Evidence map›Paper›PMID 30565147›Full record

ArticleJournal of thrombosis and thrombolysis2019

Characteristics of patients presenting with myocardial infarction with non-obstructive coronary arteries (MINOCA) in Poland: data from the ORPKI national registry.

Tomasz Rakowski, Giuseppe De Luca, Zbigniew Siudak, Krzysztof Plens, Artur Dziewierz, Paweł Kleczyński, Tomasz Tokarek, Michał Węgiel, Marcin Sadowski, Dariusz Dudek

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of thrombosis and thrombolysis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Optical coherence tomography in the diagnosis of myocardial infarction with non-obstructive coronary arteries.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2022
    Review
  14. Article
  15. Review
  16. Article
  17. Observational
  18. Article
  19. Article
  20. 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

10 authors at 4 institutions in 2 countries.

Tomasz RakowskiInstitute of Cardiology, Jagiellonian University Medical College, Kopernika 17 Street, 31-501, Kraków, Poland. mcrakows@cyfronet.pl.ORCID http://orcid.org/0000-0001-6478-6186
Giuseppe De LucaDivision of Cardiology, Azienda Ospedaliera-Universitaria "Maggiore della Carità", Eastern Piedmont University, Novara, Italy.
Zbigniew SiudakJan Kochanowski University, Kielce, Poland.
Krzysztof PlensKCRI, Kraków, Poland.
Artur DziewierzInstitute of Cardiology, Jagiellonian University Medical College, Kopernika 17 Street, 31-501, Kraków, Poland.
Paweł KleczyńskiInstitute of Cardiology, Jagiellonian University Medical College, Kopernika 17 Street, 31-501, Kraków, Poland.
Tomasz TokarekInstitute of Cardiology, Jagiellonian University Medical College, Kopernika 17 Street, 31-501, Kraków, Poland.
Michał WęgielInstitute of Cardiology, Jagiellonian University Medical College, Kopernika 17 Street, 31-501, Kraków, Poland.
Marcin SadowskiJan Kochanowski University, Kielce, Poland.
Dariusz DudekInstitute of Cardiology, Jagiellonian University Medical College, Kopernika 17 Street, 31-501, Kraków, Poland.
Jagiellonian University · PLJan Kochanowski University · PLKrakow Cardiovascular Research Institute · PLUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myocardial infarction (MI) with non-obstructive coronary arteries (MINOCA) is an important clinical problem especially in the era of extensive utilization of coronary angiography in MI patients. Its pathophysiology is poorly understood which makes diagnostics and treatment of MINOCA challenging in everyday clinical practice. The aim of the study was to assess characteristics of MINOCA patients in Poland based on data from the Polish National ORPKI Registry. In 2016, 49,893 patients with non-ST-segment elevation (NSTEMI) or ST-segment elevation (STEMI) myocardial infarction entered the ORPKI registry. MINOCA was defined as a non-obstructive coronary artery disease (CAD) and a lack of previous coronary revascularization. MINOCA was identified in 3924 (7.8%) patients and clinical presentation was more often NSTEMI than STEMI (MINOCA: 78 vs. 22%; obstructive CAD 51.1 vs. 48.9%; p < 0.0001). MINOCA patients were younger and more often females with significantly lower rates of diabetes, smoking, arterial hypertension, kidney disease, previous MI and previous stroke comparing to patients with obstructive CAD. Myocardial bridge was visualized in angiography more often in the MINOCA group (2.2 vs. 0.4%; p < 0.0001). Additional coronary assessment inducing fractional flow reserve, intravascular ultrasound, optical coherence tomography was marginally (< 1%) used in both groups. Periprocedural mortality was lower in MINOCA group (0.13% vs. 0.95%; p < 0.0001). MINOCA patients represent a significant proportion of MI patients in Poland. Due to multiple potential causes, MINOCA should be considered rather as a working diagnosis after coronary angiography and further efforts should be taken to define the cause of MI in each individual patient.

Indexed as

AgedCoronary AngiographyCoronary Artery DiseaseCoronary VesselsFemaleHumansMaleMiddle AgedMultimodal ImagingMyocardial InfarctionPolandRegistriesRisk FactorsCoronary angiographyMyocardial infarctionNon-obstructive coronary artery diseaseRegistries

Identifiers

PMID30565147
PMCPMC6439254
OpenAlexW2905292050

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.