Evidence map›Paper›PMID 29474572›Full record

ArticleEuropean heart journal. Quality of care & clinical outcomes2015

Prediction of residual angina after percutaneous coronary intervention.

Suzanne V Arnold, Jae-Sik Jang, Fengming Tang, Garth Graham, David J Cohen, John A Spertus

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in European heart journal. Quality of care & clinical outcomes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04475094 (Impact of Coronary Artery Stenting on Quantitative Myocardial Blood Flow and Health Status), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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.

NCT04475094 unknown statusnot on this mapstarted 2019, after this paper: background citation

Impact of Coronary Artery Stenting on Quantitative Myocardial Blood Flow and Health Status

TypeobservationalSponsorCardiovascular Imaging TechnologiesRan2019 to 2021Enrolled75ConditionsCoronary Artery DiseaseArmsRubidium-82, Seattle Angina Questionnaire-7, Rose Dyspnea Scale
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Predictors of symptom improvement in patients with chronic coronary syndrome after percutaneous coronary intervention.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
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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

6 authors at 3 institutions in 2 countries.

Suzanne V ArnoldSaint Luke's Mid America Heart Institute, 4401 Wornall Road, Kansas City, MO 64111, USA.
Jae-Sik JangSaint Luke's Mid America Heart Institute, 4401 Wornall Road, Kansas City, MO 64111, USA.
Fengming TangSaint Luke's Mid America Heart Institute, 4401 Wornall Road, Kansas City, MO 64111, USA.
Garth GrahamAetna Foundation, Hartford, CT, USA.
David J CohenSaint Luke's Mid America Heart Institute, 4401 Wornall Road, Kansas City, MO 64111, USA.
John A SpertusSaint Luke's Mid America Heart Institute, 4401 Wornall Road, Kansas City, MO 64111, USA.
University of Missouri–Kansas City · USSaint Luke's Hospital · USHartford Financial Services (United States)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsAngina relief is a major goal of percutaneous coronary intervention (PCI); however, about one in five patients continue to have angina after PCI. Understanding patient factors associated with residual angina would enable providers to more accurately calibrate patients' expectations of angina relief after PCI, may support different follow-up strategies or approaches to coronary revascularization, and could potentially serve as a marker of PCI quality. METHODS AND

resultsAmong 2573 patients who had PCI at 10 US hospitals for stable angina, unstable angina, or non-ST-elevation myocardial infarction (NSTEMI), 24% reported angina 6 months after PCI, as assessed with the Seattle Angina Questionnaire angina frequency score (categorized as none vs. any angina; score = 100 vs. <100). Post-PCI angina was more common in those patients treated for unstable angina (30 vs. 20% stable angina and 21% NSTEMI, P < 0.001). Using a hierarchical logistic regression model, eight variables were independently associated with angina after PCI, including younger age, poor economic status, depression, and greater number of antianginal medications at the time of PCI (c-index = 0.75). The amount of angina at the time of PCI was more predictive of post-PCI angina in patients with stable or unstable angina when compared with NSTEMI (pinteraction = 0.01). The model demonstrated excellent calibration, both in the original sample (slope 1.04, intercept -0.01, r = 0.98) and in bootstrap validation.

conclusionBased on a large, multicentre cohort of PCI patients, we created a model of residual angina 6 months after PCI that can provide patients realistic expectations of angina relief, guide follow-up strategies, support the use of residual angina as a means of comparing PCI quality, and enable comparative effectiveness research.

Identifiers

PMID29474572
PMCPMC5862017
OpenAlexW2265103647

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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.