Evidence map›Paper›PMID 29952015›Full record

Trial reportClinical cardiology2018

C-reactive protein during and after myocardial infarction in relation to cardiac injury and left ventricular function at follow-up.

Maarten Vanhaverbeke, Denise Veltman, Nele Pattyn, Nico De Crem, Hilde Gillijns, Véronique Cornelissen, Stefan Janssens, Peter R Sinnaeve

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Clinical cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

40 citing papers in PubMed, 54 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Maarten VanhaverbekeDepartment of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-4385-7069
Denise VeltmanDepartment of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.
Nele PattynDepartment of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.
Nico De CremDepartment of Cardiovascular Medicine, University Hospitals Leuven, Leuven, Belgium.
Hilde GillijnsDepartment of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.
Véronique CornelissenDepartment of Rehabilitation Sciences, KU Leuven, Leuven, Belgium.
Stefan JanssensDepartment of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.
Peter R SinnaeveDepartment of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.
KU Leuven · BE

Funding

Fonds Wetenschappelijk Onderzoek 11X0615NResearch Foundation Flanders (FWO)
6 · The paper itself

Abstract

backgroundAcute myocardial infarction (MI) invokes a large inflammatory response, which contributes to myocardial repair. HYPOTHESIS: We investigated whether C-reactive protein (CRP) measured during MI vs at 1 month follow-up improves the prediction of left ventricular (LV) function.

methodsWe prospectively enrolled 131 consecutive patients with acute MI and without non-cardiovascular causes of inflammation. We correlated admission and peak levels of CRP during hospitalization and high-sensitivity (hs) CRP at 1 month follow-up with markers of cardiac injury. Clinical follow-up and echocardiography for LV function were performed at a mean of 17 months.

resultsMedian CRP levels were 1.89 mg/L on admission with MI, peaked to 12.10 mg/L during hospitalization and dropped to 1.24 mg/L at 1 month. Although admission CRP levels only weakly correlated with ejection fraction in the acute phase of MI (coefficient -0.164, P = 0.094), peak CRP was significantly related to ejection fraction (coefficient -0.4, P < 0.001), hsTroponin T (0.389, P < 0.001), and white blood cell count (0.389, P < 0.001). hsCRP at 1 month was not related to the extent of acute cardiac injury. These findings were replicated in an independent cohort of 57 patients. Peak CRP predicted LV dysfunction at follow-up (OR 11.0, 3.1-39.5 per log CRP, P < 0.001), persisting after adjustment for infarct size (OR 5.1, 1.1-23.6, P = 0.037), while hsCRP at 1 month was unrelated to LV function at follow-up.

conclusionshsCRP 1 month post-MI does not relate to acute cardiac injury or LV function at follow-up, but we confirm that peak CRP is an independent predictor of LV dysfunction at follow-up.

Indexed as

BiomarkersC-Reactive ProteinDisease ProgressionEchocardiographyFemaleFollow-Up StudiesHeart VentriclesHumansMaleMiddle AgedMyocardial InfarctionPrognosisProspective StudiesVentricular Dysfunction, LeftVentricular Function, LeftVentricular RemodelingBiomarkersC-Reactive Proteinacute coronary syndromeC-reactive proteininflammationmyocardial infarction

Identifiers

PMID29952015
PMCPMC6221028
OpenAlexW2810162720

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Registered trials

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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.