Evidence map›Paper›PMID 29748420›Full record

Trial reportHeart (British Cardiac Society)2018

Daily remote ischaemic conditioning following acute myocardial infarction: a randomised controlled trial.

Andrew Peter Vanezis, Jayanth Ranjit Arnold, Glenn Rodrigo, Florence Y Lai, Radek Debiec, Sheraz Nazir, Jamal Nasir Khan, Leong L Ng, Kamal Chitkara, John G Coghlan and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Heart (British Cardiac Society), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

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  13. Interactive deep learning for myocardial scar segmentation using cardiovascular magnetic resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
    Article
  14. Impact of reconstruction type on late gadolinium enhancement scar quantification at 3-Tesla: Magnitude vs. phase-sensitive inversion recovery.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
    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

13 authors.

Andrew Peter VanezisDepartment of Cardiovascular Sciences, University of Leicester and the NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Glenfield Hospital, Leicester, UK.ORCID 0000-0002-8569-7075
Jayanth Ranjit ArnoldDepartment of Cardiovascular Sciences, University of Leicester and the NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Glenfield Hospital, Leicester, UK.
Glenn RodrigoDepartment of Cardiovascular Sciences, University of Leicester and the NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Glenfield Hospital, Leicester, UK.
Florence Y LaiDepartment of Cardiovascular Sciences, University of Leicester and the NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Glenfield Hospital, Leicester, UK.
Radek DebiecDepartment of Cardiovascular Sciences, University of Leicester and the NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Glenfield Hospital, Leicester, UK.
Sheraz NazirDepartment of Cardiovascular Sciences, University of Leicester and the NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Glenfield Hospital, Leicester, UK.
Jamal Nasir KhanDepartment of Cardiovascular Sciences, University of Leicester and the NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Glenfield Hospital, Leicester, UK.
Leong L NgDepartment of Cardiovascular Sciences, University of Leicester and the NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Glenfield Hospital, Leicester, UK.
Kamal ChitkaraRoyal Derby Hospital, Derby, UK.
John G CoghlanRoyal Free Hospital, London, UK.
Simon Lee HetheringtonKettering General Hospital, Kettering, UK.
Gerry P McCannDepartment of Cardiovascular Sciences, University of Leicester and the NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Glenfield Hospital, Leicester, UK.ORCID 0000-0003-1112-3973
Nilesh J SamaniDepartment of Cardiovascular Sciences, University of Leicester and the NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Glenfield Hospital, Leicester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRemote ischaemic conditioning (rIC) is a cardioprotective tool which has shown promise in preclinical and clinical trials in the context of acute ischaemia. Repeated rIC post myocardial infarction may provide additional benefits which have not previously been tested clinically.

methodsThe trial assessed the role of daily rIC in enhancing left ventricular ejection fraction (LVEF) recovery in patients with impaired LVEF (<45%) after ST segment elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (P-PCI). Patients were recruited from four UK hospitals and randomised to receive either 4 weeks of daily rIC or sham conditioning using the autoRIC Device (CellAegis) starting on day 3 post P-PCI. The primary endpoint was the improvement in LVEF over 4 months assessed by cardiac MRI (CMR). Seventy-three patients (38 cases, 35 controls) completed the study.

resultsThe treatment and control groups were well matched at baseline including for mean LVEF (42.8% vs 44.3% respectively, p=0.952). There was no difference in the improvement in LVEF over 4 months between the treatment and control groups (4.8%±7.8% vs 4.6%±5.9% respectively, p=0.924). No differences were seen in the secondary outcome measures including changes in infarct size and left ventricular end-diastolic and systolic volumes, major adverse cardiac and cerebral event, mean Kansas City Cardiomyopathy Questionnaire score and change in N-terminal pro-brain natriuretic peptide levels.

conclusionsDaily rIC starting on day 3 and continued for 4 weeks following successful P-PCI for STEMI did not improve LVEF as assessed by CMR after 4 months when compared with a matched control group. TRIAL REGISTRATION NUMBER: NCT0166461.

Indexed as

Percutaneous Coronary InterventionST Elevation Myocardial InfarctionVentricular Dysfunction, LeftAgedFemaleHemodynamic MonitoringHumansIschemic Preconditioning, MyocardialMaleMiddle AgedNatriuretic Peptide, BrainOutcome Assessment, Health CarePeptide FragmentsPostoperative ComplicationsStroke VolumeNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)heart failureprimary percutaneous coronary interventionremote ischaemic conditioningST elevation myocardial infarctionventricular remodelling

Identifiers

PMID29748420
PMCPMC6252375

What OpenQuestion holds

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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.