Evidence map›Paper›PMID 28737273›Full record

Trial reportESC heart failure2018

Recovery free of heart failure after acute coronary syndrome and coronary revascularization.

Alec Falkenham, Manoj K Saraswat, Chloe Wong, Kareem Gawdat, Tanya Myers, Jahanara Begum, Karen J Buth, Ian Haidl, Jean Marshall, Jean-Francois Légaré and 1 more

Open access · goldAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in ESC heart failure, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Review
  3. Observational
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 1 institution in 1 country.

Alec FalkenhamDepartment of Pathology, Dalhousie University, Halifax, Nova Scotia, Canada.
Manoj K SaraswatDepartment of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Chloe WongDepartment of Pathology, Dalhousie University, Halifax, Nova Scotia, Canada.
Kareem GawdatDepartment of Pathology, Dalhousie University, Halifax, Nova Scotia, Canada.
Tanya MyersDepartment of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Jahanara BegumDepartment of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Karen J ButhDepartment of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
Ian HaidlDepartment of Microbiology and Immunology, Dalhousie University, Halifax, Nova Scotia, Canada.
Jean MarshallDepartment of Microbiology and Immunology, Dalhousie University, Halifax, Nova Scotia, Canada.
Jean-Francois LégaréDepartment of Pathology, Dalhousie University, Halifax, Nova Scotia, Canada.
REACH Investigators
Dalhousie University · CA

Funding

CIHR THC135230
6 · The paper itself

Abstract

aimsPrevious studies have examined risk factors for the development of heart failure (HF) subsequent to acute coronary syndrome (ACS). Our study seeks to clarify the clinical variables that best characterize patients who remain free from HF after coronary artery bypass grafting (CABG) surgery for ACS to determine novel biological factors favouring freedom from HF in prospective translational studies. METHODS AND

resultsNova Scotia residents (1995-2012) undergoing CABG within 3 weeks of ACS were included. The primary outcome was freedom from readmission to hospital due to HF. Descriptive statistics were generated, and a Cox proportional hazards model assessed outcome with adjustment for clinical characteristics. Of 11 936 Nova Scotians who underwent isolated CABG, 3264 (27%) had a recent ACS and were included. Deaths occurred in 210 (6%) of subjects prior to discharge. A total of 3054 patients were included in the long-term analysis. During follow-up, HF necessitating readmission occurred in 688 (21%) subjects with a hazard ratio of 12% at 2 years. The adjusted Cox model demonstrated significantly better freedom from HF for younger, male subjects without metabolic syndrome and no history of chronic obstructive pulmonary disease, renal insufficiency, atrial fibrillation, or HF.

conclusionsOur findings have outlined important clinical variables that predict freedom from HF. Furthermore, we have shown that 12% of patients undergoing CABG after ACS develop HF (2 years). Our findings support our next phase in which we plan to prospectively collect blood and tissue specimens from ACS patients undergoing CABG in order to determine novel biological mechanism(s) that favour resolution of post-ACS inflammation.

Indexed as

Coronary Artery BypassRecovery of FunctionRegistriesRisk AssessmentAcute Coronary SyndromeAgedAged, 80 and overFemaleFollow-Up StudiesHeart FailureHeart RateHospital MortalityHumansMaleMiddle AgedNova ScotiaAcute coronary syndromeCoronary artery bypass graftHeart failureMetabolic syndrome

Identifiers

PMID28737273
PMCPMC5793972
OpenAlexW2737102842

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.