Evidence map›Paper›PMID 30234902›Full record

ArticleCardiology journal2020

Coexistence and management of abdominal aortic aneurysm and coronary artery disease.

Mateusz K Hołda, Paweł Iwaszczuk, Karolina Wszołek, Jakub Chmiel, Andrzej Brzychczy, Mariusz Trystuła, Marcin Misztal

Open access · goldAbstract read
In one paragraph

Article in Cardiology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

15 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Coronary Arteries Aneurysms: A Case-Based Literature Review.Diagnostics (Basel, Switzerland) · 2022
    Review
  10. Article
  11. Coronary artery disease in aortic aneurysm and dissection.Indian journal of thoracic and cardiovascular surgery · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Review
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

7 authors at 2 institutions in 1 country.

Mateusz K HołdaDepartment of Anatomy, Faculty of Medicine, Jagiellonian University Medical College. mkh@onet.eu.
Paweł IwaszczukDepartment of Cardiac and Vascular Diseases, Jagiellonian University Medical College, Kraków, Poland.
Karolina WszołekDepartment of Cardiac and Vascular Diseases, Jagiellonian University Medical College, Kraków, Poland.
Jakub ChmielDepartment of Cardiac and Vascular Diseases, Jagiellonian University Medical College, Kraków, Poland.
Andrzej BrzychczyDepartment of Vascular Surgery and Endovascular Procedures, John Paul II Hospital, Kraków, Poland.
Mariusz TrystułaDepartment of Vascular Surgery and Endovascular Procedures, John Paul II Hospital, Kraków, Poland.
Marcin MisztalDepartment of Vascular Surgery and Endovascular Procedures, John Paul II Hospital, Kraków, Poland.
Jagiellonian University · PLJohn Paul II Hospital · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbdominal aortic aneurysm (AAA) and coronary atherosclerosis share common risk factors. In this study, a single-center management experience of patients with a coexistence of AAA and coronary artery disease (CAD) is presented.

methods271 consecutive patients who underwent elective AAA repair were reviewed. Coronary imaging in 118 patients was considered suitable for exploration of AAA coexistence with CAD.

resultsSignificant coronary stenosis (> 70%) were found in 65.3% of patients. History of cardiac revascularization was present in 26.3% of patients, myocardial infarction (MI) in 31.4%, and 39.8% had both. In a subgroup analysis, prior history of percutaneous coronary intervention (PCI) (OR = 6.9, 95% CI 2.6-18.2, p < 0.001) and patients' age (OR = 1.1, 95% CI 1.0-1.2, p = 0.007) were independent predictors of significant coronary stenosis. Only 52.0% (40/77) of patients with significant coronary stenosis underwent immediate coronary revascularization prior to aneurysm repair: PCI in 32 cases (4 drug-eluting stents and 27 bare metal stents), coronary artery bypass graft in 8 cases. Patients undergoing revascularization prior to surgery had longer mean time from coronary imaging to AAA repair (123.6 vs. 58.1 days, p < 0.001). Patients undergoing coronary artery evaluation prior to AAA repair had shorter median hospitalization (7 [2-70] vs. 7 [3-181] days, p = 0.007) and intensive care unit stay (1 [0-9] vs. 1 [0-70] days, p = 0.014) and also had a lower rate of major adverse cardiovascular events or multiple organ failure (0% vs. 3.9%, p = 0.035). A total of 11.0% of patients had coronary artery aneurysms.

conclusionsPatients with AAA might benefit from an early coronary artery evaluation strategy.

Indexed as

Aortic Aneurysm, AbdominalCoronary Artery DiseasePercutaneous Coronary InterventionCoronary Artery BypassHumansMyocardial Revascularizationabdominal aortic aneurysmcoronary arteriographycoronary artery aneurysmcoronary artery disease

Identifiers

PMID30234902
PMCPMC8016013
OpenAlexW2891874991

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.