Evidence map›Paper›PMID 30371311›Full record

Observational studyJournal of the American Heart Association2018

Combination of Amino-Terminal Pro- BNP , Estimated GFR , and High-Sensitivity CRP for Predicting Cardiorenal Syndrome Type 1 in Acute Myocardial Infarction Patients.

De-Qiang Zhang, Hong-Wei Li, Hai-Ping Chen, Qing Ma, Hui Chen, Yun-Li Xing, Xue-Qiao Zhao

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Kidney Failure in Cardiogenic Shock.Circulation. Heart failure · 2026
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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

7 authors at 3 institutions in 2 countries.

De-Qiang Zhang1 Internal Medical Department Medical Health Center Beijing Friendship Hospital Capital Medical University Beijing China.
Hong-Wei Li1 Internal Medical Department Medical Health Center Beijing Friendship Hospital Capital Medical University Beijing China.
Hai-Ping Chen1 Internal Medical Department Medical Health Center Beijing Friendship Hospital Capital Medical University Beijing China.
Qing Ma1 Internal Medical Department Medical Health Center Beijing Friendship Hospital Capital Medical University Beijing China.
Hui Chen2 Department of Cardiology Beijing Friendship Hospital Capital Medical University Beijing China.
Yun-Li Xing1 Internal Medical Department Medical Health Center Beijing Friendship Hospital Capital Medical University Beijing China.
Xue-Qiao Zhao3 Clinical Atherosclerosis Research Laboratory Division of Cardiology University of Washington Seattle WA.
Capital Medical University · CNBeijing Friendship Hospital · CNUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Cardiorenal syndrome type 1 ( CRS 1) as a complication of acute myocardial infarction can lead to adverse outcomes, and a method for early detection is needed. This study investigated the individual and integrated effectiveness of amino-terminal pro-brain natriuretic peptide (Pro-BNP), estimated glomerular filtration rate (eGFR), and high-sensitivity C-reactive protein (CRP) as predictive factors for CRS 1 in patients with acute myocardial infarction. Methods and Results In a retrospective analysis of 2094 patients with acute myocardial infarction, risk factors for CRS 1 were analyzed by logistic regression. Receiver operating characteristic curves were constructed to determine the predictive ability of the biomarkers individually and in combination. Overall, 177 patients (8.45%) developed CRS 1 during hospitalization. On multivariable analysis, all 3 biomarkers were independent predictors of CRS 1 with odds radios and 95% confidence intervals for a 1-SD change of 1.792 (1.311-2.450) for log(amino-terminal pro-brain natriuretic peptide, 0.424 (0.310-0.576) for estimated glomerular filtration rate, and 1.429 (1.180-1.747) for high-sensitivity C-reactive peptide. After propensity score matching, the biomarkers individually and together significantly predicted CRS 1 with areas under the curve of 0.719 for amino-terminal pro-brain natriuretic peptide, 0.843 for estimated glomerular filtration rate, 0.656 for high-sensitivity C-reactive peptide, and 0.863 for the 3-marker panel (all P<0.001). Also, the integrated 3-marker panel performed better than the individual markers ( P<0.05). CRS 1 risk correlated with the number of biomarkers showing abnormal levels. Abnormal measurements for at least 2 biomarkers indicated a greater risk of CRS 1 (odds ratio 36.19, 95% confidence interval 8.534-153.455, P<0.001). Conclusions The combination of amino-terminal pro-brain natriuretic peptide, estimated glomerular filtration rate, and high-sensitivity C-reactive peptide at presentation may assist in the prediction of CRS 1 and corresponding risk stratification in patients with acute myocardial infarction.

Indexed as

AgedAged, 80 and overBiomarkersCardio-Renal SyndromeChinaC-Reactive ProteinFemaleFollow-Up StudiesGlomerular Filtration RateHumansIncidenceMaleMiddle AgedMyocardial InfarctionNatriuretic Peptide, BrainPeptide FragmentsBiomarkersC-Reactive ProteinNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Protein Precursorsamino‐terminal pro–brain natriuretic peptidecardiorenal syndromehigh‐sensitivity C‐reactive proteinprediction

Identifiers

PMID30371311
PMCPMC6404877
OpenAlexW2890528759

What OpenQuestion holds

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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.