Evidence map›Paper›PMID 28468787›Full record

ArticleJournal of the American Heart Association2017

Inflammatory Differences in Plaque Erosion and Rupture in Patients With ST-Segment Elevation Myocardial Infarction.

Sujay Chandran, Johnathan Watkins, Amina Abdul-Aziz, Manar Shafat, Patrick A Calvert, Kristian M Bowles, Marcus D Flather, Stuart A Rushworth, Alisdair D Ryding

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 51 citations in OpenAlex.

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  7. Precision Medicine in Acute Coronary Syndromes.Journal of clinical medicine · 2024
    Review
  8. Implications for neutrophils in cardiac arrhythmias.American journal of physiology. Heart and circulatory physiology · 2024
    Review
  9. Article
  10. New Concepts on the Pathophysiology of Acute Coronary Syndrome.Reviews in cardiovascular medicine · 2023
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  12. Observational
  13. Article
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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

9 authors at 3 institutions in 1 country.

Sujay ChandranNorfolk and Norwich University Hospital, Norwich, United Kingdom.
Johnathan WatkinsPILAR Research and Education, Cambridge, United Kingdom.
Amina Abdul-AzizNorwich Medical School, University of East Anglia, Norwich, United Kingdom.
Manar ShafatNorwich Medical School, University of East Anglia, Norwich, United Kingdom.
Patrick A CalvertPapworth Hospital NHS Foundation Trust, Papworth Everard Cambridge, United Kingdom.
Kristian M BowlesNorfolk and Norwich University Hospital, Norwich, United Kingdom.
Marcus D FlatherNorfolk and Norwich University Hospital, Norwich, United Kingdom.
Stuart A RushworthNorwich Medical School, University of East Anglia, Norwich, United Kingdom.
Alisdair D RydingNorfolk and Norwich University Hospital, Norwich, United Kingdom alisdair.ryding@nnuh.nhs.uk.
University of East Anglia · GBNorfolk and Norwich University Hospital · GBPapworth Hospital NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlaque erosion causes 30% of ST-segment elevation myocardial infarctions, but the underlying cause is unknown. Inflammatory infiltrates are less abundant in erosion compared with rupture in autopsy studies. We hypothesized that erosion and rupture are associated with significant differences in intracoronary cytokines in vivo. METHODS AND

resultsForty ST-segment elevation myocardial infarction patients with <6 hours of chest pain were classified as ruptured fibrous cap (RFC) or intact fibrous cap (IFC) using optical coherence tomography. Plasma samples from the infarct-related artery and a peripheral artery were analyzed for expression of 102 cytokines using arrays; results were confirmed with ELISA. Thrombectomy samples were analyzed for differential mRNA expression using quantitative real-time polymerase chain reaction. Twenty-three lesions were classified as RFC (58%), 15 as IFC (38%), and 2 were undefined (4%). In addition, 12% (12 of 102) of cytokines were differentially expressed in both coronary and peripheral plasma. I-TAC was preferentially expressed in RFC (significance analysis of microarrays adjusted

conclusionsThese results demonstrate differential intracoronary cytokine expression in RFC and IFC. Elevated thrombospondin 1 and epidermal growth factor may play an etiological role in erosion.

Indexed as

Plaque, AtheroscleroticAgedBiomarkersCoronary AngiographyCoronary Artery DiseaseCytokinesEnzyme-Linked Immunosorbent AssayEpidermal Growth FactorFemaleFibrosisGene Expression ProfilingHumansInflammation MediatorsMaleMiddle AgedOligonucleotide Array Sequence AnalysisBiomarkersCytokinesEpidermal Growth FactorInflammation MediatorsThrombospondin 1thrombospondin-1, humancoronary artery diseaseerosioninflammationmyocardial infarctionoptical coherence tomographythrombospondin 1

Identifiers

PMID28468787
PMCPMC5524113
OpenAlexW2611293794

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.