Evidence map›Paper›PMID 29064538›Full record

ArticleCardiology journal2019

Morning and afternoon serum cortisol level in patients with post-myocardial infarction depression.

Alina Wilkowska, Andrzej Rynkiewicz, Joanna Wdowczyk, Jerzy Landowski

Abstract read
In one paragraph

Article in Cardiology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

4 authors.

Alina WilkowskaDepartment of Adult Psychiatry, Medical University of Gdansk, Poland. ali.wilkowska@gmail.com.
Andrzej RynkiewiczDepartment of Cardiology and Cardiosurgery, University of Warmia and Mazury, Olsztyn, Poland.
Joanna WdowczykFirst Department of Cardiology, Medical University of Gdansk, Poland.
Jerzy LandowskiDepartment of Adult Psychiatry, Medical University of Gdansk, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-myocardial depression is a highly prevalent condition which worsens the course and prognosis of coronary artery disease. One possible pathogenetic factor is dysregulation of the hypothalamic-pituitary-adrenal axis, resulting in cortisol profile disturbances.

methodsThirty seven patients hospitalized due to a first myocardial infarction (MI) were enrolled in this study. The Beck Depression Inventory (BDI) was used to rate the severity of their depressive symptoms. Morning and afternoon serum cortisol samples were taken on the fifth day of the MI.

resultsDepression, defined as BDI ≥ 10, was present in 34.4% of the patients. A statistically significant difference was observed between the mean morning and the evening plasma concentrations in patients with depression compared to the no-depression group: F (1.29) = 5.0405, p = 0.0328.

conclusionsPatients with depressive symptoms directly after MI have a flattened diurnal serum cortisol profile. This is particularly expressed in patients with longer lasting symptoms.

Indexed as

AffectCircadian RhythmBiomarkersDepressionFemaleHumansHydrocortisoneMaleMiddle AgedSeverity of Illness IndexST Elevation Myocardial InfarctionTime FactorsBiomarkersHydrocortisonecortisoldepressionhypothalamic pituitary adrenal axismyocardial infarction

Identifiers

PMID29064538
PMCPMC8084402

What OpenQuestion holds

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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.