Evidence map›Paper›PMID 29283450›Full record

Trial reportClinical cardiology2018

The effect of fasting status on lipids, lipoproteins, and inflammatory biomarkers assessed after hospitalization for an acute coronary syndrome: Insights from PROVE IT-TIMI 22.

Dylan L Steen, Amarachi A Umez-Eronini, Jianping Guo, Naseer Khan, Christopher P Cannon

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical cardiology, 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 29% 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, 4 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

5 authors at 2 institutions in 1 country.

Dylan L SteenDivision of Cardiology, University of Cincinnati Medical Center, Cincinnati, Ohio.ORCID http://orcid.org/0000-0003-2383-895X
Amarachi A Umez-EroniniDepartment of Cardiology, Brigham and Women's Hospital, Boston, Massachusetts.
Jianping GuoDepartment of Cardiology, Brigham and Women's Hospital, Boston, Massachusetts.
Naseer KhanDivision of Cardiology, University of Cincinnati Medical Center, Cincinnati, Ohio.
Christopher P CannonDepartment of Cardiology, Brigham and Women's Hospital, Boston, Massachusetts.
Brigham and Women's Hospital · USCincinnati VA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor decades, fasting for 8 to 12 hours has been recommended for measurement of lipid profiles. The effect of fasting on low-density lipoprotein cholesterol (LDL-C) and triglycerides (TG) has been described in healthy cohorts and those with stable disease states. Recently, guidelines suggested that fasting may not be necessary due to its small effect on lipid measures. Little is known, however, regarding whether the impact of fasting is altered in the setting of an acute coronary syndrome (ACS). HYPOTHESIS: We hypothesized that the post-ACS period would minimally effect the impact of fasting status on lipid measurements.

methodsWe evaluated the association of fasting on lipid and other biomarkers at the randomization visit, which occurred at a median of 7 days after the onset of an ACS, as well as during follow-up, in a cohort of 4177 subjects from the Pravastatin or Atorvastatin Evaluation and Infection Therapy-Thrombolysis In Myocardial Infarction 22 (PROVE IT-TIMI 22) trial.

resultsFasting samples were independently associated with a higher LDL-C of 4.1 mg/dL and apolipoprotein-B 100 of 2.6 mg/dL as well as a lower TG of 21.0 mg/dL and high-sensitivity C-reactive protein of 0.48 mg/dL. The relative difference was 3.8% for LDL-C and -11.3% for TG. Fasting did not change total cholesterol, high-density lipoprotein cholesterol, apolipoprotein A-I, lipoprotein(a), or apolipoprotein C-III.

conclusionsAlthough fasting does impact lipid measurements, the effect on LDL-C is small (about 4 mg/dL), both early after ACS and during follow-up. These data provide support for recent guidelines that no longer advocate for fasting lipid samples, including in the setting of ACS.

Indexed as

Acute Coronary SyndromeAtorvastatinBiomarkersColorimetryDose-Response Relationship, DrugFastingFemaleFollow-Up StudiesHospitalizationHumansImmunoturbidimetryInflammationLipidsLipoproteinsMaleMiddle AgedAtorvastatinBiomarkersLipidsLipoproteinsPravastatinAcute Coronary CareAcute Coronary SyndromeAtherosclerosisBiomarkersGeneral Clinical Cardiology/AdultIschemic Heart DiseaseLipidologyMyocardial InfarctionPreventive Cardiology

Identifiers

PMID29283450
PMCPMC6489711
OpenAlexW2781013968

What OpenQuestion holds

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Registered trials

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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.