Evidence map›Paper›PMID 30428011›Full record

ReviewCardiovascular research2019

The coronary circulation in acute myocardial ischaemia/reperfusion injury: a target for cardioprotection.

Derek J Hausenloy, William Chilian, Filippo Crea, Sean M Davidson, Peter Ferdinandy, David Garcia-Dorado, Niels van Royen, Rainer Schulz, Gerd Heusch

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Cardiovascular research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06376630 (Study of Microvascular Dysfunction, Coronary Flow Reserve and Cardioprotective Effect of Early Intravenously Administration of Esmolol in Patients With Myocardial Infarction), which is not on this map. Cited by 145 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
145citing papers in PubMed, 3 pooled it
13.5field-weighted citation impact, top 1% 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.

NCT06376630 narecruitingnot on this mapstarted 2024, after this paper: background citation

Study of Microvascular Dysfunction, Coronary Flow Reserve and Cardioprotective Effect of Early Intravenously Administration of Esmolol in Patients With Myocardial Infarction

TypeinterventionalSponsorNational Medical Research Center for Cardiology, Ministry of Health of Russian FederationRan2024 to 2030Enrolled300ConditionsMyocardial Infarction, Coronary Stenosis, Coronary Microvascular DysfunctionArmsEsmolol Hcl 10Mg/Ml Inj
3 · Its place in the literature

Who cites it

145 citing papers in PubMed, 3 syntheses or guidelines pooled it, 253 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Interaction between coronary lesion complexity and coronary microvascular dysfunction in the prognosis of NSTEMI patients.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  5. Review
  6. Immunometabolic Remodeling in Ischemic and Non-Ischemic Heart Failure.Journal of cardiovascular translational research · 2026
    Review
  7. Review
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  11. Article
  12. Review
  13. Article
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  17. Review
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  19. Breaking the Barrier: Unraveling the No-Reflow Phenomenon in Cardiovascular Medicine.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Review
  20. Article

85 more citing papers are in PubMed but not listed here.

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

9 authors at 9 institutions in 8 countries.

Derek J HausenloyCardiovascular & Metabolic Disorders Program, Duke-National University of Singapore Medical School, Singapore, Singapore.
William ChilianDepartment of Integrative Medical Sciences, Northeast Ohio Medical University, 4209 State Route 44, Rootstown, USA.
Filippo CreaDepartment of Cardiovascular and Thoracic Sciences, F. Policlinico Gemelli-IRCCS, Università Cattolica Sacro Cuore, Roma, Italy.
Sean M DavidsonThe Hatter Cardiovascular Institute, University College London, London, UK.
Peter FerdinandyDepartment of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary.
David Garcia-DoradoDepartment of Cardiology, Vascular Biology and Metabolism Area, Vall d'Hebron University Hospital and Research Institute (VHIR), Universitat Autónoma de Barcelona, Barcelona, Spain.
Niels van RoyenDepartment of Cardiology, Radboud University Medical Center, Nijmegen, the Netherlands.
Rainer SchulzInstitute of Physiology, Justus-Liebig University Giessen, Giessen, Germany.
Gerd HeuschInstitute for Pathophysiology, West German Heart and Vascular Center, University of Essen Medical School, Essen, Germany.
Instituto de Salud Carlos III · ESNational University of Singapore · SGNortheast Ohio Medical University · USRadboud University Medical Center · NLSemmelweis University · HUUniversità Cattolica del Sacro Cuore · ITUniversity College London · GBUniversity of Giessen · DEWest German Heart and Vascular Center Essen · DE

Funding

British Heart Foundation FS/10/039/28270British Heart Foundation PG/15/52/31598British Heart Foundation PG/18/44/33790Department of HealthMedical Research Council MC_G1002673
6 · The paper itself

Abstract

The coronary circulation is both culprit and victim of acute myocardial infarction. The rupture of an epicardial atherosclerotic plaque with superimposed thrombosis causes coronary occlusion, and this occlusion must be removed to induce reperfusion. However, ischaemia and reperfusion cause damage not only in cardiomyocytes but also in the coronary circulation, including microembolization of debris and release of soluble factors from the culprit lesion, impairment of endothelial integrity with subsequently increased permeability and oedema formation, platelet activation and leucocyte adherence, erythrocyte stasis, a shift from vasodilation to vasoconstriction, and ultimately structural damage to the capillaries with eventual no-reflow, microvascular obstruction (MVO), and intramyocardial haemorrhage (IMH). Therefore, the coronary circulation is a valid target for cardioprotection, beyond protection of the cardiomyocyte. Virtually all of the above deleterious endpoints have been demonstrated to be favourably influenced by one or the other mechanical or pharmacological cardioprotective intervention. However, no-reflow is still a serious complication of reperfused myocardial infarction and carries, independently from infarct size, an unfavourable prognosis. MVO and IMH can be diagnosed by modern imaging technologies, but still await an effective therapy. The current review provides an overview of strategies to protect the coronary circulation from acute myocardial ischaemia/reperfusion injury. This article is part of a Cardiovascular Research Spotlight Issue entitled 'Cardioprotection Beyond the Cardiomyocyte', and emerged as part of the discussions of the European Union (EU)-CARDIOPROTECTION Cooperation in Science and Technology (COST) Action, CA16225.

Indexed as

Ischemic PostconditioningIschemic PreconditioningAnimalsCardiovascular AgentsCollateral CirculationCoronary CirculationHumansIschemic Preconditioning, MyocardialMicrocirculationMyocardial InfarctionMyocardial Reperfusion InjuryMyocardiumNeovascularization, PhysiologicNo-Reflow PhenomenonTreatment OutcomeCardiovascular AgentsCardioprotectionCoronary circulationIschaemiaMicrovascular obstructionReperfusion

Identifiers

PMID30428011
PMCPMC6529918
OpenAlexW2900781141

What OpenQuestion holds

Textmetadata
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.