Evidence map›Paper›PMID 29348322›Full record

SynthesisJournal of the American Heart Association2018

Long-Term Risk of Myocardial Infarction Compared to Recurrent Stroke After Transient Ischemic Attack and Ischemic Stroke: Systematic Review and Meta-Analysis.

Marion Boulanger, Yannick Béjot, Peter M Rothwell, Emmanuel Touzé

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 3 pooled it
11.7field-weighted citation impact, top 1% 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

87 citing papers in PubMed, 3 syntheses or guidelines pooled it, 160 citations in OpenAlex.

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27 more citing papers are in PubMed but not listed here.

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 at 4 institutions in 2 countries.

Marion BoulangerNormandie Université UNICAEN, Inserm U1237 CHU Caen, Caen, France.
Yannick BéjotDepartment of Neurology, Dijon Stroke Registry, Pathophysiology and Epidemiology of Cerebro-Cardiovascular Diseases (PEC2) Team, EA7460, CHU Dijon, University of Burgundy, Dijon, France.
Peter M RothwellStroke Prevention Research Unit, University Department of Clinical Neurology, John Radcliffe Hospital, University of Oxford, United Kingdom.
Emmanuel TouzéNormandie Université UNICAEN, Inserm U1237 CHU Caen, Caen, France emmanuel.touze@unicaen.fr touze-e@chu-caen.fr.
Normandie Université · FRUniversité de Bourgogne · FRUniversité de Caen Normandie · FRUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUncertainties remain about the current risk of myocardial infarction (MI) after ischemic stroke or transient ischemic attack. METHODS AND

resultsWe undertook a systematic review to estimate the long-term risk of MI, compared to recurrent stroke, with temporal trends in ischemic stroke/transient ischemic attack patients. Annual risks and 95% confidence intervals (95% CI) of MI and recurrent stroke were estimated using random-effect meta-analyses. We calculated incidence ratios of MI/recurrent stroke, for fatal and nonfatal events, using similar analyses. Rate ratios for MI in patients with potential risk factors compared to those without were calculated using Poisson regression.A total of 58 studies (131 299 patients) with a mean (range) follow-up of 3.5 (1.0-10.0) years were included. The risk of MI was 1.67%/y (95% CI 1.36-1.98,

conclusionsAfter ischemic stroke/transient ischemic attack, the risk of MI is currently <2%/y, and recurrent stroke is a more common cause of death than MI.

Indexed as

AgedBrain IschemiaCause of DeathFemaleHumansIncidenceIschemic Attack, TransientMaleMiddle AgedMyocardial InfarctionPrognosisRecurrenceRisk AssessmentRisk FactorsStrokeTime Factorsischemicmyocardial infarctionstroke

Identifiers

PMID29348322
PMCPMC5850155
OpenAlexW2789055647

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.