Evidence map›Paper›PMID 29588304›Full record

ArticleBlood advances2018

Inhibitory mechanisms of very low-dose rivaroxaban in non-ST-elevation myocardial infarction.

Oliver Borst, Patrick Münzer, Nada Alnaggar, Sascha Geue, Roland Tegtmeyer, Dominik Rath, Michal Droppa, Peter Seizer, Stefan Heitmeier, Johan W M Heemskerk and 8 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

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  17. Apixaban enhances endogenous fibrinolysis in patients with atrial fibrillation.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2019
    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

18 authors at 9 institutions in 5 countries.

Oliver BorstDepartment of Cardiology and Cardiovascular Medicine, University of Tübingen, Tübingen, Germany.
Patrick MünzerDepartment of Cardiology and Cardiovascular Medicine, University of Tübingen, Tübingen, Germany.
Nada AlnaggarDepartment of Cardiology, University Hospital Lübeck, Lübeck, Germany.
Sascha GeueDepartment of Cardiology and Cardiovascular Medicine, University of Tübingen, Tübingen, Germany.
Roland TegtmeyerDepartment of Cardiology and Cardiovascular Medicine, University of Tübingen, Tübingen, Germany.
Dominik RathDepartment of Cardiology and Cardiovascular Medicine, University of Tübingen, Tübingen, Germany.
Michal DroppaDepartment of Cardiology and Cardiovascular Medicine, University of Tübingen, Tübingen, Germany.
Peter SeizerDepartment of Cardiology and Cardiovascular Medicine, University of Tübingen, Tübingen, Germany.
Stefan HeitmeierBayer AG, Wuppertal, Germany.
Johan W M HeemskerkDepartment of Biochemistry, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, The Netherlands.
Lisa K JenningsThe Vascular Biology Center of Excellence.
Robert F StoreyDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, United Kingdom.
Dominick J AngiolilloDivision of Cardiology, University of Florida College of Medicine-Jacksonville, Jacksonville, FL.
Bianca RoccaInstitute of Pharmacology, Catholic University School of Medicine, Rome, Italy.
Henri SpronkDepartment of Biochemistry, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, The Netherlands.
Hugo Ten CateDepartment of Biochemistry, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, The Netherlands.
Meinrad GawazDepartment of Cardiology and Cardiovascular Medicine, University of Tübingen, Tübingen, Germany.
Tobias GeislerDepartment of Cardiology and Cardiovascular Medicine, University of Tübingen, Tübingen, Germany.
University of Tübingen · DEMaastricht University · NLBayer (Germany) · DEJohannes Gutenberg University Mainz · DEUniversità Cattolica del Sacro Cuore · ITUniversity of Florida · USUniversity of Lübeck · DEUniversity of Sheffield · GBUniversity of Tennessee Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Very low-dose (VLD) factor Xa (FXa) inhibition, in combination with acetylsalicylic acid (ASA) and clopidogrel, is associated with improved outcomes in patients with acute coronary syndrome (ACS) with a tolerable bleeding risk profile. To date, there are no data documenting platelet inhibition and the anticoagulatory effects of VLD FXa inhibition on top of guideline-adherent dual-antiplatelet therapy (DAPT) in patients with ACS. Patients with non-ST-elevation myocardial infarction (NSTEMI) receiving oral DAPT (ASA + clopidogrel, n = 20; or ASA + ticagrelor, n = 20) were prospectively enrolled in a nonrandomized study. Coagulation- and platelet-dependent thrombin generation (TG), measured by means of the calibrated automated thrombogram, were significantly decreased after in vitro and in vivo addition of rivaroxaban. As shown by a total thrombus-formation analysis approach, rivaroxaban treatment led to a significantly decreased coagulation-dependent (AR-chip) thrombus formation in patients treated with ASA plus P2Y

Indexed as

AgedAged, 80 and overBiomarkersBlood CoagulationBlood PlateletsFactor Xa InhibitorsFemaleFlow CytometryHumansInflammation MediatorsMaleMiddle AgedNon-ST Elevated Myocardial InfarctionPlatelet ActivationPlatelet AggregationRivaroxabanBiomarkersFactor Xa InhibitorsInflammation MediatorsRivaroxabanThrombin

Identifiers

PMID29588304
PMCPMC5873232
OpenAlexW2795076463

What OpenQuestion holds

Textmetadata
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.