Evidence map›Paper›PMID 29092845›Full record

ArticleJournal of the American Heart Association2017

Clinical Predictors for Lack of Favorable Vascular Response to Statin Therapy in Patients With Coronary Artery Disease: A Serial Optical Coherence Tomography Study.

Yoshiyasu Minami, Zhao Wang, Aaron D Aguirre, Daniel S Ong, Chong-Jin Kim, Shiro Uemura, Tsunenari Soeda, Hang Lee, James Fujimoto, Ik-Kyung Jang

Registry-linked trialAbstract readMulticenter Study
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. It is linked to trial NCT01110538 (The Massachusetts General Hospital Optical Coherence Tomography Registry), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT01110538 completednot on this map

The Massachusetts General Hospital Optical Coherence Tomography Registry

TypeobservationalSponsorIk-Kyung Jang, MD, PhDRan2010 to 2019Enrolled2,714ConditionsCoronary Artery Disease
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Review
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

10 authors.

Yoshiyasu MinamiCardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Zhao WangDepartment of Electrical Engineering and Computer Science and Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA.
Aaron D AguirreCardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Daniel S OngCardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Chong-Jin KimDivision of Cardiology, Kyung Hee University Hospital, Seoul, Republic of Korea.
Shiro UemuraCardiovascular Medicine, Kawasaki Medical School, Kurashiki, Japan.
Tsunenari SoedaCardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Hang LeeBiostatistics Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
James FujimotoDepartment of Electrical Engineering and Computer Science and Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA.
Ik-Kyung JangCardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA ijang@mgh.harvard.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have demonstrated that statin therapy improves cardiac outcomes, probably by stabilizing thin-cap fibroatheroma in patients with coronary artery disease. However, major adverse cardiac events still occur in some patients, despite statin therapy. The aim of this study is to identify clinical predictors for the lack of a favorable vascular response to statin therapy in patients with coronary artery disease. METHODS AND

resultsA total of 140 nonculprit plaques from 84 patients with coronary artery disease who were treated with a statin and had serial optical coherence tomography imaging (median interval, 6.3 months) were included. Thin-cap area (fibrous cap thickness, <200 μm) was measured using a novel 3-dimensional computer-aided algorithm. Overall, the thin-cap area significantly decreased from baseline (median, 2.852 mm

conclusionsChronic kidney disease is an independent predictor for the lack of a favorable vascular response to statin therapy, whereas acute coronary syndrome is an independent predictor for favorable vascular response to statin therapy. These findings should be further warranted in future prospective studies. CLINICAL

trial registrationURL: http://www.clinicaltrials.gov. Unique identifier: NCT01110538.

Indexed as

Plaque, AtheroscleroticTomography, Optical CoherenceAcute Coronary SyndromeAgedAsiaChi-Square DistributionCoronary Artery DiseaseCoronary VesselsDatabases, FactualFemaleFibrosisHumansHydroxymethylglutaryl-CoA Reductase InhibitorsImage Interpretation, Computer-AssistedImaging, Three-DimensionalLinear ModelsHydroxymethylglutaryl-CoA Reductase Inhibitorsatherosclerosiscoronary artery diseasefibrous capoptical coherence tomographystatin therapy

Identifiers

PMID29092845
PMCPMC5721742

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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.