Evidence map›Paper›PMID 31843818›Full record

SynthesisBMJ open2019

Association between hyperlipidemia and mortality after incident acute myocardial infarction or acute decompensated heart failure: a propensity score matched cohort study and a meta-analysis.

Mohammed Yousufuddin, Paul Y Takahashi, Brittny Major, Eimad Ahmmad, Hossam Al-Zubi, Jessica Peters, Taylor Doyle, Kelsey Jensen, Ruaa Y Al Ward, Umesh Sharma and 4 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

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  6. Long-term all-cause mortality rate after ST-elevation myocardial infarction and its predictors: ST Elevation Myocardial Infarction Cohort in Isfahan Study.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2025
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  9. Association between post-stroke smoking and stroke recurrence in first-ever ischemic stroke survivors: based on a 10-year prospective cohort.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
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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

14 authors at 2 institutions in 1 country.

Mohammed YousufuddinInternal Medicine, Mayo Clinic Minnesota, Rochester, Minnesota, USA Yousufuddin.Mohammed@mayo.edu.ORCID 0000-0002-7496-9856
Paul Y TakahashiInternal Medicine, Mayo Clinic Minnesota, Rochester, Minnesota, USA.
Brittny MajorInternal Medicine, Mayo Clinic Minnesota, Rochester, Minnesota, USA.
Eimad AhmmadInternal Medicine, Mayo Clinic Health System in Albert Lea, Albert Lea, Minnesota, USA.
Hossam Al-ZubiInternal Medicine, Mayo Clinic Health System in Albert Lea, Albert Lea, Minnesota, USA.
Jessica PetersInternal Medicine, Mayo Clinic Minnesota, Rochester, Minnesota, USA.
Taylor DoyleInternal Medicine, Mayo Clinic Minnesota, Rochester, Minnesota, USA.
Kelsey JensenInternal Medicine, Mayo Clinic Health System in Albert Lea, Albert Lea, Minnesota, USA.
Ruaa Y Al WardInternal Medicine, Mayo Clinic Minnesota, Rochester, Minnesota, USA.
Umesh SharmaInternal Medicine, Mayo Clinic Health System in Albert Lea, Albert Lea, Minnesota, USA.
Ashok SeshadriInternal Medicine, Mayo Clinic Minnesota, Rochester, Minnesota, USA.
Zhen WangInternal Medicine, Mayo Clinic Minnesota, Rochester, Minnesota, USA.
Vinaya SimhaInternal Medicine, Mayo Clinic Minnesota, Rochester, Minnesota, USA.
M Hassan MuradInternal Medicine, Mayo Clinic Minnesota, Rochester, Minnesota, USA.
Mayo Clinic · USMayo Clinic Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the effect of HLP, defined as having a pre-existing or a new in-hospital diagnosis based on low density lipoprotein cholesterol (LDL-C) level ≥100 mg/dL during index hospitalisation or within the preceding 6 months, on all-cause mortality after hospitalisation for acute myocardial infarction (AMI) or acute decompensated heart failure (ADHF) and to determine whether HLP modifies mortality associations of other competing comorbidities. A systematic review and meta-analysis to place the current findings in the context of published literature.

designRetrospective study, 1:1 propensity-score matching cohorts; a meta-analysis.

settingLarge academic centre, 1996-2015.

participantsHospitalised patients with AMI or ADHF. MAIN OUTCOMES AND MEASURES: All-cause mortality and meta-analysis of relative risks (RR).

resultsUnmatched cohorts: 13 680 patients with AMI (age (mean) 68.5 ± (SD) 13.7 years; 7894 (58%) with HLP) and 9717 patients with ADHF (age, 73.1±13.7 years; 3668 (38%) with HLP). In matched cohorts, the mortality was lower in AMI patients (n=4348 pairs) with HLP versus no HLP, 5.9 versus 8.6/100 person-years of follow-up, respectively (HR 0.76, 95% CI 0.72 to 0.80). A similar mortality reduction occurred in matched ADHF patients (n=2879 pairs) with or without HLP (12.4 vs 16.3 deaths/100 person-years; HR 0.80, 95% CI 0.75 to 0.86). HRs showed modest reductions when HLP occurred concurrently with other comorbidities. Meta-analyses of nine observational studies showed that HLP was associated with a lower mortality at ≥2 years after incident AMI or ADHF (AMI: RR 0.72, 95% CI 0.69 to 0.76; heart failure (HF): RR 0.67, 95% CI 0.55 to 0.81).

conclusionsAmong matched AMI and ADHF cohorts, concurrent HLP, compared with no HLP, was associated with a lower mortality and attenuation of mortality associations with other competing comorbidities. These findings were supported by a systematic review and meta-analysis.

Indexed as

Cause of DeathCholesterol, LDLHeart FailureHumansHyperlipidemiasKaplan-Meier EstimateMyocardial InfarctionPropensity ScoreProportional Hazards ModelsRetrospective StudiesCholesterol, LDLacute myocardial infarctionheart failurehyperlipidemiamortality

Identifiers

PMID31843818
PMCPMC6924840
OpenAlexW2996692548

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.