Evidence map›Paper›PMID 32067582›Full record

ArticleJournal of the American Heart Association2020

Clinical Implications of "Tailored" Antiplatelet Therapy in Patients With Chronic Total Occlusion.

Maria Grazia De Gregorio, Rossella Marcucci, Angela Migliorini, Anna Maria Gori, Betti Giusti, Ruben Vergara, Rita Paniccia, Nazario Carrabba, Niccolò Marchionni, Renato Valenti

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. 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 19% 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, 12 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.

Maria Grazia De GregorioCardiovascular Department Azienda Ospedaliero-Universitaria Careggi Florence Italy.
Rossella MarcucciCardiovascular Department Azienda Ospedaliero-Universitaria Careggi Florence Italy.
Angela MiglioriniCardiovascular Department Azienda Ospedaliero-Universitaria Careggi Florence Italy.
Anna Maria GoriExperimental and Clinical Medicine Department University of Florence Italy.
Betti GiustiExperimental and Clinical Medicine Department University of Florence Italy.
Ruben VergaraCardiovascular Department Azienda Ospedaliero-Universitaria Careggi Florence Italy.
Rita PanicciaExperimental and Clinical Medicine Department University of Florence Italy.
Nazario CarrabbaCardiovascular Department Azienda Ospedaliero-Universitaria Careggi Florence Italy.
Niccolò MarchionniCardiovascular Department Azienda Ospedaliero-Universitaria Careggi Florence Italy.
Renato ValentiCardiovascular Department Azienda Ospedaliero-Universitaria Careggi Florence Italy.
University of Florence · ITAzienda Ospedaliero-Universitaria Careggi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Clopidogrel nonresponsiveness is a prognostic marker after percutaneous coronary intervention. Prasugrel and ticagrelor provide a better platelet inhibition and represent the first-line antiplatelet treatment in acute coronary syndrome. We sought to assess the prognostic impact of high platelet reactivity (HPR) and the potential clinical benefit of a "tailored" escalated or changed antiplatelet therapy in patients with chronic total occlusion. Methods and Results From Florence CTO-PCI (chronic total occlusion-percutaneous coronary intervention) registry, platelet function assessed by light transmission aggregometry, was available for 1101 patients. HPR was defined by adenosine diphosphate test ≥70% and optimal platelet reactivity by adenosine diphosphate test <70%. The endpoint of the study was long-term cardiac survival. Patients were stratified according to light transmission aggregometry results: optimal platelet reactivity (82%) and HPR (18%). Means for the adenosine diphosphate test were 44±16% versus 77±6%, respectively. Three-year survival was significantly higher in the optimal platelet reactivity group compared with HPR patients (95.3±0.8% versus 86.2±2.8%;

Indexed as

Percutaneous Coronary InterventionAgedClopidogrelCoronary OcclusionFemaleHumansMaleMiddle AgedPlatelet ActivationPlatelet Aggregation InhibitorsPlatelet Function TestsPrasugrel HydrochloridePurinergic P2Y Receptor AntagonistsRegistriesSurvival RateTicagrelorClopidogrelPlatelet Aggregation InhibitorsPrasugrel HydrochloridePurinergic P2Y Receptor AntagonistsTicagrelorantiplatelet therapychronic total occlusionplatelet reactivity

Identifiers

PMID32067582
PMCPMC7070214
OpenAlexW3005628652

What OpenQuestion holds

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LicenceCC BY-NC
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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.