Evidence map›Paper›PMID 29275366›Full record

Observational studyJournal of the American Heart Association2017

Prognostic Value of New-Generation Troponins in ST-Segment-Elevation Myocardial Infarction in the Modern Era: The RUTI-STEMI Study.

Germán Cediel, Ferran Rueda, Cosme García, Teresa Oliveras, Carlos Labata, Jordi Serra, Julio Núñez, Vicent Bodí, Marc Ferrer, Josep Lupón and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study 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. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.8field-weighted citation impact, top 13% 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, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. High-Sensitivity Troponin: Finding a Meaningful Delta.Journal of cardiovascular development and disease · 2024
    Review
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  6. Article
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  8. Observational
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  14. 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 4 institutions in 1 country.

Germán CedielHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain.
Ferran RuedaHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain.
Cosme GarcíaHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain.
Teresa OliverasHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain.
Carlos LabataHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain.
Jordi SerraHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain.
Julio NúñezCardiology Department, Hospital Clínico Universitario, INCLIVA, Departamento de Medicina, CIBERCV Universitat de València, Spain.
Vicent BodíCardiology Department, Hospital Clínico Universitario, INCLIVA, Departamento de Medicina, CIBERCV Universitat de València, Spain.
Marc FerrerHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain.
Josep LupónHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain.
Antoni Bayes-GenisHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Spain abayesgenis@gmail.com.
Centro de Investigación en Red en Enfermedades Cardiovasculares · ESHospital Universitari Germans Trias i Pujol · ESUniversitat Autònoma de Barcelona · ESUniversitat de València · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn ST-segment-elevation myocardial infarction (STEMI), troponins are not needed for diagnosis: symptoms and ECG data are sufficient to activate percutaneous coronary intervention. This study explored the prognostic value of new-generation troponins in a real-life cohort contemporarily treated for STEMI. METHODS AND

resultsWe studied 1260 consecutive patients with primary STEMI treated with percutaneous coronary intervention between February 22, 2011, and August 31, 2015. We collected data on clinical characteristics and major adverse cardiovascular and cerebrovascular events (MACCEs) at 30 days and 1 year. Peak high-sensitivity troponin T and sensitive-contemporary troponin I levels were recorded. MACCEs occurred in 75 patients (6.1%) by day 30 and in 124 patients (10.8%) between day 31 and 1 year. A short-term (0-30 days) multivariable Cox regression analysis revealed that age, Killip-Kimball class, and left ventricular ejection fraction were independent predictors of MACCEs. In adjusted analysis, peak high-sensitivity troponin T and sensitive-contemporary troponin I were not significant (hazard ratio, 1.23 [95% confidence interval, 0.98-1.54] [

conclusionsIn the modern era, new-generation troponins do not provide significant prognostic information for predicting clinical events in STEMI. We should reconsider the value of serial troponin measurements for risk stratification in STEMI.

Indexed as

AgedAged, 80 and overBiomarkersCoronary AngiographyElectrocardiographyFemaleHumansMaleMiddle AgedPercutaneous Coronary InterventionPredictive Value of TestsPrognosisRetrospective StudiesST Elevation Myocardial InfarctionTroponinVentricular Function, LeftBiomarkersTroponinmyocardial infarctionprognosisST‐segment–elevation myocardial infarctiontroponin

Identifiers

PMID29275366
PMCPMC5779038
OpenAlexW2775865534

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.