Evidence map›Paper›PMID 30678657›Full record

ArticleBMC cardiovascular disorders2019

Genome-wide association study of myocardial infarction, atrial fibrillation, acute stroke, acute kidney injury and delirium after cardiac surgery - a sub-analysis of the RIPHeart-Study.

Sabine Westphal, Christian Stoppe, Matthias Gruenewald, Berthold Bein, Jochen Renner, Jochen Cremer, Mark Coburn, Gereon Schaelte, Andreas Boening, Bernd Niemann and 33 more

Registry-linked trialAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01067703 (Remote Ischaemic Preconditioning for Heart Surgery), which is not on this map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT01067703 phase3terminatednot on this map

Remote Ischaemic Preconditioning for Heart Surgery

TypeinterventionalSponsorUniversity Hospital Schleswig-HolsteinRan2010 to 2015Enrolled1,400ConditionsMyocardial Injury, MortalityArmsRemote Ischemic Preconditioning, Control/sham procedure (blood pressure cuff)
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. The complex interaction of genetics and delirium: a systematic review and meta-analysis.European archives of psychiatry and clinical neuroscience · 2021
    Pooled it
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  8. Review
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  14. Review
  15. Alarmins as a Possible Target of Future Therapies for Atrial Fibrillation.International journal of molecular sciences · 2022
    Review
  16. Article
  17. Observational
  18. Genetic Susceptibility to Acute Kidney Injury.Journal of clinical medicine · 2021
    Review
  19. Article
  20. Article
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

43 authors.

Sabine WestphalDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt, Germany.
Christian StoppeDepartment of Anaesthesiology, Medical Faculty, RWTH Aachen, University Aachen, Aachen, Germany.
Matthias GruenewaldDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Berthold BeinDepartment of Anaesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Asklepios Klinik St. Georg, Hamburg, Germany.
Jochen RennerDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Jochen CremerDepartment of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Mark CoburnDepartment of Anaesthesiology, Medical Faculty, RWTH Aachen, University Aachen, Aachen, Germany.
Gereon SchaelteDepartment of Anaesthesiology, Medical Faculty, RWTH Aachen, University Aachen, Aachen, Germany.
Andreas BoeningDepartment of Cardiovascular Surgery, University of Giessen, Giessen, Germany.
Bernd NiemannDepartment of Cardiovascular Surgery, University of Giessen, Giessen, Germany.
Frank KletzinClinic of Anaesthesiology and Intensive Care Medicine, University Hospital Rostock, Rostock, Germany.
Jan RoesnerDepartment of Anaesthesiology and Intensive Care, Suedstadt Hospital Rostock, Rostock, Germany.
Ulrich StrouhalDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt, Germany.
Christian ReyherDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt, Germany.
Rita Laufenberg-FeldmannDepartment of Anesthesiology, Medical Center of Johannes Gutenberg-University, Mainz, Germany.
Marion FernerDepartment of Anesthesiology, Medical Center of Johannes Gutenberg-University, Mainz, Germany.
Ivo F BrandesDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital Goettingen, Goettingen, Germany.
Martin BauerDepartment of Anaesthesiology and Intensive Care, Klinikum Region Hannover, Hannover, Germany.
Andreas KortgenDepartment of Anaesthesiology and Intensive Care Medicine and Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany.
Sebastian N StehrDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Leipzig, Leipzig, Germany.
Maria WittmannDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital Bonn, Bonn, Germany.
Georg BaumgartenDepartment of Anaesthesiology and Intensive Care Medicine, Johanniter Hospital Bonn, Bonn, Germany.
Rafael StruckDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital Bonn, Bonn, Germany.
Tanja Meyer-TreschanDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital Duesseldorf, Duesseldorf, Germany.
Peter KienbaumDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital Duesseldorf, Duesseldorf, Germany.
Matthias HeringlakeDepartment of Anaesthesiology and Intensive Care Medicine, University Luebeck, Luebeck, Germany.
Julika SchoenDepartment of Anaesthesiology and Intensive Care Medicine, Hospital Neuruppin, Neuruppin, Germany.
Michael SanderDepartment of Anaesthesiology and Intensive Care, University of Giessen, Giessen, Germany.
Sascha TreskatschDepartment of Anaesthesiology and Intensive Care Medicine, Charité-Universitätsmedizin Berlin, Campus Charité Mitte, Berlin, Germany.
Thorsten SmulDepartment of Anaesthesiology, University Hospital Wuerzburg, Wuerzburg, Germany.
Ewa WolwenderDepartment of Anaesthesiology, University Hospital Wuerzburg, Wuerzburg, Germany.
Thomas SchillingDepartment of Anaesthesiology, University Hospital Wuerzburg, Wuerzburg, Germany.
Frauke DegenhardtInstitute of Clinical Molecular Biology, Kiel University, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Andre FrankeInstitute of Clinical Molecular Biology, Kiel University, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Soeren MuchaInstitute of Clinical Molecular Biology, Kiel University, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Lukas TittmannInstitute of Clinical Molecular Biology, Kiel University, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Madeline KohlhaasDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt, Germany.
Georg FuernauUniversity Heart Center Luebeck, Medical Clinic II (Cardiology/Angiology/Intensive Care Medicine), University Hospital Schleswig-Holstein, Luebeck, Luebeck, Germany.
Oana BrosteanuClinical Trial Centre, University Leipzig, Leipzig, Germany.
Dirk HasencleverInstitute for Medical Informatics, Statistics and Epidemiology, University Leipzig, Leipzig, Germany.
Kai ZacharowskiDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt, Germany.
Patrick MeybohmDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt, Germany. patrick.meybohm@kgu.de.ORCID 0000-0002-2666-8696
RIPHeart-Study Collaborators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of our study was the identification of genetic variants associated with postoperative complications after cardiac surgery.

