Evidence map›Paper›PMID 31146758›Full record

SynthesisCardiovascular diabetology2019

Association of haptoglobin phenotype with incident acute myocardial infarction in Chinese patients with type 2 diabetes.

Resham L Gurung, M Yiamunaa, Sylvia Liu, Jian Jun Liu, Clara Chan, Robin Wai Munn Choo, Keven Ang, Chee Fang Sum, Subramaniam Tavintharan, Su Chi Lim

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Cardiovascular diabetology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.2field-weighted citation impact, top 24% 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

10 citing papers in PubMed, 18 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

Resham L GurungClinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore.
M YiamunaaClinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore.
Sylvia LiuClinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore.
Jian Jun LiuClinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore.
Clara ChanClinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore.
Robin Wai Munn ChooGeriatric Education and Research Institute, Singapore, Singapore.
Keven AngClinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore.
Chee Fang SumDiabetes Centre, Admiralty Medical Centre, Singapore, Singapore.
Subramaniam TavintharanDiabetes Centre, Admiralty Medical Centre, Singapore, Singapore.
Su Chi LimClinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore. lim.su.chi@ktph.com.sg.
Khoo Teck Puat Hospital · SGGeriatric Education and Research Institute · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHaptoglobin (Hp) is an abundant plasma protein with anti-oxidant properties. Hp polymorphism is associated with cardio-metabolic dysfunction but the allele conferring risk of developing acute myocardial infarction (AMI) in type 2 diabetes (T2D) patients is unclear. This study aimed to investigate the association of Hp phenotype (Hp 1-1, 2-1 and 2-2) with incident AMI in Chinese T2D patients.

methodsThis prospective study included Chinese T2D participants from the Singapore Study of Macro-angiopathy and Micro-vascular Reactivity in Type 2 Diabetes (SMART2D) and Diabetic Nephropathy (DN) cohorts. Information on incidence of non-fatal AMI was collected by data linkage with the Singapore Myocardial Infarction Registry. Hp phenotype was determined using enzyme-linked immunosorbent assay. Cox proportional hazards regression models were used to evaluate the association of Hp phenotype with incident AMI, adjusted for traditional risk factors separately in two cohorts, then meta-analysed.

resultsIn total, 2324 Chinese participants (SMART2D; N = 1034, mean age [SD] of 59 [11]) and (DN: N = 1290, mean age [SD] of 58 [12]) were included in this study. There were total of 30 (56 events per 10,000 patient-years) and 99 (128 events per 10,000 patient-years) AMI events in SMART2D and DN cohorts respectively. In meta-analysis, presence of Hp 1 allele conferred 43% (hazard ratio [HR] = 1.43 [95% CI 1.10-1.87], P = 0.008, P

conclusionsHp 1-1 phenotype was associated with increased risk of incident AMI, independent of traditional risk factors, in Chinese patients with T2D. Hp phenotyping may allow for identification of T2D individuals at higher risk for onset of AMI. However, further studies are needed to understand the underlying mechanism between Hp alleles and risk for AMI.

Indexed as

Asian PeopleAgedChinaDiabetes Mellitus, Type 2FemaleHaptoglobinsHumansIncidenceMaleMiddle AgedMyocardial InfarctionPolymorphism, GeneticPrognosisProspective StudiesRisk AssessmentRisk FactorsHaptoglobinsHP protein, humanAcute myocardial infarctionHaptoglobin polymorphismType 2 diabetes

Identifiers

PMID31146758
PMCPMC6542096
OpenAlexW2947915703

What OpenQuestion holds

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LicenceCC BY
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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.