Evidence map›Paper›PMID 29581218›Full record

Trial reportJournal of the American Heart Association2018

RIPHeart (Remote Ischemic Preconditioning for Heart Surgery) Study: Myocardial Dysfunction, Postoperative Neurocognitive Dysfunction, and 1 Year Follow-Up.

Patrick Meybohm, Madeline Kohlhaas, Christian Stoppe, Matthias Gruenewald, Jochen Renner, Berthold Bein, Martin Albrecht, Jochen Cremer, Mark Coburn, Gereon Schaelte and 29 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report 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. It is linked to trial NCT01067703 (Remote Ischaemic Preconditioning for Heart Surgery), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 6% 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.

NCT01067703 phase3terminatednot on this map

Remote Ischaemic Preconditioning for Heart Surgery

TypeinterventionalSponsorUniversity Hospital Schleswig-HolsteinRan2010 to 2015Enrolled1,400ConditionsMyocardial Injury, MortalityArmsRemote Ischemic Preconditioning, Control/sham procedure (blood pressure cuff)
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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  6. Cardioprotection in cardiovascular surgery.Basic research in cardiology · 2024
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  20. Stem Cell Therapies in Cardiovascular Disease.Journal of cardiothoracic and vascular anesthesia · 2019
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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

39 authors at 18 institutions in 1 country.

Patrick MeybohmDepartment of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt am Main, Germany patrick.meybohm@kgu.de.
Madeline KohlhaasDepartment of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt am Main, Germany.
Christian StoppeDepartment of Anesthesiology, Medical Faculty, RWTH Aachen University, Aachen, Germany.
Matthias GruenewaldDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Germany.
Jochen RennerDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Germany.
Berthold BeinDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Germany.
Martin AlbrechtDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Germany.
Jochen CremerDepartment of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Germany.
Mark CoburnDepartment of Anesthesiology, Medical Faculty, RWTH Aachen University, Aachen, Germany.
Gereon SchaelteDepartment of Anesthesiology, Medical Faculty, RWTH Aachen University, Aachen, Germany.
Andreas BoeningDepartment of Cardiovascular Surgery, University of Giessen, Germany.
Bernd NiemannDepartment of Cardiovascular Surgery, University of Giessen, Germany.
Michael SanderDepartment of Anesthesiology and Intensive Care, University of Giessen, Germany.
Jan RoesnerDepartment of Anesthesiology and Intensive Care, Suedstadt Hospital Rostock, Germany.
Frank KletzinClinic of Anesthesiology and Intensive Care Medicine, University Hospital Rostock, Germany.
Haitham MutlakDepartment of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt am Main, Germany.
Sabine WestphalDepartment of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt am Main, Germany.
Rita Laufenberg-FeldmannDepartment of Anesthesiology, Medical Center of Johannes Gutenberg-University, Mainz, Germany.
Marion FernerDepartment of Anesthesiology, Medical Center of Johannes Gutenberg-University, Mainz, Germany.
Ivo F BrandesDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Goettingen, Germany.
Martin BauerDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Goettingen, Germany.
Sebastian N StehrDepartment of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany.
Andreas KortgenDepartment of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany.
Maria WittmannDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Germany.
Georg BaumgartenDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Germany.
Tanja Meyer-TreschanDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Duesseldorf, Germany.
Peter KienbaumDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Duesseldorf, Germany.
Matthias HeringlakeDepartment of Anesthesiology and Intensive Care Medicine, University Luebeck, Germany.
Julika SchoenDepartment of Anesthesiology and Intensive Care Medicine, University Luebeck, Germany.
Sascha TreskatschDepartment of Anesthesiology and Intensive Care Medicine, Charité-Universitätsmedizin Berlin, Campus Charité Mitte, Berlin, Germany.
Thorsten SmulDepartment of Anesthesiology, University Hospital Wuerzburg, Germany.
Ewa WolwenderDepartment of Anesthesiology, University Hospital Wuerzburg, Germany.
Thomas SchillingDepartment of Anesthesiology, University Hospital Magdeburg, Germany.
Georg FuernauUniversity Heart Luebeck Medical Clinic II (Cardiology/Angiology/Intensive Care Medicine) University Hospital Schleswig-Holstein, Luebeck, Germany.
Holger BogatschClinical Trial Centre, University Leipzig, Germany.
Oana BrosteanuClinical Trial Centre, University Leipzig, Germany.
Dirk HasencleverInstitute for Medical Informatics, Statistics and Epidemiology, University Leipzig, Germany.
Kai ZacharowskiDepartment of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt am Main, Germany.
RIPHeart (Remote Ischemic Preconditioning for Heart Surgery) Study Collaborators
University of Lübeck · DEJena University Hospital · DERWTH Aachen University · DEUniversity Hospital Frankfurt · DEUniversity of Giessen · DECharité - Universitätsmedizin Berlin · DEJohannes Gutenberg University Mainz · DEUniversitätsklinikum Würzburg · DEUniversity Hospital Bonn · DEUniversity Hospital Magdeburg · DEUniversity of Rostock · DEDüsseldorf University Hospital · DEGoethe University Frankfurt · DEHeinrich Heine University Düsseldorf · DEKlinikum Region Hannover · DELeipzig University · DEMedizinische Hochschule Brandenburg Theodor Fontane · DEUniversity Hospital Leipzig · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRemote ischemic preconditioning (RIPC) has been suggested to protect against certain forms of organ injury after cardiac surgery. Previously, we reported the main results of RIPHeart (Remote Ischemic Preconditioning for Heart Surgery) Study, a multicenter trial randomizing 1403 cardiac surgery patients receiving either RIPC or sham-RIPC. METHODS AND

resultsIn this follow-up paper, we present 1-year follow-up of the composite primary end point and its individual components (all-cause mortality, myocardial infarction, stroke and acute renal failure), in a sub-group of patients, intraoperative myocardial dysfunction assessed by transesophageal echocardiography and the incidence of postoperative neurocognitive dysfunction 5 to 7 days and 3 months after surgery. RIPC neither showed any beneficial effect on the 1-year composite primary end point (RIPC versus sham-RIPC 16.4% versus 16.9%) and its individual components (all-cause mortality [3.4% versus 2.5%], myocardial infarction [7.0% versus 9.4%], stroke [2.2% versus 3.1%], acute renal failure [7.0% versus 5.7%]) nor improved intraoperative myocardial dysfunction or incidence of postoperative neurocognitive dysfunction 5 to 7 days (67 [47.5%] versus 71 [53.8%] patients) and 3 months after surgery (17 [27.9%] versus 18 [27.7%] patients), respectively.

conclusionsSimilar to our main study, RIPC had no effect on intraoperative myocardial dysfunction, neurocognitive function and long-term outcome in cardiac surgery patients undergoing propofol anesthesia. CLINICAL

trial registrationURL: https://www.clinicaltrials.gov. Unique identifier: NCT01067703.

Indexed as

CognitionAnesthetics, IntravenousCardiac Surgical ProceduresDouble-Blind MethodEchocardiography, TransesophagealGermanyHumansIncidenceIschemic Preconditioning, MyocardialMyocardial InfarctionMyocardial Reperfusion InjuryNeurocognitive DisordersNeuropsychological TestsPropofolProspective StudiesProtective FactorsAnesthetics, IntravenousPropofolcardio‐vascular surgeryischemia/reperfusion injuryremote ischemic preconditioning

Identifiers

PMID29581218
PMCPMC5907591
OpenAlexW2791044716

What OpenQuestion holds

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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.