Evidence map›Paper›PMID 28364777›Full record

ArticleJournal of translational medicine2017

In vivo MRI and ex vivo histological assessment of the cardioprotection induced by ischemic preconditioning, postconditioning and remote conditioning in a closed-chest porcine model of reperfused acute myocardial infarction: importance of microvasculature.

Tamás Baranyai, Zoltán Giricz, Zoltán V Varga, Gábor Koncsos, Dominika Lukovic, András Makkos, Márta Sárközy, Noémi Pávó, András Jakab, Csilla Czimbalmos and 8 more

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing 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.

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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
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  7. Article
  8. The role and mechanisms of microvascular damage in the ischemic myocardium.Cellular and molecular life sciences : CMLS · 2023
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Molecular Network Approach RevealsInternational journal of molecular sciences · 2021
    Article
  14. Article
  15. Review
  16. Article
  17. Cardioprotective Effect of Novel Matrix Metalloproteinase Inhibitors.International journal of molecular sciences · 2020
    Article
  18. Anesthesia Protocols used to Create Ischemia Reperfusion Myocardial Infarcts in Swine.Journal of the American Association for Laboratory Animal Science : JAALAS · 2020
    Review
  19. Article
  20. 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

18 authors at 6 institutions in 3 countries.

Tamás BaranyaiDepartment of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary.
Zoltán GiriczDepartment of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary.
Zoltán V VargaDepartment of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary.
Gábor KoncsosDepartment of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary.
Dominika LukovicDepartment of Cardiology, Medical University of Vienna, Vienna, Austria.
András MakkosDepartment of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary.
Márta SárközyDepartment of Biochemistry, University of Szeged, Szeged, Hungary.
Noémi PávóDepartment of Cardiology, Medical University of Vienna, Vienna, Austria.
András JakabDepartment of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.
Csilla CzimbalmosThe Heart and Vascular Center, Semmelweis University, Budapest, Hungary.
Hajnalka VágóThe Heart and Vascular Center, Semmelweis University, Budapest, Hungary.
Zoltán RuzsaThe Heart and Vascular Center, Semmelweis University, Budapest, Hungary.
Levente TóthInstitute of Diagnostic Imaging and Radiation Oncology, University of Kaposvár, Kaposvár, Hungary.
Rita GaramvölgyiInstitute of Diagnostic Imaging and Radiation Oncology, University of Kaposvár, Kaposvár, Hungary.
Béla MerkelyThe Heart and Vascular Center, Semmelweis University, Budapest, Hungary.
Rainer SchulzInstitute of Physiology, Justus Liebig University, Giessen, Germany.
Mariann GyöngyösiDepartment of Cardiology, Medical University of Vienna, Vienna, Austria.
Péter FerdinandyDepartment of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary. peter.ferdinandy@pharmahungary.com.
Semmelweis University · HUMedical University of Vienna · ATUniversity of Giessen · DEUniversity of Kapsovar · HUUniversity of Pecs · HUUniversity of Szeged · HU

Funding

Austrian Science Fund FWF I 1277
6 · The paper itself

Abstract

backgroundCardioprotective value of ischemic post- (IPostC), remote (RIC) conditioning in acute myocardial infarction (AMI) is unclear in clinical trials. To evaluate cardioprotection, most translational animal studies and clinical trials utilize necrotic tissue referred to the area at risk (AAR) by magnetic resonance imaging (MRI). However, determination of AAR by MRI' may not be accurate, since MRI-indices of microvascular damage, i.e., myocardial edema and microvascular obstruction (MVO), may be affected by cardioprotection independently from myocardial necrosis. Therefore, we assessed the effect of IPostC, RIC conditioning and ischemic preconditioning (IPreC; positive control) on myocardial necrosis, edema and MVO in a clinically relevant, closed-chest pig model of AMI. METHODS AND

resultsAcute myocardial infarction was induced by a 90-min balloon occlusion of the left anterior descending coronary artery (LAD) in domestic juvenile female pigs. IPostC (6 × 30 s ischemia/reperfusion after 90-min occlusion) and RIC (4 × 5 min hind limb ischemia/reperfusion during 90-min LAD occlusion) did not reduce myocardial necrosis as assessed by late gadolinium enhancement 3 days after reperfusion and by ex vivo triphenyltetrazolium chloride staining 3 h after reperfusion, however, the positive control, IPreC (3 × 5 min ischemia/reperfusion before 90-min LAD occlusion) did. IPostC and RIC attenuated myocardial edema as measured by cardiac T2-weighted MRI 3 days after reperfusion, however, AAR measured by Evans blue staining was not different among groups, which confirms that myocardial edema is not a measure of AAR, IPostC and IPreC but not RIC decreased MVO.

conclusionWe conclude that IPostC and RIC interventions may protect the coronary microvasculature even without reducing myocardial necrosis.

Indexed as

Ischemic PostconditioningIschemic Preconditioning, MyocardialAnimalsCardiotonic AgentsEdemaElectrocardiographyFemaleHeart Function TestsHemodynamicsMagnetic Resonance ImagingMicrovesselsMyocardial Reperfusion InjuryNecrosisStaining and LabelingSus scrofaCardiotonic AgentsArea at riskIschemia/reperfusion injuryIschemic postconditioningIschemic preconditioningMyocardial edemaRemote conditioning

Identifiers

PMID28364777
PMCPMC5376486
OpenAlexW2600068106

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.