Evidence map›Paper›PMID 29593175›Full record

ArticleJournal of atherosclerosis and thrombosis2018

Neopterin and Cardiovascular Events Following Coronary Stent Implantation in Patients with Stable Angina Pectoris.

Tomotaka Yoshiyama, Kenichi Sugioka, Takahiko Naruko, Masashi Nakagawa, Nobuyuki Shirai, Masahiko Ohsawa, Minoru Yoshiyama, Makiko Ueda

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

1 citing paper in PubMed, 9 citations in OpenAlex.

  1. Neopterin as a Marker of In-Stent Restenosis: to Have or Have Not.Journal of atherosclerosis and thrombosis · 2018
    Article
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

8 authors at 3 institutions in 1 country.

Tomotaka YoshiyamaDepartment of Cardiovascular Medicine, Osaka City University Graduate School of Medicine.
Kenichi SugiokaDepartment of Cardiovascular Medicine, Osaka City University Graduate School of Medicine.
Takahiko NarukoDepartment of Cardiology, Osaka City General Hospital.
Masashi NakagawaDepartment of Cardiology, Osaka City General Hospital.
Nobuyuki ShiraiDepartment of Cardiovascular Medicine, Osaka City University Graduate School of Medicine.
Masahiko OhsawaDepartment of Pathology, Osaka City University Graduate School of Medicine.
Minoru YoshiyamaDepartment of Cardiovascular Medicine, Osaka City University Graduate School of Medicine.
Makiko UedaMorinomiya University of Medical Sciences.
Osaka City University · JPOsaka City General Hospital · JPMorinomiya University of Medical Sciences · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimNeopterin is an activation marker for monocytes/macrophages. We prospectively investigated the predictive value of plasma neopterin levels on 2-year and long-term cardiovascular events in patients with stable angina pectoris (SAP) undergoing coronary stent implantation.

methodsWe studied 123 consecutive patients with SAP who underwent primary coronary stenting (44 patients with bare metal stent: BMS group and 79 with drug-eluting stent: DES group). Plasma neopterin levels were measured on admission using HPLC. Moreover, one frozen coronary artery specimen after DES and three frozen coronary specimens after BMS were obtained by autopsy or endarterectomy, followed by immunohistochemical staining for neopterin.

resultsPlasma neopterin levels were significantly higher in patients with cardiovascular events than in those without them (P<0.001). In subgroup analyses, higher levels of plasma neopterin in patients with cardiovascular events (P<0.001) and a positive correlation between neopterin levels and late lumen loss after stenting (P =0.008) were observed in the BMS group but not in the DES group (P=0.53 and P=0.17, respectively). In long-term cardiovascular events, multivariate Cox regression analysis identified the significance of the high-neopterin group as independent determinants of cardiovascular events (hazard ratio, 2.225; 95% CI, 1.283-3.857; P =0.004). Immunohistochemical staining showed abundant neopterin-positive macrophages in the neointima after BMS implantation but no neopterin-positive macrophages in the neointima after DES implantation.

conclusionThese findings suggest that neopterin is associated with cardiovascular events after coronary stent implantation in patients with SAP. However, there might be a strong association between neopterin and cardiovascular events after BMS but not after DES in these patients.

Indexed as

AgedAngina, StableBiomarkersCardiovascular DiseasesCase-Control StudiesCoronary VesselsFemaleFollow-Up StudiesHumansMaleNeopterinPercutaneous Coronary InterventionPostoperative ComplicationsPrognosisProspective StudiesStentsBiomarkersNeopterinCoronary diseaseNeopterinRestenosisStent

Identifiers

PMID29593175
PMCPMC6224201
OpenAlexW2794550913

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.