methodsWe conducted a prospective, double-blind, multicenter, randomized trial (RIPHeart). We performed a genome-wide association study (GWAS) in 1170 patients of both genders (871 males, 299 females) from the RIPHeart-Study cohort. Patients undergoing non-emergent cardiac surgery were included. Primary endpoint comprises a binary composite complication rate covering atrial fibrillation, delirium, non-fatal myocardial infarction, acute renal failure and/or any new stroke until hospital discharge with a maximum of fourteen days after surgery.

resultsA total of 547,644 genotyped markers were available for analysis. Following quality control and adjustment for clinical covariate, one SNP reached genome-wide significance (PHLPP2, rs78064607, p = 3.77 × 10

conclusionsWe identified several potential loci, in particular PHLPP2, BBS9, RyR2, DUSP4 and HSPA8, associated with new-onset of atrial fibrillation, delirium, myocardial infarction, acute kidney injury and stroke after cardiac surgery.

trial registrationThe study was registered with ClinicalTrials.gov NCT01067703, prospectively registered on 11 Feb 2010.

Indexed as

Polymorphism, Single NucleotideAcute Kidney InjuryAgedAtrial FibrillationCardiac Surgical ProceduresCytoskeletal ProteinsDeliriumDual-Specificity PhosphatasesFemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyHSC70 Heat-Shock ProteinsHumansMaleMiddle AgedMitogen-Activated Protein Kinase PhosphatasesBBS9 protein, humanCytoskeletal ProteinsDual-Specificity PhosphatasesDUSP4 protein, humanHSC70 Heat-Shock ProteinsHSPA8 protein, humanMitogen-Activated Protein Kinase PhosphatasesPHLPP2 protein, humanPhosphoprotein PhosphatasesRyanodine Receptor Calcium Release ChannelRyR2 protein, humanAcute kidney injuryAtrial fibrillationCardiac surgeryDeliriumGenome-wide association studyMyocardial infarctionStroke

Identifiers

PMID30678657
PMCPMC6345037

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Registered trials

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