Evidence map›Paper›PMID 28598569›Full record

Observational studyClinical cardiology2017

Heart failure in patients admitted for acute coronary syndromes: A report from a large national registry.

Raban V Jeger, Otmar Pfister, Dragana Radovanovic, Franz R Eberli, Hans Rickli, Philip Urban, Giovanni Pedrazzini, Jean-Christophe Stauffer, Jörg Nossen, Paul Erne and 1 more

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Clinical cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

14 citing papers in PubMed, 22 citations in OpenAlex.

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  11. The Role of Environmental PMInternational journal of general medicine · 2021
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  12. Observational
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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

11 authors at 9 institutions in 2 countries.

Raban V JegerDepartment of Cardiology, University Hospital Basel, Basel, Switzerland.ORCID http://orcid.org/0000-0003-1290-5491
Otmar PfisterDepartment of Cardiology, University Hospital Basel, Basel, Switzerland.
Dragana RadovanovicAMIS Plus Data Centre, Epidemiology, Biostatistics, and Prevention Institute, University of Zurich, Zurich, Switzerland.
Franz R EberliDepartment of Cardiology, Triemli Hospital, Zurich, Switzerland.
Hans RickliDepartment of Cardiology, St. Gallen Cantonal Hospital, St. Gallen, Switzerland.
Philip UrbanCardiovascular Department, La Tour Hospital, Geneva, Switzerland.
Giovanni PedrazziniDepartment of Cardiology, Cardiocentro Ticino, Lugano, Switzerland.
Jean-Christophe StaufferDepartment of Cardiology, Fribourg Cantonal Hospital, Fribourg, Switzerland.
Jörg NossenDepartment of Internal Medicine, Lucerne Cantonal Hospital, Sursee, Switzerland.
Paul ErneAMIS Plus, Zurich, Switzerland.
AMIS-Plus Investigators
University Hospital of Basel · CHEpatocentro Ticino · CHFribourg Development Agency · CHHôpital de la Tour · CHThe Geneva Association · CHTriemli Hospital · CHUniversity of Lucerne · CHUniversity of St.Gallen · CHUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on temporal trends of heart failure (HF) in acute coronary syndrome (ACS) are scarce. HYPOTHESIS: Improved treatment options may have led to lower case-fatality rates (CFRs) during the last years in ACS complicated by HF.

methodsPatients of the nationwide Acute Myocardial Infarction in Switzerland (AMIS)-Plus ACS registry were analyzed from 2000 to 2014.

resultsOf 36 366 ACS patients, 3376 (9.3%) had acute or chronic HF, 2111 (5.8%) de novo acute HF (AHF), 964 (2.7%) chronic HF (CHF), and 301 (0.8%) acute decompensated CHF (ADCHF). In-hospital CFRs were highest in patients with ADCHF (32.6%) and de novo AHF (29.7%), followed by patients with CHF (12.9%) and without HF (3.2%, P < 0.001). Although in-hospital CFRs gradually decreased in CHF patients (14.3% to 4.5%, P = 0.003) and patients without HF (3.5% to 2.2%, P < 0.001), they remained high in patients with ADCHF (36.4% to 40.0%, P = 0.45) and de novo AHF (50.0% to 29.4%, P = 0.37). Although there was an increase in specific ACS therapies in the cohort over time, ACS patients with HF received significantly less pharmacological and interventional ACS therapies than patients without HF. There was no significant change in HF medication rates except less frequent use of β-blockers and diuretics in de novo AHF patients in recent years.

conclusionsHF is present in 1 out of 10 patients presenting with ACS and is associated with high in-hospital CFRs, particularly in acute HF. Although advances in ACS therapy improved in-hospital CFRs in patients with no HF or CHF, CFRs remained unchanged and high in patients with acute HF and ACS over the last decade.

Indexed as

Patient AdmissionAcute Coronary SyndromeAgedAged, 80 and overChi-Square DistributionFemaleHeart FailureHospital MortalityHumansIncidenceLogistic ModelsLongitudinal StudiesMaleMiddle AgedMultivariate AnalysisOdds RatioAcute Coronary SyndromeHeart Failure

Identifiers

PMID28598569
PMCPMC6490326
OpenAlexW2623996046

What OpenQuestion holds

Textmetadata
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.