Evidence map›Paper›PMID 32552321›Full record

ArticleJournal of the American Heart Association2020

Novel Biomarkers, ST-Elevation Resolution, and Clinical Outcomes Following Primary Percutaneous Coronary Intervention.

Jay S Shavadia, Christopher B Granger, Wendimagegn Alemayehu, Cynthia M Westerhout, Thomas J Povsic, Sean Van Diepen, Christopher Defilippi, Paul W Armstrong

Abstract readComparative StudyMulticenter Study
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Jay S ShavadiaDuke Clinical Research Institute Durham NC.
Christopher B GrangerDuke Clinical Research Institute Durham NC.
Wendimagegn AlemayehuCanadian VIGOUR Centre University of Alberta Edmonton Alberta Canada.
Cynthia M WesterhoutCanadian VIGOUR Centre University of Alberta Edmonton Alberta Canada.
Thomas J PovsicDuke Clinical Research Institute Durham NC.
Sean Van DiepenCanadian VIGOUR Centre University of Alberta Edmonton Alberta Canada.
Christopher DefilippiInova Heart and Vascular Institute Falls Church VA.
Paul W ArmstrongCanadian VIGOUR Centre University of Alberta Edmonton Alberta Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Despite restoration of epicardial flow following primary percutaneous coronary intervention (PPCI), microvascular reperfusion as reflected by ST-elevation resolution (ST-ER) resolution remains variable and its pathophysiology remains unclear. Methods and Results Using principal component analyses, we explored associations between 91 serum biomarkers drawn before PPCI clustered into 14 pathobiologic processes (including NT-proBNP [N-terminal pro-B-type natriuretic peptide] as an independent cluster), and (1) ST-ER resolution ≥50% versus <50%; and (2) 90-day composite of death, shock, and heart failure. Network analyses were performed to understand interbiomarker relationships between the ST-ER groups. Among the 1160 patients studied, 861 (74%) had ST-ER ≥50% at a median 40 (interquartile range, 23-70) minutes following PPCI, yet both groups had comparable post-PPCI TIMI (Thrombolysis in Myocardial Infarction) grade 3 flow (86.6% versus 82.9%;

Indexed as

Percutaneous Coronary InterventionPlatelet ActivationAgedBiomarkersCoronary CirculationFemaleHumansMaleMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsPrincipal Component AnalysisRandomized Controlled Trials as TopicRecovery of FunctionRisk AssessmentRisk FactorsBiomarkersNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)biomarkersmicrovascular reperfusionprimary percutaneous coronary interventionST‐elevation resolutionST‐segment–elevation myocardial infarction

Identifiers

PMID32552321
PMCPMC7670520

What OpenQuestion holds

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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.