Evidence map›Paper›PMID 28595700›Full record

Trial reportJournal of the American College of Cardiology2017

Angiotensin-Converting Enzyme Inhibition Early After Heart Transplantation.

William F Fearon, Kozo Okada, Jon A Kobashigawa, Yuhei Kobayashi, Helen Luikart, Sean Sana, Tiffany Daun, Steven A Chmura, Seema Sinha, Garett Cohen and 7 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American College of Cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01078363 (ACE Inhibition and Cardiac Allograft Vasculopathy), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
7.2field-weighted citation impact, top 2% 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.

NCT01078363 nacompletednot on this map

ACE Inhibition and Cardiac Allograft Vasculopathy

TypeinterventionalSponsorStanford UniversityRan2009 to 2015Enrolled96ConditionsCardiac Allograft VasculopathyArmsramipril, Placebo
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 59 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Observational
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Angina: contemporary diagnosis and management.Heart (British Cardiac Society) · 2020
    Review
  18. Observational
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 4 institutions in 1 country.

William F FearonStanford Cardiovascular Institute and Division of Cardiovascular Medicine, Stanford, California; Cardiology Section, Palo Alto Veterans Affairs Health Care System, Palo Alto, California. Electronic address: wfearon@stanford.edu.
Kozo OkadaStanford Cardiovascular Institute and Division of Cardiovascular Medicine, Stanford, California.
Jon A KobashigawaAdvanced Heart Disease Section, Cedars-Sinai Heart Institute, Los Angeles, California.
Yuhei KobayashiStanford Cardiovascular Institute and Division of Cardiovascular Medicine, Stanford, California.
Helen LuikartStanford Cardiovascular Institute and Division of Cardiovascular Medicine, Stanford, California.
Sean SanaAdvanced Heart Disease Section, Cedars-Sinai Heart Institute, Los Angeles, California.
Tiffany DaunAdvanced Heart Disease Section, Cedars-Sinai Heart Institute, Los Angeles, California.
Steven A ChmuraDepartment of Pediatrics, Division of Allergy, Immunology, and Rheumatology, Stanford University School of Medicine, Stanford, California.
Seema SinhaStanford Cardiovascular Institute and Division of Cardiovascular Medicine, Stanford, California.
Garett CohenStanford Cardiovascular Institute and Division of Cardiovascular Medicine, Stanford, California.
Yasuhiro HondaStanford Cardiovascular Institute and Division of Cardiovascular Medicine, Stanford, California.
Michael PhamCardiology Section, Palo Alto Veterans Affairs Health Care System, Palo Alto, California.
David B LewisDepartment of Pediatrics, Division of Allergy, Immunology, and Rheumatology, Stanford University School of Medicine, Stanford, California.
Daniel BernsteinDepartment of Pediatrics, Division of Cardiology, Stanford University School of Medicine, Stanford, California.
Alan C YeungStanford Cardiovascular Institute and Division of Cardiovascular Medicine, Stanford, California.
Hannah A ValantineStanford Cardiovascular Institute and Division of Cardiovascular Medicine, Stanford, California.
Kiran KhushStanford Cardiovascular Institute and Division of Cardiovascular Medicine, Stanford, California.
Cardiovascular Institute of the South · USCedars-Sinai Smidt Heart Institute · USStanford University · USVA Palo Alto Health Care System · US

Funding

ACE Inhibition and Cardiac Allograft VasculopathyR01HL093475 · NHLBI · STANFORD UNIVERSITY · PI FEARON, WILLIAM F · 2009 to 2013
$1.7M
BD Canto II RUO CytometerS10RR027431 · NCRR · STANFORD UNIVERSITY · PI NOLAN, GARRY P · 2010 to 2010
$236k
NCRR NIH HHS S10 RR027431NHLBI NIH HHS R01 HL093475
6 · The paper itself

Abstract

backgroundCardiac allograft vasculopathy (CAV) remains a leading cause of mortality after heart transplantation (HT). Angiotensin-converting enzyme inhibitors (ACEIs) may retard the development of CAV but have not been well studied after HT.

objectivesThis study tested the safety and efficacy of the ACEI ramipril on the development of CAV early after HT.

methodsIn this prospective, multicenter, randomized, double-blind, placebo-controlled trial, 96 HT recipients were randomized to undergo ramipril or placebo therapy. They underwent coronary angiography, endothelial function testing; measurements of fractional flow reserve (FFR) and coronary flow reserve (CFR) and the index of microcirculatory resistance (IMR); and intravascular ultrasonography (IVUS) of the left anterior descending coronary artery, within 8 weeks of HT. At 1 year, the invasive assessment was repeated. Circulating endothelial progenitor cells (EPCs) were quantified at baseline and 1 year.

resultsPlaque volumes at 1 year were similar between the ramipril and placebo groups (162.1 ± 70.5 mm

conclusionsRamipril does not slow development of epicardial plaque volume but does stabilize levels of endothelial progenitor cells and improve microvascular function, which have been associated with improved long-term survival after HT. (Angiotensin Converting Enzyme [ACE] Inhibition and Cardiac Allograft Vasculopathy; NCT01078363).

Indexed as

Angiotensin-Converting Enzyme InhibitorsCoronary AngiographyCoronary CirculationCoronary VesselsDouble-Blind MethodFollow-Up StudiesGraft RejectionHeart TransplantationHumansProspective StudiesRamiprilTime FactorsTreatment OutcomeUltrasonography, InterventionalVascular ResistanceAngiotensin-Converting Enzyme InhibitorsRamiprilcardiac allograft vasculopathycoronary physiologymicrocirculation

Identifiers

PMID28595700
PMCPMC5546225
OpenAlexW2621493963

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.