Evidence map›Paper›PMID 30209124›Full record

Observational studyHeart (British Cardiac Society)2020

Coronary artery bypass graft versus percutaneous coronary intervention in acute heart failure.

Sang Eun Lee, Hae-Young Lee, Hyun-Jai Cho, Won-Seok Choe, Hokon Kim, Jin Oh Choi, Eun-Seok Jeon, Min-Seok Kim, Kyung-Kuk Hwang, Shung Chull Chae and 8 more

Registry-linked trialOpen access · hybridAbstract readComparative StudyMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Heart (British Cardiac Society), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01389843 (Registry), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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.

NCT01389843 completednot on this map

Registry (Prospective Cohort) for Heart Failure in Korea (KorAHF)

TypeobservationalSponsorByung-Hee OhRan2011 to 2018Enrolled5,625ConditionsAcute Decompensated Heart Failure
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  5. Article
  6. Review
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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

18 authors at 11 institutions in 1 country.

Sang Eun LeeDepartment of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Hae-Young LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Hyun-Jai ChoDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Won-Seok ChoeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Hokon KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Jin Oh ChoiSungkyunkwan University College of Medicine, Seoul, Korea.
Eun-Seok JeonSungkyunkwan University College of Medicine, Seoul, Korea.
Min-Seok KimDepartment of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Kyung-Kuk HwangChungbuk National University College of Medicine, Cheongju, Korea.
Shung Chull ChaeKyungpook National University College of Medicine, Daegu, Korea.
Sang Hong BaekThe Catholic University of Korea, Seoul, Korea.
Seok-Min KangYonsei University College of Medicine, Seoul, Korea.
Dong-Ju ChoiSeoul National University Bundang Hospital, Seongnam, Korea.
Byung-Su YooYonsei University Wonju College of Medicine, Wonju, Korea.
Kye Hun KimHeart Research Center of Chonnam National University, Gwangju, Korea.
Myeong-Chan ChoChungbuk National University College of Medicine, Cheongju, Korea.
Jae-Joong KimDepartment of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Byung-Hee OhDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Seoul National University Hospital · KRChungbuk National University · KRSungkyunkwan University · KRYonsei University · KRAsan Medical Center · KRCatholic University of Korea · KRChonnam National University · KRKyungpook National University · KRSeoul National University Bundang Hospital · KRUlsan College · KRUniversity of Ulsan · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMyocardial ischaemia is a leading cause of acute heart failure (AHF). However, optimal revascularisation strategies in AHF are unclear. We aimed to compare two revascularisation strategies, coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI), in patients with AHF.

methodsAmong 5625 consecutive patients enrolled prospectively in the Korean Acute Heart Failure registry from March 2011 to February 2014, 717 patients who received CABG or PCI during the index hospitalisation for AHF were included in this analysis. We compared adverse outcomes (death, rehospitalisation for HF aggravation or cardiovascular causes, ischaemic stroke and a composite outcome of death and rehospitalisation for HF aggravation or cardiovascular causes) with the use of propensity score matching.

resultsFor the propensity score-matched cohort with 190 patients, CABG had a lower risk of all-cause mortality than PCI (83 vs 147 deaths per 1000 patient-years; HR 0.57, 95% CI 0.34 to 0.96, p=0.033) during the median follow-up of 4 years. There was also a trend towards lower rates of rehospitalisation due to cardiovascular events or HF aggravation. Subgroup analysis revealed that the adverse outcomes were significantly lower in the CABG group than in PCI group, especially in patients with old age, three-vessel diseases, significant proximal left anterior descending artery disease and those without left main vessel disease or chronic total occlusion.

conclusionsCompared with PCI, CABG is associated with significant lower all-cause mortality in patients with AHF. Further studies should evaluate proper revascularisation strategies in AHF. CLINICAL

trial registrationNCT01389843; Results.

Indexed as

Coronary Artery BypassPercutaneous Coronary InterventionAcute DiseaseAgedAged, 80 and overCoronary Artery DiseaseFemaleHeart FailureHumansMaleMiddle AgedProspective StudiesRegistriesRepublic of KoreaRisk AssessmentRisk Factorscoronary artery disease surgeryheart failurepercutaneous coronary intervention

Identifiers

PMID30209124
PMCPMC6952823
OpenAlexW2891248637

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.