Evidence map›Paper›PMID 28392973›Full record

ArticleCardiovascular endocrinology2016

The inflammatory biomarker YKL-40 decreases stepwise after exercise stress test.

Naja Dam Mygind, Anna Axelsson, Martin H Ruwald, Morten Dalsgaard, Rolf Steffensen, Kasper Iversen, Julia S Johansen, Jens Kastrup

Open access · hybridAbstract read
In one paragraph

Article in Cardiovascular endocrinology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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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

8 authors at 3 institutions in 2 countries.

Naja Dam MygindDepartment of Cardiology, Copenhagen University Hospital Rigshospitalet.
Anna AxelssonDepartment of Cardiology, Copenhagen University Hospital Rigshospitalet; Department of Cardiology, Copenhagen University Hospital Hillerød; Departments of Cardiology.
Martin H RuwaldDepartment of Cardiology, Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark.
Morten DalsgaardDepartments of Cardiology.
Rolf SteffensenDepartment of Cardiology, Copenhagen University Hospital Hillerød.
Kasper IversenDepartments of Cardiology.
Julia S JohansenMedicine and Oncology, Copenhagen University Hospital Herlev.
Jens KastrupDepartment of Cardiology, Copenhagen University Hospital Rigshospitalet.
Creative Commons · USRigshospitalet · DKCopenhagen University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSerum YKL-40 is an inflammatory biomarker associated with disease activity and mortality in diseases characterized by inflammation such as coronary artery disease (CAD). Exercise has a positive effect on CAD, possibly mediated by a decreased inflammatory activity. This study aimed to compare serial measurements of serum YKL-40 before and after exercise in patients with stable CAD versus controls. MATERIALS AND

methodsEleven patients with stable CAD verified by coronary angiography (>70% stenosis) and 11 patients with a computer tomography angiography with no stenosis or calcification (calcium score=0) (controls) performed a standard clinical maximal exercise test. Serum YKL-40 was measured before exercise, immediately after exercise, and every hour for 6 h.

resultsCardiovascular risk factors were more prevalent among the CAD patients compared with the controls. CAD patients had higher serum concentration of YKL-40 at baseline compared with controls, median (interquartile range) 94 (52-151) versus 57 (45-79) μg/l. Serum YKL-40 decreased stepwise after exercise, with a median decrease of 16 (13-39) μg/l for the CAD patients and 13 (10-22) μg/l for the controls from baseline to the lowest value. Thereafter, values increased again toward baseline level. Time after exercise was a significant factor for decrease in serum YKL-40 (

conclusionSerum YKL-40 is elevated in patients with documented CAD compared with controls, and it decreases stepwise after exercise in both groups, indicating an anti-inflammatory effect of exercise independent of the presence of coronary atherosclerosis.

Indexed as

biomarkerscoronary artery diseaseexercise testinflammationserum YKL-40stable angina pectoris

Identifiers

PMID28392973
PMCPMC5367501
OpenAlexW2655481708

What OpenQuestion holds

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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.