Evidence map›Paper›PMID 31531823›Full record

ArticleNetherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation2020

Design and rationale of ischaemia-driven complete revascularisation versus usual care in patients with non-ST-elevation myocardial infarction and multivessel coronary disease: the South Limburg Myocardial Infarction (SLIM) trial.

T F S Pustjens, B Streukens, J Vainer, B Gho, A W Ruiters, M Stein, M Ilhan, L Veenstra, R Theunissen, S C A M Bekkers and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03562572 (Ischemia), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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.

NCT03562572 naactive not recruitingnot on this map

Ischemia (FFR) Driven Complete Revascularization Versus Usual Care in Patients With Non-ST Elevation Myocardial Infarction and Multivessel Diseases: The South Limburg Myocardial Infarction Study Group The SLIM Study

TypeinterventionalSponsorZuyderland Medisch CentrumRan2018 to 2027Enrolled476ConditionsCoronary Artery Disease, NSTEMI - Non-ST Segment Elevation MI, Fractional Flow Reserve, Myocardial, Myocardial RevascularizationArmsIschemia driven revascularization, Usual care group
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. Observational
  3. Article
  4. Using real-world data to monitor and improve quality of care in coronary artery disease: results from the Netherlands Heart Registration.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2022
    Review
  5. Article
  6. Invasive coronary physiology: a Dutch tradition.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2020
    Review
  7. I want it all, and I want it now.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2020
    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

12 authors.

T F S PustjensDepartment of Cardiology, Zuyderland Medical Centre, Heerlen, The Netherlands. t.pustjens@gmail.com.
B StreukensDepartment of Cardiology and Radiology, Maastricht University Medical Centre, Maastricht, The Netherlands.
J VainerDepartment of Cardiology, Maastricht University Medical Centre, Maastricht, The Netherlands.
B GhoDepartment of Cardiology, Zuyderland Medical Centre, Heerlen, The Netherlands.
A W RuitersDepartment of Cardiology, Zuyderland Medical Centre, Heerlen, The Netherlands.
M SteinDepartment of Cardiology, Zuyderland Medical Centre, Heerlen, The Netherlands.
M IlhanDepartment of Cardiology, Zuyderland Medical Centre, Heerlen, The Netherlands.
L VeenstraDepartment of Cardiology, Zuyderland Medical Centre, Heerlen, The Netherlands.
R TheunissenDepartment of Cardiology, Maastricht University Medical Centre, Maastricht, The Netherlands.
S C A M BekkersDepartment of Cardiology and Radiology, Maastricht University Medical Centre, Maastricht, The Netherlands.
A W J Van't HofDepartment of Cardiology, Zuyderland Medical Centre, Heerlen, The Netherlands.
S RasoulDepartment of Cardiology, Zuyderland Medical Centre, Heerlen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo compare ischaemia-driven complete coronary revascularisation by percutaneous coronary intervention (PCI) with usual care in patients with non-ST-elevation myocardial infarction (non-STEMI) and multivessel disease (MVD).

methodsThe South Limburg Myocardial Infarction (SLIM) trial (NCT03562572) is an investigator-initiated, prospective, multicentre, randomised controlled trial that compares fractional flow reserve (FFR)-guided complete revascularisation during the index procedure with usual care in non-STEMI patients with MVD. A total of 414 patients will be randomised in a 1:1 fashion. The primary endpoint is the composite of all-cause mortality, non-fatal myocardial infarction, and any revascularisation and stroke (MACCE) at 12 months. The secondary endpoints are: MACCE at 24 and 36 months, and the composite of cardiac death, myocardial infarction, any revascularisation, stroke, major bleeding and left ventricular ejection fraction below 45% at 12, 24 and 36 months. Furthermore, quality of life will be assessed by the Patient Health Questionnaire (PHQ-9) and the Short Form (36) Health Survey (SF-36) at 1 and 12 months of follow-up.

conclusionThe SLIM trial aims to provide evidence whether FFR-guided complete revascularisation by PCI is superior to usual care with respect to clinical outcomes (major adverse cardiovascular events) in non-STEMI patients with MVD.

Indexed as

Acute coronary syndromeComplete revascularisationMultivessel diseaseNon-ST-elevation myocardial infarction

Identifiers

PMID31531823
PMCPMC6977786

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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.