Evidence map›Paper›PMID 31936060›Full record

ArticleJournal of clinical medicine2020

Remote Ischemic Preconditioning Neither Improves Survival nor Reduces Myocardial or Kidney Injury in Patients Undergoing Transcatheter Aortic Valve Implantation (TAVI).

Mandy Flechsig, Tobias F Ruf, Willi Troeger, Stephan Wiedemann, Silvio Quick, Karim Ibrahim, Christian Pfluecke, Akram Youssef, Krunoslav M Sveric, Robert Winzer and 5 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

15 authors at 6 institutions in 1 country.

Mandy FlechsigDepartment of Internal Medicine and Cardiology, Herzzentrum Dresden at Technische Universität Dresden, 01307 Dresden, Germany.
Tobias F RufCenter for Cardiology, Cardiology I, University Medical Center Mainz, 55131 Mainz, Germany.ORCID 0000-0003-4540-6621
Willi TroegerDepartment of Internal Medicine and Cardiology, Herzzentrum Dresden at Technische Universität Dresden, 01307 Dresden, Germany.
Stephan WiedemannDepartment of Internal Medicine and Cardiology, HELIOS Klinikum Pirna, 01796 Pirna, Germany.
Silvio QuickDepartment of Cardiology, Klinikum Chemnitz, Technische Universität Dresden, 09116 Chemnitz, Germany.
Karim IbrahimDepartment of Cardiology, Klinikum Chemnitz, Technische Universität Dresden, 09116 Chemnitz, Germany.
Christian PflueckeDepartment of Internal Medicine and Cardiology, Herzzentrum Dresden at Technische Universität Dresden, 01307 Dresden, Germany.
Akram YoussefDepartment of Cardiology, Klinikum Chemnitz, Technische Universität Dresden, 09116 Chemnitz, Germany.
Krunoslav M SvericDepartment of Internal Medicine and Cardiology, Herzzentrum Dresden at Technische Universität Dresden, 01307 Dresden, Germany.
Robert WinzerDepartment of Radiology, Universitätsklinikum Dresden, 01307 Dresden, Germany.
Frank R HeinzelDepartment of Internal Medicine and Cardiology, Charité-Universitätsmedizin Berlin, Campus Virchow-Klinikum, 13353 Berlin, Germany.
Axel LinkeDepartment of Internal Medicine and Cardiology, Herzzentrum Dresden at Technische Universität Dresden, 01307 Dresden, Germany.
Ruth H StrasserMedical Faculty, Technische Universität Dresden, 01069 Dresden, Germany.
Kun ZhangDepartment of Internal Medicine and Cardiology, Charité-Universitätsmedizin Berlin, Campus Virchow-Klinikum, 13353 Berlin, Germany.
Felix M HeidrichDepartment of Internal Medicine and Cardiology, Herzzentrum Dresden at Technische Universität Dresden, 01307 Dresden, Germany.
Technische Universität Dresden · DEKlinikum Chemnitz · DEBerlin Institute of Health at Charité - Universitätsmedizin Berlin · DECharité - Universitätsmedizin Berlin · DEJohannes Gutenberg University Mainz · DEKlinik und Poliklinik für Psychotherapie und Psychosomatik · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeri-interventional myocardial injury occurs frequently during transcatheter aortic valve implantation (TAVI). We assessed the effect of remote ischemic preconditioning (RIPC) on myocardial injury, acute kidney injury (AKIN) and 6-month mortality in patients undergoing TAVI.

methodsWe performed a prospective single-center controlled trial. Sixty-six patients treated with RIPC prior to TAVI were enrolled in the study and were matched to a control group by propensity-score. RIPC was applied to the upper extremity using a conventional tourniquet. Myocardial injury was assessed using high-sensitive troponin-T (hsTnT), and kidney injury was assessed using serum creatinine levels. Data were compared with the Wilcoxon-Rank and McNemar tests. Mortality was analysed with the log-rank test.

resultsTAVI led to a significant rise of hsTnT across all patients (

conclusionOur data do not show a beneficial role of RIPC in TAVI patients for cardio- or renoprotection, or improved survival.

Indexed as

aortic valve stenosisbioprosthesisischemic preconditioningtranscatheter aortic valve replacement

Identifiers

PMID31936060
PMCPMC7019611
OpenAlexW3000520878

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.