Evidence map›Paper›PMID 31422134›Full record

Trial reportJACC. Cardiovascular imaging2020

Ticagrelor to Reduce Myocardial Injury in Patients With High-Risk Coronary Artery Plaque.

Alastair J Moss, Marc R Dweck, Mhairi K Doris, Jack P M Andrews, Rong Bing, Rachael O Forsythe, Timothy R Cartlidge, Tania A Pawade, Marwa Daghem, Jennifer B Raftis and 9 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JACC. Cardiovascular imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02110303 (Dual Antiplatelet Therapy to Inhibit Coronary Atherosclerosis and Myocardial Injury in Patients With Necrotic High-Risk Coronary Plaque Disease), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.0field-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.

NCT02110303 phase2 / phase3completednot on this map

Dual Antiplatelet Therapy to Inhibit Coronary Atherosclerosis and Myocardial Injury in Patients With Necrotic High-Risk Coronary Plaque Disease

TypeinterventionalSponsorUniversity of EdinburghRan2015 to 2018Enrolled220ConditionsCoronary Artery DiseaseArmsTicagrelor, Placebo
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Vascular medicine (London, England) · 2025
    Pooled it
  2. CoronaryCirculation. Cardiovascular imaging · 2020
    Trial
  3. Article
  4. Temporal Changes in CoronaryJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
    Article
  5. Article
  6. Thoracic AorticJACC. Cardiovascular imaging · 2022
    Observational
  7. Observer repeatability and interscan reproducibility of 18F-sodium fluoride coronary microcalcification activity.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  8. Association of Lipoprotein(a) With Atherosclerotic Plaque Progression.Journal of the American College of Cardiology · 2022
    Article
  9. Machine Learning withJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2022
    Article
  10. Review
  11. Advances in Quantitative Analysis ofMolecular imaging · 2021
    Review
  12. Atherosclerosis Imaging withDiagnostics (Basel, Switzerland) · 2020
    Review
  13. Review
  14. An Update on [Journal of lipid and atherosclerosis · 2020
    Review
  15. Review
  16. CoronaryJournal of the American College of Cardiology · 2020
    Observational
  17. Atherosclerosis imaging withEuropean journal of nuclear medicine and molecular imaging · 2020
    Review
  18. Review
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 5 institutions in 2 countries.

Alastair J MossBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom. Electronic address: alastairmoss@gmail.com.
Marc R DweckBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Mhairi K DorisBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Jack P M AndrewsBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Rong BingBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Rachael O ForsytheBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Timothy R CartlidgeBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Tania A PawadeBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Marwa DaghemBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Jennifer B RaftisMedical Research Council Centre for Inflammation Research, University of Edinburgh, Edinburgh, United Kingdom.
Michelle C WilliamsBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom; Edinburgh Imaging, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, United Kingdom.
Edwin J R van BeekBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom; Edinburgh Imaging, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, United Kingdom.
Laura ForsythEdinburgh Clinical Trials Unit, University of Edinburgh, Edinburgh, United Kingdom.
Steff C LewisEdinburgh Clinical Trials Unit, University of Edinburgh, Edinburgh, United Kingdom.
Robert J LeeEdinburgh Clinical Trials Unit, University of Edinburgh, Edinburgh, United Kingdom.
Anoop S V ShahBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom; Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, United Kingdom.
Nicholas L MillsBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom; Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, United Kingdom.
David E NewbyBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom; Edinburgh Imaging, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, United Kingdom.
Philip D AdamsonBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom; Christchurch Heart Institute, University of Otago, Christchurch, New Zealand.
University of Edinburgh · GBBritish Heart Foundation · GBCentre for Inflammation Research · GBNew Zealand Brain Research Institute · NZThe Queen's Medical Research Institute · GB

Funding

British Heart Foundation CH/09/002British Heart Foundation CH/09/002/26360British Heart Foundation FS/13/77/30488British Heart Foundation FS/16/14/32023British Heart Foundation FS/16/19/31982British Heart Foundation FS/17/51/33096British Heart Foundation FS/17/79/33226British Heart Foundation FS/19/17/34172British Heart Foundation RE/13/3/30183British Heart Foundation RG/16/10/32375Chief Scientist Office CGA/17/53Medical Research Council G0701127Medical Research Council MC_PC_12040Wellcome TrustWellcome Trust WT103782AIA
6 · The paper itself

Abstract

objectivesThe goal of this study was to determine whether ticagrelor reduces high-sensitivity troponin I concentrations in patients with established coronary artery disease and high-risk coronary plaque.

backgroundHigh-risk coronary atherosclerotic plaque is associated with higher plasma troponin concentrations suggesting ongoing myocardial injury that may be a target for dual antiplatelet therapy.

methodsIn a randomized, double-blind, placebo-controlled trial, patients with multivessel coronary artery disease underwent coronary

resultsIn total, 202 patients were randomized to treatment, and 191 met the pre-specified criteria for inclusion in the primary analysis. In patients with increased coronary

conclusionsDual antiplatelet therapy with ticagrelor did not reduce plasma troponin concentrations in patients with high-risk coronary plaque, suggesting that subclinical plaque thrombosis does not contribute to ongoing myocardial injury in this setting. (Dual Antiplatelet Therapy to Reduce Myocardial Injury [DIAMOND]; NCT02110303).

Indexed as

Percutaneous Coronary InterventionPlaque, AtheroscleroticCoronary VesselsHumansMalePlatelet Aggregation InhibitorsPredictive Value of TestsProspective StudiesTicagrelorTomography, X-Ray ComputedTreatment OutcomePlatelet Aggregation InhibitorsTicagrelor(18)F-fluoridemyocardial infarctiontroponin

Identifiers

PMID31422134
PMCPMC7342015
OpenAlexW2967727675

What OpenQuestion holds

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LicenceCC BY
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.