 1.39; 95% CI 1.03-1.86; P = 0.03). RIC also significantly reduced all-cause mortality (RR 0.33; 95%CI 0.17-0.64; P = 0.001). Subgroup analyses on the CK-MB AUC and ST-segment resolution ≥70% rate showed that the effects of RIC appeared to be affected by the limb used, duration of RIC, and clinical setting. RIC may offer cardioprotective effects by improving ST-segment resolution and reducing the infarct size in AMI patients.

Indexed as

Ischemic Preconditioning, MyocardialBiomarkersComorbidityElectrocardiographyExtremitiesFemaleHumansMaleMortalityMyocardial InfarctionMyocardial Reperfusion InjuryOdds RatioPercutaneous Coronary InterventionRandomized Controlled Trials as TopicBiomarkers

Identifiers

PMID28272470
PMCPMC5341091

What OpenQuestion holds

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LicenceCC BY
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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.