Evidence map›Paper›PMID 30135329›Full record

ArticleJournal of atherosclerosis and thrombosis2019

Association of Decreased Docosahexaenoic Acid Level After Statin Therapy and Low Eicosapentaenoic Acid Level with In-Stent Restenosis in Patients with Acute Coronary Syndrome.

Shusuke Yagi, Daisuke Kondo, Takayuki Ise, Daiju Fukuda, Koji Yamaguchi, Tetsuzo Wakatsuki, Yutaka Kawabata, Hiroyuki Ito, Yoshihito Saijo, Hiromitsu Seno and 12 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 8 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

22 authors at 1 institution in 1 country.

Shusuke YagiDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Daisuke KondoStudent Laboratory, Faculty of Medicine, Tokushima University.
Takayuki IseDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Daiju FukudaDepartment of Cardio-Diabetes Medicine, Tokushima University Graduate School of Biomedical Sciences.
Koji YamaguchiDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Tetsuzo WakatsukiDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Yutaka KawabataDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Hiroyuki ItoDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Yoshihito SaijoDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Hiromitsu SenoDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Kumiko SutouDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Rie UenoDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Takafumi TodorokiDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Kenya KusunoseDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Tomomi MatsuuraDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Takeshi TobiumeDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Hirotsugu YamadaDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Takeshi SoekiDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Michio ShimabukuroDepartment of Cardio-Diabetes Medicine, Tokushima University Graduate School of Biomedical Sciences.
Ken-Ichi AiharaDepartment of Community Medicine for Diabetes and Metabolic Disorders, Tokushima University Graduate School of Biomedical Sciences.
Masashi AkaikeDepartment of Medical Education, Tokushima University Graduate School of Biomedical Sciences.
Masataka SataDepartment of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences.
Tokushima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimIt is speculated that statin therapy modulates the synthesis of polyunsaturated fatty acids (PUFA), including eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). However, the data available on the effects of statin therapy on the serum levels of PUFA and the subsequent impact on in-stent restenosis (ISR) in patients with acute coronary syndrome (ACS) are limited.

methodsA total of 120 ACS patients who received emergent coronary stent implantation, follow-up coronary angiography to evaluate ISR, and new statin therapy were enrolled. We measured the serum levels of the PUFA and lipids at the onset of ACS and at the follow-up coronary angiography.

resultsThe follow-up coronary angiography revealed 38 ISR cases. New statin therapy significantly reduced the serum levels of DHA and low-density lipoprotein cholesterol (LDL-C), while it did not affect EPA level. Single regression analysis revealed that a decreased serum level of LDL-C was associated with decreased DHA level. The multiple logistic regression analysis revealed that the decreased DHA level after statin therapy and low serum level of EPA on admission were determinants of prevalence of ISR.

conclusionStatin therapy decreased the serum level of DHA with a parallel reduction in LDL-C level in patients with ACS. Decreased DHA level after statin therapy and low EPA level on admission are risk factors for ISR, indicating that in patients with ACS, decreased serum levels of DHA may be a residual target for the prevention of ISR.

Indexed as

StentsAcute Coronary SyndromeAgedCoronary RestenosisDocosahexaenoic AcidsEicosapentaenoic AcidFemaleFollow-Up StudiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMalePrognosisRetrospective StudiesRisk FactorsDocosahexaenoic AcidsEicosapentaenoic AcidHydroxymethylglutaryl-CoA Reductase InhibitorsDocosahexaenoic acidEicosapentaenoic acidIn-stent restenosisPolyunsaturated fatty acids

Identifiers

PMID30135329
PMCPMC6402885
OpenAlexW2888672074

What OpenQuestion holds

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LicenceCC BY-NC-SA
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.