Evidence map›Paper›PMID 28321012›Full record

Observational studyJournal of atherosclerosis and thrombosis2017

Impact of Lipoprotein (a) on Long-Term Outcomes in Patients with Coronary Artery Disease Treated with Statin After a First Percutaneous Coronary Intervention.

Satoru Suwa, Manabu Ogita, Katsumi Miyauchi, Taketo Sonoda, Hirokazu Konishi, Shuta Tsuboi, Hideki Wada, Ryo Naito, Tomotaka Dohi, Takatoshi Kasai and 3 more

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Journal of atherosclerosis and thrombosis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  12. Impact of lipoprotein(a) and fibrinogen on prognosis in patients with coronary artery disease: A retrospective cohort study.Technology and health care : official journal of the European Society for Engineering and Medicine · 2024
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  13. Article
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  20. Lipoprotein(a) Elevation: A New Diagnostic Code with Relevance to Service Members and Veterans.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019
    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

13 authors at 2 institutions in 1 country.

Satoru SuwaDepartment of Cardiovascular Medicine, Juntendo University Shizuoka Hospital.
Manabu OgitaDepartment of Cardiovascular Medicine, Juntendo University Shizuoka Hospital.
Katsumi MiyauchiDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.
Taketo SonodaDepartment of Cardiovascular Medicine, Juntendo University Shizuoka Hospital.
Hirokazu KonishiDepartment of Cardiovascular Medicine, Juntendo University Shizuoka Hospital.
Shuta TsuboiDepartment of Cardiovascular Medicine, Juntendo University Shizuoka Hospital.
Hideki WadaDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.
Ryo NaitoDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.
Tomotaka DohiDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.
Takatoshi KasaiDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.
Shinya OkazakiDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.
Kikuo IsodaDepartment of Cardiovascular Medicine, Juntendo University Shizuoka Hospital.
Hiroyuki DaidaDepartment of Cardiovascular Medicine, Juntendo University Graduate School of Medicine.
Juntendo University · JPJuntendo University Shizuoka Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsCardiovascular risk persists despite intensive lipid lowering therapy using statins. Serum levels of lipoprotein (a) [Lp(a)] can be a residual cardiovascular risk for adverse events. Aim of the present study was to evaluate the impact of Lp(a) on long-term clinical outcomes in patients treated with statin after percutaneous coronary intervention.

methodsWe prospectively enrolled 3507 consecutive CAD patients who underwent a first percutaneous coronary intervention (PCI) between 1997 and 2011 at our institution. We identified 1768 patients (50.4%) who had treated with statin during PCI. Eligible 1336 patients were stratified to two groups according to Lp(a) levels (median Lp (a) 21.5 mg/dL). The primary outcome was major adverse cardiac events (MACE) including cardiac death and non-fatal acute coronary syndrome.

resultsMACE occurred 144 (10.8%) including 34 (2.5%) cardiac death and 110 (8.7%) non-fatal ACS during median follow-up period of 1920 days. The cumulative rate of MACE was significantly higher in group with high Lp(a) group (log-rank p=0.0460). Multivariate Cox regression analysis showed a significant correlation between Lp (a) levels treated as a natural logarithm-transformed continuous variable and increased MACE (adjusted HR for MACE 1.28, 95%CI 1.04-1.58, p=0.0184)Conclusion: Elevated levels of Lp(a) is significantly associated with long-term adverse clinical outcomes among CAD patients who received statin therapy after PCI.

Indexed as

Percutaneous Coronary InterventionAgedBiomarkersCoronary Artery DiseaseFemaleFollow-Up StudiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsLipoprotein(a)MaleMiddle AgedPrognosisProspective StudiesRisk FactorsBiomarkersHydroxymethylglutaryl-CoA Reductase InhibitorsLipoprotein(a)Coronary artery diseaseLipoprotein (a)Percutaneous coronary interventionStatin

Identifiers

PMID28321012
PMCPMC5684478
OpenAlexW2597314559

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.